Re A Place for Mom, the Washington Post ran a story that said the site does not independently assess the communities it represents, and some have been found to have substandard ratings. (https://www.washingtonpost.com/business/2024/05/16/place-for-mom-assisted-living-referral/) The service is financed by fees paid to the company by nursing homes, assisted-living centers and such. The referral service is free to families. My point is if you use them, please check the recommendations carefully.

Re the OP, I understand your concerns. My husband and I do have adult kids who come by occasionally, but most of the caregiving falls to him. He's tired. My concern about hiring outside help that you don't know is whether the people will be skilled and honest. I mean, several years ago I was in a hospital, and the CNA was helping me with personal care, and suddenly she was offering to go shopping for me at Target. ?? Like, no, lady. Some people may be honest and excellent, but there's always a chance that some may also be lousy caregivers and try to take advantage financially. I don't know how far outside Austin you are, but is there a way to assemble a group of friends, church members, neighbors etc. who can provide occasional respite for you? What about grocery delivery and meal-prep services? Can people do a load of laundry or run a vacuum for you? Also, ask Hospice what additional help or recommendations they can provide. I hope you can figure out a good solution. All the best to you and your husband!