My husbands grandmother (93yo) has congestive heart failure, and has hospice palliative care to check on her 2 days a week. She had a fall that bruised her knee pretty good, and thankfully no fractures. She was able to get around minimally before this, but now needs 24 hour care and can't walk. She has 2 people that are caring for her that can barely help themselves, but she bullies them and makes them feel bad if they say they can't help. And only pays them $5 to 7 per hour. She has financial freedom to hire 24hr professional care but refuses to pay more than $10 per hour. We found a private care place that will take her immediately, but of course she refuses to leave her home. She is verbally abusive to all but 1 person that helps her. She has had some mental decline in the last few weeks, she had an episode where she did not recognize her daughter in law for a few minutes. My husband has durable poa, medical and financial poa...he has some support from social worker, but it seems all they say is she needs 24 hr care and of we can't provide it somehow they need to call APS (we live 5 hrs away) we have given her options but refuses to move and spend money.... what can be done?