How do you make the transition to a nursing home smooth?

We have kept my husband's grandmother home for almost 2 years since things have gotten bad. I posted on here awhile back that she is now getting up 3 times a night and it is getting hard to do this. Well the 3 times has moved to 5 and we are getting wore out. Everything else is pretty good with the care we have arranged while we are at work and now we have respite for getting our one Saturday night a month, but being sleep deprived is wearing us thin. How can we make a transition easier on her? Do we include her in the visits? Do we start talking to her about it? Any suggestions would be very helpful. Thank you in advance.