My 91 yr old dad is in a rehab; his former ALF has evaluated him twice and finds that he needs a higher level of care than they can provide and they recommend a nursing home. The rehab facility is a nursing home as well. The question is, do we tell him that he cannot return to the ALF where his wife resides or keep him living on false hope that he is in a rehab temporarily and 'might' be able to return home? we fear that telling him the truth will be his demise as his only wish is to return to his wife, but he needs too much help and his wife cannot help him - she has dementia and his return would cause her to go down hill; she is not fit for a nursing home at this time. I think the truth is the better way to go - thoughts?