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I would be surprised if he is as independent and managing as well as you think he is. He is alone most of the time and you really don't know how he is doing. If he doesn't remember that your sister visits, he probably needs more supervision than you think. You need to step in to make decisions. Do not ask. He will refuse help and say no. Or you can wait for a crisis, then make a plan in an emergency situation. Hopefully this would be a scenario of a hospital admission with discharge to a facility.
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