People with advanced Alzheimer’s disease can sometimes avoid moving to a nursing home, but it depends on several factors including the level of care they need, the support available at home, and safety concerns. Many families choose in-home care services that provide personalized assistance while allowing the person to stay in a familiar environment. In-home care can be flexible, ranging from a few hours a week to 24/7 skilled nursing, which helps maintain independence and comfort for as long as possible[1].
However, as Alzheimer’s progresses to advanced stages, the need for constant supervision and specialized medical care often increases. Memory care facilities or specialized nursing homes offer 24/7 supervision, structured activities, and medical support tailored to dementia patients. These facilities provide a safe environment that reduces risks such as wandering or falls, which can be difficult to manage at home[1][2][3].
Adult family homes with memory care specialization are another option, especially for those in later stages of dementia. These homes offer high caregiver-to-resident ratios and personalized care in a home-like setting, often accepting Medicaid and providing consistent routines that reduce anxiety[4].
Hospice care is also available for advanced Alzheimer’s patients, either at home or in a facility, focusing on comfort and symptom management rather than curative treatment[3][5].
Choosing whether to keep a person with advanced Alzheimer’s at home or move them to a nursing or memory care facility depends on safety, medical needs, caregiver capacity, and financial considerations. Family involvement and professional support are crucial in making this decision. Some programs and models aim to help people with dementia remain safely at home longer by providing comprehensive services and support[10].
Sources
https://advancednursing.care/alzheimers-dementia-care/when-memory-fades-choosing-between-in-home-care-and-memory-care-facilities/
https://cedarcreekassoc.com/blog/long-term-care-for-alzheimers-patients/
https://www.aegisliving.com/services/memory-care/
https://silveragecare.com/memory-care-in-washington
https://elevatehospiceaz.com/hospice-care/alzheimer-hospice/
https://www.cms.gov/priorities/innovation/innovation-models/guide
