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We have similar situation here. The home care for my father-in-law is getting way too expensive and we are thinking to send him to a nice Alzheimer unit. However, he is too alert to leave home and his antisocial character makes it hard to move out. His house is too old to really accomondate his severe Alzheimers. Our plan for now is to do this in a year when he becomes less aware of the surroundings and when he would forget about us. He has a caregiver that he likes, and we plan to take her with him to go to this Alzheimers unit for the daytime to get used to it first. Once he is used to it, the caregiver would not have to come anymore. This is for transition period. Of course, in order to have the caregiver there, they need the certificate of the caregiver and we need to find a cheaper but nice place to go.   Also you don't really need to tell her the truth about moving out. You can just tell her that she is going to a place for her health. I don't think it helps to tell her that she is not "at home" and etc. Just distract her attention and make her like the new place and etc. Our member Dorian Martin and Carol Bursack all have this experience of sending their parent to the nursing home. Check out their posts and they have lots of great advices on this issue. They both mentioned that it is important to be in partnership with the facility so they can work it out with the family.   Take care, Nina