@memoriestomoments It's kind of funny/embarrassing, but I'll share anyway because it's been a while and I can laugh about it now, but I just started googling in absolute frustration with more than a few expletives thrown in there! I think google's AI overview gave me a list of countries where dementia care was superior to that in the US, and Thailand was on that list. I then I just searched Thailand (among several other countries) and found a whole host of facilities that looked amazing. Then I started emailing them. They were responsive, kind, proactive, transparent (up front with pricing), and some offered free global pickup service. The exact opposite of what I was used to. They offered to put me in touch with some other American families with loved ones there and I had a few heartfelt conversations and after that I completely sold. The stories were excellent, even the heart breaking difficult stories were confidence building.

They do indeed speak English, and the staff are both plentiful and trained in specialty dementia care, called person centered dementia care by Dr. Tom Kitwood.

I hope this helps. Good Luck!

P.S. My mom is from Pennsylvania originally.