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My mom, 90, had a stroke in July, broke her hip in Memory Care in September. She has vascular dementia, and perhaps Alzheimer's, along with CHF. She's currently in a NH, where she did rehab for her hip; she's now there as a private pay patient; mostly seems contented. I asked the other day if I should put up her college diploma, wedding pictures and other significant mementos in her room. She said "well, I may not be staying here for long". I decided to let this go in the moment (my brother who is POA is out of town, she was upset about some other things and I didn't want to query and get into a row without an exit strategy. But I'm curious how others would deal with this sort of question/statement. Should we explicitly tell her that this is where she's staying long term? Shine her on with "till it stops snowing"? How do we determine if she might be better off in memory care, as opposed to NH?

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Winter will eventually be over, and darn if she does not recall one thing! I would put it off by saying, let's see how you improve. If she persists eventually explain this is the best place as nobody can care for her the required 24 hours a day
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I'd say, "well Mom, I don't know whether you are staying either. But you are here now, so let's make it attractive now. I'll bring in the pictures and help you put them up. I promise I'll help you quickly take them down and pack them when the time comes."

(This one is easy because it doesn't even require any fibbing.)
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Mom is 86 and I tell her every day is a gift from God when you are over 80. and I ask her to take one day at a time. We'll see what the tomorrow brings.
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