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The experts here know more information and they can help you more. But I would say the rule is when you cannot take it anymore. My father-in-law has Alzheimer's and he has 24 hours home care. Basically we all wish them to stay home for being safe and cozy/personal. But at some point, they would have to go to a home. Our home care nurse said one day my father-in-law will go to a home if he becomes violent or unruly. When caregivers cannot handle it, it is time to send them to a nursing home.
When it is not safe for them to be at home, it is also time to send them to a nursing home for more medical care attention and safety.
Now my husband has a health issue to attend to. It will depend on how good/bad my hubby's shape is. If we are not feeling well, we would have to send his Dad to a nursing home.
You get my point.
Nina