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My father-in-law had the same thing. Last winter, he kept saying he was cold while the house is hot with the heater already. The caregiver just added more blanket so it covers his legs also. I think this is insecurity. Also for advanced Alzheimer's patient like my FIL, he has trouble to understand the temperature. For example, in the winter, he has no idea he cannot wear a t-shirt outside and has to be told it is freezy outside and he needs a coat or hat. Even now he still has trouble with temperature and cannot express why he feels hot or cold. It is up to the caregivers to see if it is indeed cold and help him out. I don't know how bad is your mom's dementia, but it is advanced, she will have trouble to know about how hot or how cold it is. She may be able to tell you she does not feel good or she is cold, but it may not be as it. The caregiver or family has to make his/her own judgment to act accordingly.   Just my 2 cents. Nina