My mom has been in long term care (since 8/2017) from a fall with a TBI. She has since been diagnosed with vascular dementia. She lost 48 pounds in first 8 months at original NH. I moved her and she is happier and weight loss has stabilized. She has begun falling down (13 falls in last 3 weeks) resulting in 3 hospitalizations. Nothing broken, but brusing, pain and more bumps to the head. She has been using a walker. Now the nursing home is trying to push me to move her to higher level of care. She is Medicare/Medicaid. There is no money for a memory type of care. I am POA and have been against any home change. Has anyone added Hospice or palliative care to allow a LO to remain where they currently live? As I have read, at this point she has most of the indicators that may point in this direction...frequent UTI's, VD, significant weight loss, can't dress or bathe herself and needs help toiletting. She still has most of her words, but now can't recall my daughter's name in the last 2 weeks. Her other underlying conditions are BP/run high, pace maker for Afib/low heart rate, life long depression.