We in the tenth year of our journey with my wife's dementia and I've been looking at our options for awhile. The best (and cheapest) is to stay in our home and hire help for the house & us. All of the facilities that I've looked into are under the business model and need to make money and that includes hospitals, nursing homes and other facilities. Medicaid is a state & federal government partnership and each states Medicaid program is unique to that state. Yes there are similarities but there are also differences and how stringent they follow the 5 year rule depends on the state. States also change their Medicaid programs (sometimes annually) so what may work now, may not work in 3-5 years. Corporations are purchasing hospitals because the hospitals can be a profit center if run like a business and not a non-profit resource. I would suggest looking for a business that can provide assistance for you and your spouse in the home and help with house cleaning. It would definitely be cheaper than $15,000 a month.