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It's so sad that your mom was moved away from her structured, safe place. I'm sorry you have to handle this. It's too bad your sister is in such denial. Sibling issues can be really a huge pain for many families, as you obviously know.   You can try to mimic the center she was in as much as possible. Put up signs on things (pictures are good, since they are understandable longer into the Alzheimer's jouney). You could buy a white board and list day activities, like the center did. But there's really isn't a way to make it the same. But part of what your mother misses is structure, and part is likely the socialization with peers.   Is there any way your sister would listen to a social worker? Maybe he or she could help her understand the value of what your mother had.