Hi Maggie I think the sub-text is what that specialist care relates to. If it's diabetes or bed sores or some other health issue, even if there's a level of dementia, a straight forward nursing home is considered appropriate. However, if there are issues that are specifically dementia related then the EMI choice is the correct one. I "think" in Elaines case the home she works in is residential only, which is what makes it particularly difficult. Sorry it came to this Elaine. I can't say I'm surprised by the families attitude since they seem to be a little strange about the whole thing anyway.