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Her husband has been diagnosed with dementia and they have no children. They are both always sick. She refuses to let any sibling help her and won't answer her phone or open the door for anyone. I need advice as what steps to take next. Our parents are deceased and her husbands family have been banned from their property due to trying to help them.

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The best thing you can do for them is to report them to the town they live in for unsafe living conditions...or alternatively report them to adult protective services for the same reason. Either of these governmental agencies will do a wellness check and will scope the property for safety. If they chose not to let them in, the town will get a court order. They will require safe conditions in case their is an emergency like a fire or medical where their firefighters and paramedics will need to be safe entering the property (paths through the house, to the windows etc.). Both agencies will require them to clean and give them a timeline. the town could condemn the property if it is very bad, and call in animal control to remove pets. Adult protective services could remove them to a safe environment.

This may be hard but I think at this point this is your last resort.

Angel
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Taking on guardianship/conservatorship is a huge undertaking. Your sister and her husband don't have the capacity to fix their situation. It will be all on you. Make sure you have your siblings on board and your brother in law's family too. This is a difficult, endless task you are deciding to take on. It will cost you in every way imaginable if you take responsibility for them.
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Try having the sheriff (or police) make a welfare check. If they don't want help and they live on private property there isn't much you can do until a crisis.
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Oh, I just thought of another remedy. Call the health department because if it is the filthy house you describe (and give specific examples you have witnessed), then the health dept. can do something since it is a health hazard to other neighbors.
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1RareFind: I have moved back to my home state and thus away from this elder. But thanks...her daughter, who I keep in touch with, says she's at her wit's end.
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I would think that reporting them for unsafe living conditions, or property violations would at least get the ball rolling. I finally reported a home in my neighborhood for filthy conditions--and violations, and surprise, surprise, the city came out and cited the owners (who live in another state) Some cleanup was done, enough to get it to pass...but honestly? people will live happily in the most amazingly horrid conditions and it's very hard to get that to change.

if they are elderly, you stand a better chance of having them moved, or forcing their hand to clean. "One person's pigsty is another person's palace"--my dad used to say that.

Move slowly and keep notes on whom you call and what they say. Having a home declared uninhabitable is hard to do. You are kind to care, most people just leave well enough alone and the mess gets worse. Calling APS is good start, then the city and don't let it be one call. Keep it up. Good Luck!
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Report them to social services.
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You mentioned the occupants are always sick. I should point out that sometimes when someone lives in filth, depending on what that filthy as such as animal waste, it can definitely have a negative effect on your health. A friend of mine had a bunch of little dogs living with him. Most of them were not housebroken and they were constantly making messes in the house. These messes were never cleaned up, and the air smelled like a very strong ammonia smell. I can tell you that if you're in such a situation for very long, you will definitely get sick. You may go in for a time and feel sick later until you hit fresh air and feel better immediately. The human body is just not made for filth, it can even kill you
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Hi Llamalover47,

I think the reason why the daughter won't do anything is because of what the professionals already know, maybe the daughter can't help either. If the elder is legally blind, just make sure they don't get a hold of any kind of vehicle either gas or electric, the person is more likely to get hit by a car. Sorrynotsorry has a strong point on APS, because as long as someone can still make decisions, APS won't intervene, I faced this with my foster dad who was later placed in a nursing home by a court appointed guardian. I must say though that if other neighbors start seeing rats around the place in question, someone will need to do something, especially hold the problem tenants responsible if someone gets bit by one of those rats, especially if one of the rats happens to have rabies. I think to a reasonable point the issue should be pushed, but let the pros handle it, they're trained to handle stuff like this. One thing you can do is to write a letter to your local newspaper's editorial. You can start out in a proper manner when you open your letter but ultimately you can give the exact location of the problem if other neighbors are around but without saying any names. You can give a street name and even a house number where the problem is to warn the public of the danger. What you can also mention in your letter to the editor is the possibility of rats and other wildlife hanging around the problem building and someone possibly getting bit by one of the critters and if it turns out one of the critters has rabies. You can also say in your letter to the editor that if this happens, the person living there who won't remedy the problem should be held responsible for the medical expenses of whoever gets hurt. This get the attention of the right parties who are able to do something.

We once had a problem with a specific house having a junk car sitting on the front lawn for quite a while. This was most likely attracting wildlife in the neighborhood, specifically to that particular car. This may have had something to do with how the wildlife was getting in the walls of the house where my foster dad was living, but wildlife such as raccoons was eventually able to get into his apartment and other parts of the inside of the building. The junk car actually sat on the lawn for quite a while and then one day it vanished but I don't know who may have reported it or to whom it was reported.

Have you ever considered maybe speaking to your local mayor? Another thing to consider, is this place within the city limits? If so, go to the city council meeting in your town, but I think you must speak to someone who happens to be up over the meetings before you can actually present your situation. A friend of mine had to do this about the bad sidewalks in our town. You may also consider going to the county meeting in your area. This will also help to raise awareness to the problem of someone risking the well-being of other neighbors. There are ways you can handle the problem if you can find the tools to do so.
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1RareFind: This elderly woman hasn't driven in years.
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