After my MIL had a series of 4 hospitalizations over 3 months, my wife and her sister decided their Mom (age 86) really couldn’t live by herself anymore. During a serious decline in health a few years ago, MIL lived with us for 6 months (I posted about that on this site then, it didn’t go well, after she recovered she moved back to her own home). My SIL tried to care for her at her home after this last hospital stay (lasted 3 days). The toileting and bathing wasn’t physically possible for SIL. Eventually my MIL came to agree with this. She is now in assisted living for 4 months and thriving. She has some short term memory issues, no diagnosed dementia, is fairly mobile for short trips with a walker, has had a few minor falls. We are now preparing to sell her home in order to private pay for AL, hopefully for 5-6 years. MIL has made quite an amazing recovery, with consistent meals, supervised meds, and social interaction. She is doing so well, we question the move to AL. But we realize AL is the reason she is doing well. Isn’t that a quandary! On her own she wouldn’t prepare meals (toast once a day, maybe), wouldn’t hydrate, etc. Our thought was after her resources are spent down, she could transition to a Medicaid bed. But what if she doesn’t need full skilled nursing in her 90s but is out of money (except Social Security)? Are there any options?