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The clearest signs it is time for assisted living are a pattern, not a single bad day: falls, medication mistakes, weight loss, hygiene decline, an unmaintained home, unsafe driving, isolation, and caregiver burnout. This guide ranks all eight by urgency, gives the ADL threshold families actually use, and covers three situations that mean you still have time.
A practical 9-step downsizing checklist for seniors, sequenced by what has to happen first and what carries a real deadline — from choosing the destination before you list, to Section 121 capital gains math, Medicaid look-back exposure, and the first 30 days in the new home.
Assisted living is for daily help, memory care adds dementia-trained staff and a secured building, and a nursing home provides 24-hour licensed nursing. We compare five care settings on daily help, medical care, dementia safety, monthly cost, and who pays.
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