Thanks so much for your thoughtful response. I'm sorry you went through all that with your mom. There are simply no easy answers in this kind of scenario are there? In my mom's case we are lucky that she is already enrolled in a Medicaid funded state-based program that is designed to keep seniors out of nursing homes as long as possible. Their current assessment is that no she isn't entirely safe at home but given a few peculiarities of her specific situation she would likely not last long in a nursing home. So we are hanging on doing the best we can in a bad situation. I so appreciate hearing other people's stories so thank you very much for sharing your experiences.