She is quite heavy and takes 2 people to transfer her to the car, toilet, etc. She lives in a skilled nursing facility and they won't transport her. They say it is family's responsibility. She is dependent on the pacemaker and cardiologist insists she come to his office once a year. What if she is bed bound next time she has to go. How do I get her there then? She lives in a rural community with very few senior services.