When do you know it's time for hospice?

Speak with her doctor. Palliative care or hospice care can be done if she qualifies. I believe that she would qualify.

Hospice is absolutely wonderful. When you decide to choose a service, please ask if they offer an ‘end of life’ facility or hospice house where she will receive 24/7 round the clock care. We did this for my mom. She died with dignity and pain free. I will forever be grateful for their compassionate care.

The best way will be if you look for a great adult family home with great care . Than when she is there the provider will assess her if she needs hospice. Most of the adult family homes work with hospice. You will be able to visit her and enjoy your mom company and when she needs help someone will be there to help her. I know this because I have an adult family home. You can call me at 360-513-0450 if you need more information. God bless you.
With great respect, Marcia

Hospice is a service...Hospice is generally not a place.
Hospice can be wherever the patient is. At home, Skilled Nursing facility, Memory Care, Assisted Living....
The services of Hospice are covered by Medicare, Medicaid and other insurance. But Hospice does not provide round the clock care for someone.
Hospice will provide all the equipment that is necessary to properly care for someone in their home or wherever they are.
Some Hospice have Inpatient Units and a patient can be placed there for short periods of time for Symptom management, pain management, respite but it generally is not for permanent stays. If a Hospice has a "house" that they can provide for patients the cost would be private pay.
The criteria for Hospice is that a Patient is no longer treating the life limiting condition and that there is a continued, documented decline. A person can remain on Hospice for years if the proper criteria is met and they are recertified according to the guidelines that Medicare, Medicaid and insurance puts forth.
Contact the Hospice of your choice and have her evaluated. There are different types of lifts and most of them have a "footprint" a bit larger than about 4X2 so they can easily go through doorways and hallways.

More and more these days hospice is used to supplement care. However, as to whether there will be adequate help for someone who is a two person assist I am not certain. Time to discuss this with Mom's doctors. If your Mom is still alive in six months then she will likely qualify for another six months. I would however make it clear to Hospice that you are not hoping to hurry death along to your door. You should understand what Hospice means, as well. There will no longer be diagnostic testing and treatment toward cure, there will be comfort care. Doesn't mean that pneumonia, UTI, and etc are not treated. They ARE. They are a part of keeping someone comfortable. This is something to explore. Yes, leave your bro out of it. He is not/nor is likely to be involved.

Hospice is ordered by a doctor who’s familiar with a persons condition and prognosis. There is no six month rule, many people receive hospice services much longer. However, in home hospice doesn’t provide much hands on caregiving. The nurse comes a few times a week and there’s an aide that comes for bathing. They will request that someone stay with the person around the clock, but it’s not hospice that does this. A lift can be provided by hospice, along with all medical supplies. Ask the doctor if it’s time