My father has vascular dementia and has recently declined. He spends a lot of time sleeping, is starting to have trouble with swallowing and is not really able to engage in conversation. He has lived in assisted living for 2 1/2 years. My family was just notified that they can no longer safely transfer him. He requires a hoyer lift that the facility does not allow. Has anyone been faced with this and contemplated moving their loved one to another state? I live in Boston and my father lives in Philadelphia, where he has limited support. I am fearful such a big move would cause him to decline even further. Thanks in advance.