At what point does my mom with dementia need to move from assisted living to nursing home?

My daughter worked in AL. They would tell the family when the resident was getting too needy for the AL. BUT, they are also trying to make $ so MIGHT try to keep residents longer than they should because they are paying the facility for the room and they don't want to lose the revenue.

My aunt is in AL and has some caregivers after dinner to help with her sundowners so that she can stay there and not have to move to an unfamiliar setting.

LambyLu, the senior facility where my Dad was living was able to tell me when it was time for a higher level of care.

Thankfully my Dad was in a facility when he could still stay but in a different area of the building. All Dad was worried about was if the chef would be the same person as he loved the food there. When I said "yes", he was happy as a clam :)

How good is your AL at providing extra care?
Watch for things like missed medications, missed baths, wearing the same clothes for days on end, missing meals or inability to finish meals even if she is physically in the dining room, incontinence care and exit seeking. And if she needs ANY kind of medical supervision beyond medication dispensing I'd be leery of the ability of most AL's to deal with it.