Guest check in yesterday for 3 nights. She is very messy, so much stuff on the floor, you can’t walk through the room. Trash everywhere in the room including leftover food. All lights & TV were all left on. (She’s gone all day to work) Instead of sleeping between the sheets, she is sleeping with the blanket next to her skin. (Does she not how how a top sheet works. Clean up in kitchen was minimal. She almost pour a good amount of olive oil down the drain, but I stopped her. Should I confront her now or just leave a 2-star review after she checks out.
This is obviously a homeshare. My first thought was, did she leave the bedroom door open, so you can see in without invading her privacy? It depends on what your house rules say concerning eating in the bedroom, & kitchen usage. If your rules are clear, & she is breaking them, I’d suggest talking to her & reiterating what your expectations are.
As to her not sleeping between the sheets, I’ve found a lot of guests do this (more often than not, it’s younger guests). Could be possible they think it saves the host from having to wash everything. Unbeknownst to them, that’s not the case!
She may surprise you upon departure, & leave the space spotless. 
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Don’t see it as a ‘confrontation’. Just have a conversation with her about it.
Look at it this way - if you received a two-star review from a guest because (let’s say) during their stay the hot water heater broke down and the internet was out and there were ants in the kitchen, you’d say “why on earth didn’t you let me know about your concerns so that I could rectify them for you?”
It works both ways.
I had this a few years ago. I saw the guests leave in their car about an hour before checkout time. Assuming that they were checking out early, I went into the apartment and it was in a terrible state.
Then I noticed that there was luggage still there, plus a camera and a laptop.
Realising that they guests hadn’t checked out, I scurried away. The guests were back within a few minutes.
They must have spent the 50 minutes or so before checkout cleaning the apartment as when they left, it was in fabulous condition. 
@mollimac makes a good point - how do you know the condition of her room?
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Is the stuff on the floor in the common area or just in the bedroom she rented? If the mess is in the bedroom, she might tidy up before she checks out. If not, then leave an honest review.
I am a homeshare host and if a guest is messy in their room, with clothes all over, it is none of my business, if they want to live in a mess. I just expect them to leave it tidy when they check out.
Not cleaning up after herself in a shared kitchen is a different story.
I tell my guests not to have food or dirty dishes, or eat in their room, or throw food wrappers in the bedroom garbage, but they can sit on the balcony and eat there, although most use my kitchen table.
Did you ask the guest to turn off lights and TV when she goes out, and not have food in the bedroom? Of course, responsible adults shouldn’t have to be told these things, but unfortunately some do.
Going over house rules and respectful behavior with a homeshare guest if they don’t “get it” should be thought of as a conversation, not a confrontation. There are ways to approach it that are not confrontational. “Oh, hi, XX, how was your day? The weather was so nice today, did you get to enjoy it at all, or were you stuck inside all day? Oh, by the way, please don’t eat or keep food in the bedroom- it will attract ants and cockroaches, and I’d really appreciate it if you turned off the lights and TV when you go to work. I was just going to make a pot of tea, would you like a cup?”
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