He and his wife are 80 years old. There are only 2 nursing homes in their small town I can find records on from health.USnews.com senior care website. Their scores are 1 out of 5 and 3 out of 5. He has tachycardia and has a pacemaker and has had severe sleep apnea for at least 40 years that I can myself recall and has had a sudden onset of severe dementia and doesn't know what is going on. I have a real concern that he will be strapped down to a bed and have a heart attack or that he will be kept too sedated to possibly recover and go home for any length of time. The inspections for one show the same fire code violations since 2013: walls not capable of containing a fire for one hour , non existent or not functioning sprinkler systems , no fire extinguisher. If it hasn't been repaired in 3 years why is this facility still open. There is one additional facility but it is not listed on that website which concerns me. There are more facilities in neighboring towns but she is too old to drive there daily alone which she will do. I'm not completely up to date on what all they have but va benefits and Medicare for sure. Possibly Medicaid. Additionally I think he might have vascular dementia as he has spots on his arms and legs that he was told were exzema but they look more like vasculitis to me. I will be leaving my family in a couple days to go stay with his wife to make sure she finds the best care for him and don't want to mislead her. All family there is in their 80-90's and don't quite have the snap they did 20 years ago. What would the maximum benefits for home care he can receive with va and Medicare ? I am thinking if he can get home visits from the psychiatrist and physical therapy and any additional therapy he needs in addition to some daily assistance that they might be able to pay someone the additional help. Just a thought. This is all new to me. Their daughter died from als and she made these decisions in the past.