Mom lives in an Alzheimer's Dementia care facility for 5 years. Two years ago she fell and cracked her pelvis. While in the nursing home they started PT but then stopped and no one knows who stopped it (you need a doctors order to stop it). It's been two and a half years I've been fighting/advocating for the care provider to start PT again but the OT says she thinks it's moms dementia that's preventing her from walking. I disagree because mom can comprehend and follow instructions. She fell again four months ago and the ER doctor wanted to know why she can't straighten her legs, my sister explained she's had no PT and he stressed that she must get PT and if she doesn't soon she will be in the wheelchair forever. The PACE program that manages my mother's healthcare still refuses to provide PT still saying it's her dementia that prevents her from walking, I'm at a loss as to how to proceed because this program also pays over $4800 a month for mom to live at the care facility and my sister pays $1200 a month and the contract is written so that either side can terminate it at any time. I have RA and can't physically care for her and my siblings don't help or visit. I believe it's out of the scope of practice for the OT to make such a decision and have her team agree with her. Need suggestions. Mom is 87 and I'm 67. I took care of her for six years without help until I found this program and placed her.