Alzheimer’s disease is considered a progressive neurodegenerative illness, which means that the illness causes more and more brain cells to become damaged over time.  The result of this ongoing brain damage is a continual loss in the ability to think and function correctly and could produce unpredictable behaviors.  These behaviors could be due to the difficulty in recognizing others, communicating thoughts correctly, or understanding the words of others. This can result in frustration and based on the level of impairment you may see changes in personality, such as mood swings and irrational outbursts.  The tricky part about phases of Alzheimer’s disease is that everyone progresses differently.  So, it is important to be educated and knowledgeable in order to recognize and respond to each new need. Should behavioral changes, including violence or aggression, occur, it is critical to consult with your father's physician to determine the underlying causes and what interventions and/or medications might be required. Transitions can be difficult for an individual with Alzheimer’s disease.  Whether you move your father to another facility or to your home, he may have an emotional reaction during the move. He will need to get acclimated to the new environment, which may cause him to feel confused or overwhelmed.  It is important that he be allowed time to get used to the living arrangement and the people, such as staff members.  It is essential to make sure that if he does move to a new facility, it is equipped to handle individuals with Alzheimer’s disease.  The goal would be to involve the staff or family members to assist your father and you in making the move a success. Should you decide to bring your father home, you should consider putting various services in place to assist with his personal care, ensure his safety and opportunities for activities or stimulation.  You might want to consider a home health aide or an adult day program. Any transition is going to require you to provide your father with the ongoing love and support it sounds like you have projected towards him all along.