My mom is caring for my Grandmother. At what point does a person need to move into assisted living home? Are there basic criteria? My granny still drives, but comes home with dents and/or scratches all the time. She hords junk (broken discarded items) and compulsive shops at thrift stores. So much so that she has filled her home (twice) and her son's home up, leaving only small walking trails to a couple of rooms. She does not clean up after herself. Dishes, papers, food and drinks are all left where ever she used them. She digs in her garden and attempts to clean up, but is unable to "see" that she is still dirty/smelly. She is often told by family members that she needs to shower. She is very smart with money and her church and can carry on a sane conversation. She does have a few health problems, but nothing that would prevent her from living on her own. She is a very good manipulator and tells people what they want to hear then plays on the elderly in poor health card if someone questions. She often blames her behaviors on other family members. She admited to starting arguments on purpose, just to argue.