71 year old housebound Mom lives 2 hours away and has a caregiver for 4 hours a week and a trainer for 1 hour a week. Recently her psychiatrist called me and asked me to be at mom's next appointment. Of course I was there and the doctor said my mom needs more help at home. Not assisted living but more help. My mom has been falling ( we did get her a lifeline button which she won't use) and hygiene is bad. She is isolated too, despite my past efforts to try and get her engaged. I do understand it is difficult for her to walk and incontinence issues don't help either. My mom can't afford more help. My husband and I just moved to a small rural town 2 hours away earlier this year. There are no independent livings she can qualify for in my town (there are only 3- one she can't afford and 2 she has too much for). The plan right now is for my husband and I to buy a house in a few months (when lease is up) with a separate casita or mother in law house on property so we are there but she is still independent. She lived with us after a hospital stay for several months and my husband was ready to end our marriage. That's a whole other issue. Bottom line it seems like she can stay with us and I risk affecting my marriage, stay 2 hours away and just decline, maybe find independent living in town she is in but be isolated or???? Am I missing another option? Thanks for any ideas.