Two years ago I moved my mom into an ALF 40 miles away. At the time she was able to ambulate somewhat, but was a fall risk because she refused to use her walker. Over time she has declined until she is essentially bedridden and her dementia has worsened. She is on hospice care, is in diapers and requires assistance eating. Before she became confined to her bed the aides helped her get dressed each morning and helped her into her pjs each night. Now I have discovered that her clothes may only get changed once or twice a week and she sleeps in whatever she happens to be wearing. I placed a "granny cam" in her room with the approval of the director a week ago. Over the weekend her diaper was changed twice a day and never at night. The hospice CNA gave her a bath Friday and changed her shirt, which she then wore & slept in until Monday morning when it was changed. One of my friends has suggested that I am expecting too much by wanting her shirt changed daily (she doesn't wear pants because of the diaper & the fact that she is in bed). I've been told that as long as she's getting her meals and diaper changed I should be satisfied. Am I wrong to want her in clean clothes?