Supporting a loved one through dementia is filled with tough decisions, perhaps none more difficult than knowing when it’s time to make the transition into memory care.

If you’ve found yourself wondering whether your loved one can continue living on their own safely, or if you’re unsure how much longer you can provide 24/7 care, you’re not alone. Many families struggle with the emotional, practical, and medical considerations involved in this transition.

While there is often no single moment that makes the decision obvious, there are signs that your loved one may need more support than can be provided at home. Understanding these signs and preparing for what comes next can help you feel more confident with your decisions.

Recognizing the Signs That It’s No Longer Safe to Live at Home

One of the biggest questions families ask is, “How do we know it’s time for memory care?” While each situation is different, there are several warning signs that may indicate it’s time to consider professional care:

• • Increased forgetfulness. Missing meals, medications, or getting lost in familiar settings.
  • Unsafe living conditions. Burnt cookware, spoiled food, broken appliances, or stacks of unopened mail.
  • Neglected hygiene. Wearing the same clothes repeatedly or forgetting to bathe.
  • Changes in behavior. Unexplained aggression, paranoia, or frequent mood swings.
  • Poor judgment. Giving away large sums of money, falling for financial scams, letting strangers in, or wandering away from home.
  • Social withdrawal. Avoiding friends, family, or activities they once enjoyed.
  • Difficulty managing daily tasks. Inability to properly shop, cook, pay bills, or keep up with the home.
  • Depression. The effects of dementia can significantly affect mood and emotions.

These red flags often emerge gradually, but taken together, they can signal that your loved one would benefit from a more supportive, structured environment.

In fact, earlier is often better when it comes to making the move to memory care. Transitioning before a crisis will allow your loved one to adjust to their new surroundings with greater ease. It gives them time to build relationships with staff, settle into routines, and become familiar with the space, rather than experiencing the move in the midst of a health emergency or serious decline. Early planning also gives families more time to find the right memory care community and prepare for the change together.

The Role of Anosognosia in Dementia

A complicating factor in many of these situations is anosognosia, a condition in which someone is unaware of their cognitive impairments. This isn’t denial—it’s a neurological symptom caused by changes in the brain. A person experiencing anosognosia may genuinely believe they are functioning normally, even if their dementia has progressed significantly.

This lack of awareness can lead to frustration or resistance when discussing care options. That’s why it’s so important to approach the conversation with patience and empathy.

How to Talk to a Loved One About Memory Care

Having a conversation about moving into memory care can feel overwhelming. Here are a few tips that can help make it a little easier:

1. 1. Start early and revisit often. Whenever possible, begin the conversation before a crisis happens. Introduce the idea gently and revisit it periodically, giving your loved one time to process and ask questions.
   2. Use compassionate language. Focus on your love and concern, rather than on what they can’t do. For example, instead of saying “You can’t take care of yourself anymore,” you might say, “We want to make sure you feel safe and supported every day.”
   3. Turn to trusted professionals. Hearing the same recommendation from a doctor, care manager, or counselor can help your loved one feel less targeted and more supported.
   4. Emphasize comfort and connection. Reassure them that the goal is not to take away their independence, but to provide more comfort, safety, and meaningful daily experiences.
   5. Prepare their new space together. When the time comes to move, help personalize their new home with cherished belongings—photos, a favorite chair, their favorite music or books. Familiar touches can ease anxiety and help with the adjustment.
   6. Be patient during the transition. Adjusting to a new living environment takes time—for your loved one and for you. In some cases, it may be helpful to wait a few days before visiting to give your loved one time to acclimate and begin forming connections with staff and fellow residents. Every person is different, so it’s essential to take the lead from the care team. They can help you understand what’s working, what your loved one is responding to, and when a visit might be most supportive. Above all, keep the lines of communication open with staff and trust the process as your loved one begins to settle in.

Choosing the Right Memory Care Community

Not all memory care environments are the same. Look for a community that offers:

• • A calm, home-like atmosphere.
  • Staff trained in dementia and anosognosia care.
  • A personalized approach that honors your loved one’s routines and preferences.
  • Thoughtful design that promotes comfort and safety.
  • Opportunities for meaningful connection and engagement.

A Warm and Supportive Home at Arbor Place

When you’re ready to take the next step, Arbor Place at Meth-Wick Community offers a compassionate and specialized memory care neighborhood for individuals with mild to moderate dementia. Our thoughtfully designed environment feels like home—not a facility—helping residents feel secure, seen, and valued.

Our experienced staff understands the nuances of dementia care, including the challenges of anosognosia. We work closely with families to create a smooth and respectful transition. From peaceful interiors and engaging activities to individualized support, Arbor Place is designed to provide comfort, connection, and peace of mind for the entire family.

Learn more about how Arbor Place can support your loved one at methwick.org.