When to Move from Assisted Living to Memory Care: Signs to Watch For

According to AHCA/NCAL data, about 52% of assisted living residents are over 85. Many people experience memory loss and cognitive decline at this age, making daily life difficult. They may forget to eat, wander, or feel confused.

If your loved one is struggling, you might wonder if it's time for memory care. The decision isn't easy. Signs of decline can be gradual or sudden, and care needs can change quickly.

Knowing what to look for can help you make the best choice. Here are key signs to help you know when to move from assisted living to memory care.

Social Withdrawal

One reason for moving a senior to assisted living is to help with socializing. The communities offer group activities, shared meals, and social events. These activities help seniors stay connected and avoid loneliness.

But when your loved one starts experiencing memory issues, they may begin to withdraw. They might avoid conversations, stop joining activities, or spend more time alone.

They may feel frustrated when they forget names or struggle to follow conversations. Isolation can lead to:

• Depression
• Faster memory loss
• Increased anxiety
• Poor physical health
• Lack of motivation

Moving to a memory care community can help. Staff provide Alzheimer's support through structured routines and engaging activities. These help seniors stay active, socialize, and feel a sense of belonging.

Increased Confusion

Forgetting names, missing appointments, or struggling with familiar tasks can be warning signs. Occasional forgetfulness is normal, but ongoing confusion may indicate a deeper problem.

Your loved one might repeat questions, forget important dates, or mix up past and present events. They may also struggle to follow conversations or lose track of what they are doing.

Assisted living communities offer support, but they may not handle severe memory loss. A dementia care community provides trained staff, structured routines, and round-the-clock supervision.

Caregivers can help with reminders, safety, and daily needs. Specialized activities can slow cognitive decline and improve quality of life. If confusion worsens, a move to a higher level of care may be necessary.

Aggressive Behavior

Cognitive decline can sometimes lead to:

• Frustration
• Paranoia
• Aggression
• Mood swings
• Increased fear

Your loved one may become verbally or physically aggressive toward caregivers, family, or other residents. The behavior is not intentional.

Confusion, fear, or trouble communicating often cause these reactions. They may lash out when feeling overwhelmed or misunderstood.

Frequent or dangerous aggression shows that a memory care transition is needed. Trained staff know how to manage these behaviors with patience and redirection.

Personalized care plans help reduce stress and improve well-being. A customized setting provides structure and support, ensuring safety and comfort for your loved one.

Sundowning

Sundowning is a common symptom of Alzheimer's and other forms of dementia. Seniors may become more confused, agitated, or restless in the late afternoon or evening.

They might pace, struggle to sleep, or experience increased anxiety. Changes in lighting, fatigue, or overstimulation can make symptoms worse.

If sundowning affects your loved one, exploring senior living options may help. Structured routines and calming activities can reduce stress. Memory care communities provide nighttime supervision and a quiet environment to promote better sleep.

Trained staff use redirection and comfort techniques to ease anxiety. A tailored environment can help your loved one feel safe and supported day and night.

Unsafe Behaviors

Safety is a concern if your loved one forgets to turn off the stove or mishandles medications. Risky activities, like leaving doors unlocked or misusing appliances, can lead to harm. Small mistakes may seem minor but can quickly become dangerous.

Assisted living caregivers try to allow residents space to maintain their independence. But as memory loss worsens, safety risks increase. Senior living options with specialized care may be needed.

Memory care provides round-the-clock monitoring, secure living spaces, and help with daily tasks. Trained staff work to prevent accidents and create a safe environment. Moving to a higher level of care can provide peace of mind for families.

Declining Mobility

Your loved one needs a higher level of care if they're having trouble with:

• Walking
• Sitting up
• Getting out of bed
• Standing without support
• Using stairs
• Maintaining balance

Falls are a major risk for seniors. Those with memory loss may forget to use mobility aids or ask for help. Weak muscles and poor coordination can increase the chances of injury.

Dementia care communities provide enhanced support to reduce fall risks. Staff assist with movement and offer physical therapy programs.

These services help maintain strength and independence for as long as possible. A safe environment and trained caregivers can prevent accidents and improve quality of life.

Difficulty With Daily Tasks

As dementia progresses, everyday tasks like dressing, bathing, and preparing meals become difficult. Simple routines may feel overwhelming or confusing. Your loved one may forget to:

• Eat
• Wear appropriate clothing for the weather
• Brush their teeth
• Take medications
• Change clothes

Assisted living communities provide some help, but memory care offers a higher level of support. Trained caregivers assist with daily tasks while encouraging independence when possible.

Regular meals, hygiene routines, and medication management help keep residents healthy. A structured environment ensures they receive the care they need while feeling safe and comfortable daily.

Incontinence Issues

Incontinence can be difficult to manage, even in an assisted living community. Your loved one may have frequent accidents or forget how to use the restroom. They might also need constant reminders or help with clothing.

Memory care staff provide support with dignity and patience. Scheduled bathroom reminders help reduce accidents. Adaptive clothing makes changing easier.

Caregivers ensure residents stay clean, comfortable, and healthy. A specialized space can prevent infections and skin issues.

When to Move From Assisted Living to Memory Care: Seek Professional Guidance

Knowing when to move from assisted living to memory care can be challenging. Consulting a professional will help you decide if specialized care is needed. Memory care may be the best option if your loved one struggles with safety, daily tasks, or behavior changes.

At Discovery Commons North Shore, located in Glendale, WI, near Milwaukee, we offer compassionate care in a secure and engaging setting. Our Executive Director, Ross Segel, brings over two decades of experience and leadership to senior care. Contact us to find out how we support residents through every stage of aging.