My mother, who has vascular dementia, is receiving home health care a couple hours a day. She has gotten increasingly worse over the last couple of years. She does not think she needs to bathe, her house is cluttered and dirty, she is confused about pill taking (even though pills are set up for her in a weekly container). She'll wear clothes that are soiled and with holes. She won't throw out old food in the refrigerator, or let the aides do it. She basically uses her aides as a taxi service since she lost her drivers license. She is receiving these services under her LTC policy which I had to fight hard to get for her (even filing a complaint with her state's insurance bureau when they initially rejected the claim.) I am thinking the time has come to get a guardianship and put her in assisted living. I assume as guardian I could enforce her getting showers? My sister wants to avoid conflict and wants to ride it out. Mother is happy. Still plays bridge with friends and is very sociable. I do believe she needs more supervision. Any suggestions? My sister and I both live out of state.