Need help with steps to finding in-home care or daycare for 90yr old Gma who is deaf, legally blind and stroke victim with left side weak?

Have been caring last 4 yrs of 90 yr old Grandmother. Started with 4 hip surgeries in 30 day period approx. 4 yrs ago and now has suffered a stroke in last 30 days and after hospitalization came home. She also has suffers from genetic hearing loss that has become complete hearing loss now. She has advanced macular degeneration and is unable to see almost anything now, so communication problems on top of health problems are becoming almost too much for me to handle but because of communication problems with anyone else, having her be in a nursing home or assisted living does not feel like a good option either. She has had to be in a nursing home environment 2 different times and it is very hard on all involved including myself as I feel that I have to be there to be her "eyes and ears"