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I am not a health professional. My father-in-law has advanced Alzheimer's. I guess a controlled environment is one that can contain their odd behaviors due to the disease. My father-in-law has home care 24 hours. There are 2 caregivers taking turns. Regarding medication, for sure someone needs to remind him or her when to take it. When they get sicker, someone has to hide the medication in case they take it wrongfully. These patients are like a child and someone needs to supervise them. Usually assisted living or skilled nursing care will do. If it is home  care, someone who knows how to deal with it should be with the patients 24 hours. For early Alzheimer's. maybe supervision is enough. Just my 2 cents.   Nina