I'm John and I have just joined the Mayo Clinic caregivers group. I have been a Mayo patient since 2012 and have had several operations and procedures there. A native of St. Paul, Minnesota I currently live in State College, Pennsylvania, where Penn State University is located. I joined the U.S. Foreign Service in 1963 and served in many international locations: Italy, Vietnam, Malaysia, the Congo, Jamaica, and Australia. I was also assigned to the White House office of Drug Abuse Policy from 1982-1984. I met my French wife in Vietnam in 1966 and we were married in the Vatican in 1968. I retired from the Foreign Service in 1991 to join Penn State University where I worked in various positions in the Australia-New Zealand studies center and in the Office of Global Programs. I was the director of Education Abroad from 2000-2010. I also taught undergraduate courses in communication and completed a Ph.d. at the age of 59 (is that a world record for oldest Ph.d. completion?). I retired from Penn State in 2010 when my wife began showing signs of dementia. I have been her primary caregiver, keeping her at home with me until a year ago this month when I was hit by a car while crossing the street on foot. The driver, a Ph.D. student in my old college, told the police he was late for a meeting and was distracted since he was eating, drinking and texting. I had to undergo an operation on my right ankle, which was broken, and was hospitalized for two weeks for post-surgery rehabilitation. I was unable to take care of my wife during my hospitalization, of course. During that time our two daughters, who live in Minnesota and California, placed her in a skilled nursing residential care center in our town. She has been there ever since. I used to visit my wife every day for lunch and dinner. But in the covid 19 era, visits have been severely curtailed. After a short period during which no visits at all were allowed, I am now permitted brief visits under strictly controlled conditions twice a week. While my wife's care is generally fine, I am the only person who speaks to her in French. She mostly dozes and remains isolated in her room, although recently the facility has restarted group exercise programs. One of the things I've learned as a caregiver for the past several years is that there is very little information easily accessible to people looking for information on where to find care and how to evaluate care. You're basically left to your own devices to find the appropriate options. Admittedly my wife was admitted to her facility under rushed and unusual circumstances. Nevertheless I have been looking around to assess whether she is in the right place with the right level of care and have been unable to find anyone who can help me think this through. I have consulted friends, the local Center for Aging, gone online etc. without much luck in coming up with information. The local PA Center for Aging seems mostly to work on placing seniors eligible for Medicaid into facilities that will accept government insurance. As a result of all my fumbling around for the past few years, I am pretty much aware of what's available locally. I would like to think, however, that a society like ours with urgent need for medical care for the aging would have better navigational tools to help people like my wife and me know what the various options are and how to assess them. We are seriously considering moving back in a few months to St. Paul, where we have a home. I am depressed at the thought that I will have to begin the search for care all over again. I am somewhat more familiar with the terrain in St. Paul than I was here in Pennsylvania, because I had to find a facility for my mother 20 years ago. But my information is out of date and I dread having to start all over again. I look forward to any tips members of this group have for navigating the caregiver journey.