Husband moved to memory care 3 months ago. At the original assessment and subsequent and numerous meetings, discussions and phone calls I indicated he needed one-on-one cueing for showering and brushing his teeth. I even wrote out instructions for the caregivers on how to walk him through the brushing process. In 3 months his dental health has declined such that he now needs an intensive periodontal cleaning which is very expensive. He has never needed any periodontal work prior to his move to AL. The last dental exam shows that he is only doing the front teeth — my instructions show them the process for getting him to move the brush around the entire mouth. It is obvious to me that they are not following the procedure nor are they cueing him to do a complete job. The AL Director and social worker indicate that they are limited in how much they can do. I want to avoid further damage to his teeth. What options do I have and how should I proceed?