This depends on the home you choose and their ability to accommodate
your changing needs. When someone has to move to a higher level
of care it is generally to a skilled nursing facility. This typically
occurs when someone has been hospitalized for an acute
illness, and
the social
worker, facility staff or a family member sees that mom is
not doing so well and might require more care. At such a
time, all reponsible parties discuss
what is best for the
resident. If it is at all possible and safe, the assisted living
facility staff will try to have them return back home to their
facility - for that is what it is, their
home.