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My mother will be 87 in less than two weeks, very agile for her age. It fools people into thinking she is in good shape. She was diagnosed with Moderate Dementia and Alzheimer's in Dec 2025. She currently lives in a one bedroom apartment with a small kitchenette and a community room the 4 other residents share. They get meals provided Monday - Friday, cleaning services and help with laundry if needed. She is wearing out her welcome in the building. She has a Pomeranian dog that barks constantly. Her short term memory is getting to be terrible. The staff thinks she needs a higher level to keep her busy and out of trouble. She creates problems weekly. Hounding the maintenance, dietary, cleaning staff about something. The other residents are also feeling it. She is always in everybody else's business. Her PCP isn't very cooperative she basically has show timers at every appointment. Her neurologist is hit or miss and not all that helpful. I am an only child with a husband that has multiple health issues. I can't do it all, but she is insistent that she doesn't need to move to a higher level, mainly because she won't be able to take her dog.The dog is a whole other story. She yells at him and hits him with a newspaper frequently. When I bring him to my house, he barely lets out a peep, and acts like a completely different dog. Her wild energy sets him off, and he clearly is stressed. When I am there, I always take him out for a walk and a potty break. She always says she just took him out. He claws at my pantleg in desperation, so it's the first thing I do, every single time.There is a lot to unpack here, and she's able to fool a lot of people for awhile, but even her church people are seeing she is not with it for the most part and have made their thoughts known to me. I take her for haircuts all medical and dental appointments, grocery shopping for weekends and snacks, all the vet appointments for the dog. She acts out lots of the times in the stores. One time last summer walking out of the dressing room in her underwear. I went to get her another size of jeans, and the next thing I know, she is in the store part, not in the dressing room in just her underwear. Sometimes, I think she does things like that to insight me. It's been the same or similar my whole life. When checking out she explains to the cashier that I handle her money. Well, I sure do, it was a hot mess when I took it over 2 years ago. The list goes on and on. I would like her to get moved before she hurts herself or someone else. For example: She locked the door of her building one night this winter, leaving a man outside in the cold. He uses a walker, and had just gone out the door two steps to put his garbage bag in the can outside the door. It's a French door with windows, his walker would have been next to the door. She didn't see him or the walker??? He had to walk around the entire building, in the snow, after dark to get in the front door. No one knows why she did that. It's scary. How do you know when it's time to get a higher level of care, and how to make the move without tantrums and drama every single day?

MamaJams, when my Dad was living in Independent Living at a senior facility, it was Management that had set up a meeting with me to suggest it was time for my Dad to move to Memory Care (same facility). It took me by surprise as I wasn't aware that his mild dementia (sundowning) was causing a problem. Turn out he was trying to leave the building at night.


For my Dad to move to Memory Care, I was lucky that Dad still understood finances. I told a therapeutic fib saying it would cost less than his current apartment (it cost more). Dad was happy about that, and even though his space in Memory Care was just a bedroom (compared to a nice apartment he had in Independent Living) Dad was happy with his new "college dorm room" and the money he was saving. His only concern was if meals were going to be prepared by the same chef (they were).


Would you be able to keep the dog at your house? Before your Mom moves to Memory Care, make up a story that the dog needs his/her annual checkup, then say the dog need testing, that way you keep the dog with you. Then when and if Mom can move to Memory Care, tell her after the move no dogs are allowed, but the dog will be living with you. Hopefully everything will be win-win.
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Me, I'd call the administration at her current place and ask them when they'll be asking her to leave. I'd encourage it, in fact. Then make your arrangements accordingly for Memory Care Assisted Living without the dog. Mom is not safe living where is, and putting off the eviction is a dangerous liability for the company. Use those words if necessary.
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MamaJams Mar 26, 2026
This has been an ongoing issue since the 3rd month she lived in the apartment. The Administration hasn't told her she will have to move, or any type of eviction. They tell me, she would be better served at a higher level, there just aren't any rooms available. I will be taking a tour to see what options there are for rooms, so she can take some of her "stuff" with her, and put her on a wait list for an opening when one occurs. Thank you for your thoughts.
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It's OK if she has tantrums and drama when you make wise decisions she disagrees with. If you have POA move her to a higher level care as soon as you can find an opening. She will eventually get used to it. Make sure the dog gets rehomed. Poor thing is being abused.
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MamaJams Mar 26, 2026
Thank you. Working on it.
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It sounds like the community she lives in will soon be giving her the choice to move up a level or move out. I would ask them about this and let them know you're on their side, so to speak. Can the dog come live with you? It sounds like he does well at your place. You can make up a little lie to your mom that he's visiting you temporarily, and perhaps bring him to visit her.
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MamaJams Mar 26, 2026
I have been in direct contact with the Administrator of the facility. I am getting a tour in the evening when fewer staff are there, because it is a huge gossip center. I need to see the options for rooms available and if there is a studio or one bedroom apartment at the higher level. She has "Stuff" everywhere in her current apartment, and has to be surrounded by this "stuff". It's a bit ridiculous. Making a little progress, but it's challenging to out maneuver her, since is always in everybody else's business. Thank you for your thoughts.
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Most people with dementia are unable to recognize their own mental or physical shortcomings. The term for this is "anosognosia". No amount of convincing or reasoning will work because her reasoner (brain) is broken.

From what you describe, it sounds like your mother needs a higher level of care.

When it was time for my mom to move to memory care, my brother took her out for several hours while I packed her things to move. Once her room in MC was ready, I texted my brother, and he drove her to MC. I met them at the entrance and walked her into the building. Soon after, the MC nurse came over and introduced herself to mom. (The drop-off routine was pre-planned with me and the MC.)

I told mom "The doctor wants you to stay here a few weeks for some special physical therapy." We picked this story because Mom enjoys PT.

The MC nurse was very friendly and put my mom at ease. They walked off together while I slipped out unnoticed. When I came to visit a few days later, Mom had no memory of me being the person who took her to MC.

It's been 6 months now, and it was definitely the right decision to move her to MC.
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The dog is an excuse for her and leaving the dog with her is cruel. How many elders say they’ll agree to a move after the dog dies? With my uncle it was horses - too old to rehome and they would not euthanize them. Finally the last one died and they decided now they needed to wait for the last dog to die. Nope. A relative took that old dog and they were moved kicking and screaming into AL but they were unsafe having accident after accident. You’ll need to be the grown up even if she doesn’t like it
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I’m shocked your mother was not evicted for locking out another resident forcing him to walk around the building in the snow . Every year I read about an elder who falls and dies in the cold , snow , sometimes because they wandered .

Move Mom ASAP. If they don’t have a bed look at other facilities that do. A waiting list is not good enough , imo , unless they know its a very short wait .
Mom will have a fit . Oh well. She’s no longer capable of making wise decisions where to live .
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It's really disappointing when doctors can't pick up on when someone is masking or show timing. They don't realize what a stress it causes The family members who are trying to take care of things in the right way. Definitely let the staff know that you're willing to have your mom move into memory care... Try to help each other out and support each other as best you can.
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AMZebbC Mar 26, 2026
I have encountered this with my mothers PC. She was very unwilling to make any stand that my mother needed increased help. I have very little respect for the PC because my mother went years without a proper diagnosis of dementia and wasn't able to get the proper care in the early stages.
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Put her on the waiting list IMMEDIATELY. You do not want to risk the possibilty of eviction. Your mother no longer calls the shots. AL has been very flexible and now is the time you need to act in her best interest. The dog is either rehomed or you will need to take him, end of story.

Needs outweight Wants. You need the strength and guts to do this. Roles are reversed and you need to come to terms that. You have to take the role of authority, as sucky as that is, it is necessary for all involved.
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MamaJams Mar 28, 2026
What an answer, it make it sound like I am sitting here doing nothing, which is far from the case. Thank you for your thoughts. I am working with the vet on rehoming her dog, he is older and we are unable to take him.

She doesn't qualify for a higher level of care at this time, according to her LTC Insurance. The Administration is aware, and are putting her on a wait list for Memory Care, where there may be an opening soonish. It is a better fit than AL. We need her secure.
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The facility should take the lead on this.
There is a leak in the bathroom...we need to fix it. The repairs will take a week. We have to move you to another room. They then place her in Memory Care. And until the repairs are done and we can move you back to your room "MamaJams" can take "Fido". (sorry to put taking the dog on you but she can no longer care for or control it properly and safely)
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