My mother is dementia, has considerable health issues. I do not feel that my stepfather takes care of her as he should. He would rather be out in the garden or woods, than stay in and take care of her. She has heart disease, diabetes, cannot walk without a walker. She falls quite regularly, with major bruising, but no broken bones yet. There had been talk of hospice coming in, but I haven't seen it yet, and doubt if it will ever happen. My stepfather is afraid of losing his land/property if she goes into a home, but that is where she needs to be. I live five hours away, and am unable to come and help. What has to happen before the state would admit someone to a nursing home?