When do I think about memory care for my wife? She is progressing quickly now with Alzheimer's. She still recognizes me sometimes.

Now is a good time to think about placing your wife in a Memory Care Assisted Living community. Why wait any longer when she's already in need of so much care? She'll get a lot of socialization in the community also, crafts and games to keep her busy, and you can go visit her there anytime. My mother lived in a Memory Care AL for nearly 3 years and received an excellent level of care by aides who truly loved her.

Best of luck to you, Brian.

My brother and I had 3 in AL, 2 different facilities. One died, 2 in AL remained, one in an upscale facility that did not communicate anything, also had some drug stealing going on by an employee.

We had to move the one with dementia to MC, so we moved her out of the glitz & glam to the same place the other one is in.

Small, clean & homey, better communication, not great but better.

We visited 15 homes before we picked the original ones, do your homework.

Now is a good time while she can still remember a little bit. I waited too long to put my husband in memory care. By the time I moved him, he was no longer safe at home. He was wandering in the middle of the night and also falling down stairs. It's hard but it will be best for her. I visited everyday and he adjusted quickly. I'm praying for you both.

Look into memory care communities that are small to medium sized in nature, say 6-30 people.

My friends mom was in a board and care that cost about 5k in 2016. It being on the smaller side, everyone tended to congregate naturally with lots of 1 on 1. The top rated mc here is only 23 units, costs about 7.5k, and offers different choices of activities. One can have aides take them out to shuck peas in their vegetable garden or look at their chickens. If they don’t want to go out, there’s the indoor activity room. And if a senior would just like to stay in their room and watch tv or read, they will go in periodically to check up on her, make sure she’s not wet or hungry, watch part of a show.

These options are far more than you typical corporate ones.

I’m sorry you’re both going through this. Now is the time to start visiting places you may be interested in and gathering information. Knowledge is power, you’ll feel more in control knowing more about your options and getting a visual of memory care places. When her care is more than you can safely provide, when it’s more than you can physically and emotionally handle, when it would be better handled by professionals with you becoming her advocate, it’s time, and it’s okay. I wish you both peace

My mother is in memory care on a large, continuing care campus that has it's own rehab center. It is not owned by a chain. The memory care buildings have room for 16 residents each, private rooms. They have meals in the dining room, activities throughout the day, an outdoor patio garden area the residents can walk or sit. Musicians come and give concerts several times per week. Although it looks, smells, sounds, and often feels like a great place, there are a lot of downsides--poor communication, untrained employees, barely literate employees, high turnover among employees. Employees are generally exhausted on their day shift because they have a night job somewhere else in order to make ends meet and send money home to family in other countries. There is an overall culture of denying any problems and blaming the resident for problems. In addition to the heartache of moving your spouse, you will spend much more time than you think dealing with all aspects of the facility, especially your wife's medical care. And every time you visit, you will see the other residents who are even more impaired than your wife, so you'll see where she's headed. Added to the monthly cost of the place, you may need to hire a private duty "sitter" (usually another semi-literate immigrant) for your wife if she's agitated, or recovering from a broken bone, or recovering from a medical condition. If she ever needs regular injections, she will no longer be allowed to stay in memory care and will have to move to skilled nursing. Sorry to be a downer, but it won't be as much of a break for you as it should be.

My only advice is if you do decide on memory care please visit often after your wife moves there. I thought I had found the perfect place for my mom. It was in a home with a lovely yard and only 9 residents. And the owner sold me on how wonderful it was with activities, good food. etc. Because I was there a lot I saw the truth....neglect(would find mom in wet bed, not bathed, and generally ignored), and no so called activities. The residents were put in front of large TV after meals and always on news (how depressing for dementia patients!) and the food....well I guess tough as leather pork chops for people with teeth problems is a good choice e.g. And since it was summer I would take mom out into yard but in the two months she was there (yes I took her back to live with me) none of the other residents were taken outside. Terrible place!! Best of luck to you in finding a good place.

I would tour Memory Care places. Observe the residents at each of the places that you tour. Different places have different memory level of residents since the kind of care for Memory Care and the type of treatment varies so much. Find out as much as you can about the different places, like visitors, what they will/will not provide, what kind of memory issues do they specialize in, bathing, toileting, cleanliness, going outdoors, whether you have to sign over health care, etc. More expensive does not mean better, however, it does mean that they will provide care differently.

You will learn a lot just by visiting and observing.

If you see no one in the hallways, that is also an indicator, especially if your wife enjoys company. Some places encourage their residents to get out of their rooms, some places prefer their residents to stay in their rooms and watch TV. (Warning: some places will recommend drugs to keep their residents in the behavior spectrum that they want.)

Look at the walls of the hallways. Some places provide tactile activity on the walls to keep the brain stimulated. Some provide soft music. Some places have to keep hallways extremely clean as they have patients that pick stuff off the floor thinking it is food.

Go to the same place at different times of the day and different days to see if your first observations were really a good sample of what is happening.

Some places have Assisted Living in the same building as Memory Care. Therefore, you could live in AL at the same time your wife lives in MC. This can make it much more convenient to visit her and for you to have company.

From what you learn, you can decide what is the proper time and place for her.

Good luck on your journey!

brianlk: Quite honestly, you should begin the process of locating a memory care facility and placing your wife in it now.

In our area, we have small homes with a few (3-4) residents managed by the owner with an aide or two. These can be excellent (Depending on the obvious, the character of the owners.). Would be less confusing and stimulating for a person with dementia. There is chance to establish real ties with their caretakers who will stay on. Put her in a small place, and watch that place! Much preferable to the fancy corporate AL I live in now, which is a pretty good one but...