Is it time to place my husband in a facility?

It is not true that they don't know where they are. My husband hated his respite care home. He threw up when I took him. He said I thought I was pretty slick putting him there and he said they were all a**holes. I found a better place and he's a little happier but still very cognizant of where he is. That said, if he ever reaches the point he doesn't know where he is, nursing home it will be.

It comes to a time when the answer is "yes, you must change his living arrangement."

I also reached the point about deciding if my husband needed to go to a facility. He worked as a mathematician for decades; developed Alzheimer's Dementia; only had myself as his caregiver as our adult children lived in other states and did not visit much; and I was losing my mobility. Finally, I was in a wheelchair and could not care for him as his dementia was progressing very fast. I told him in the beginning that he would not loose me as we were too use to each other. After my doctor said I could not care for him by myself, we moved to be near one of the adult kids. The decision was hard for me to make but he became obstinate and could not be jollied into doing what I asked or told him to do. He died after having Alzheimer's for 6 plus years(very fast time wise). I did visit him as often as I could arrange transportation to be with him a couple of times a week. His doctor may be helpful in helping you decide, but I think visiting him in a facility with you in a good mood while with him is very good for him. I was very glad to be able to visit my husband so I could remind him of good times, talk about funny old times, and assure him of my affection for him gave me good feelings while he approached the end faster. This was my experience. I wish I could tell you the future about your decision, but no one can. Bless you in deciding what to do.