Hospice in the USA is paid for six months. It is a benefit for terminally ill people. It can be extended by six months. Her benefit has now been exhausted since 2013. Who deemed her terminally ill and why? My parents did not tell me or anyone else. She has private caregivers now but her money is running out. I am looking at all options. Here in the USA, the less money you have, the worse, in general, your care will be in a nursing home. Medicare will cover a very basic, probably not highly desirable facility for her. She did live part time in the UK prior to becoming incapacitated. My parents had a flat in a seaside town. She likes her country better. She has said this for years. I hate to send her to a facility, but I do not have finances or physical ability to care for her. My father wanted her kept at home. It is no longer going to be possible. I know the quality of care she will get here will likely be poor. I am trying to explore all options for her. No one expected her to live this long. Considering her state of health, it has not been a positive situation that she has. She has had dementia for over 15 years now. She has not been able to stand since 2013. She is quite elderly. My dad knew she had dementia for years before she became unable to walk, but told no one. Her dad had dementia for about 20 years prior to dying for in his late 90’s. I suppose she is may be following a similar course. Unless you are a very wealthy person here, there isn’t much for you. I am trying to think about what is best for her. She is facing a situation where she will be laying in a bed in a room with three other people because that is the norm here for nursing homes.