Since my original question a few months ago, my mom's heart disease has worsened with recent onset of congestive heart failure. 4 days in hospital last week for treatment of CHF and ongoing A.fib. Cardiologist, thank goodness, told her no more living by yourself. Her additional problems include obesity, poor mobility, fall risk, confusion (no dx of dementia so far--going to internal med doc today, will see what comes of that), dental decay (needs extractions, new bridge, worried about the extent of work needed), high blood pressure, arthritis, high chol, cannot independently manage her own ADLs. My husband and I moved her directly into our home after hospital discharge. That didn't work, contributed to her confusion to be in unfamiliar home plus too many physical obstacles in our home. Sent her to her home with my sister temporarily staying with her. Husband and I know moving out to her house is the logical place to care for her--that house is accessible, safer for her. Husband is totally supportive of this arrangement. He works, I will be her caregiver 24/7 except when my sister fills in to give us a break. I am struggling emotionally with leaving my home that we have been remodeling ourselves for 3 years and just moved into full-time in October 2017. We will keep the house, but we will only come here for breaks or when I am here to maintain the yard/house (will bring mom with me; mowing is something I truly enjoy). Sister has multiple significant health problems, is raising her now 5 yr old granddaughter (born to absentee daughter), has volunteered to now keep her new infant granddaughter 7am to 5pm M-F (suspect my sister planned this to reduce availability to care for our own mother; the baby's parents could afford daycare or sitter). So my second struggle is knowing how unreliable my sister will be to relieve us and stay weekends or longer with Mother. Sister only lives 3 houses down from my mom, but she deliberately rations time spent with her, responds to texts/calls only when it suits her, actually disappeared for 5 hours yesterday to attend a local funeral for an elderly family acquaintance--leaving me to sit with Mother after having just arranged for sister to care for her for 4 days until we get moved out there. We've had no luck finding anyone GOOD to hire privately to help provide care and supervision. Our history with home health aides and private sitters for various family members is terrible, they either want to nap, live on the phone, don't really provide any care, or don't even show up. Mother refuses to go to assisted living and can afford to pay for anything and everything she needs without any fear of running out of money. She has friends in the same boat, the ability to pay but no one reliable to hire here. I dread leaving our home and being the sole caregiver for the majority of the time. Thank goodness there is at least a housekeeper who cleans mom's home once a week! And a crew tends to her yard. Never thought this would become my life. I welcome suggestions to adapt to this twist as retirement was knocking on our door.