We live in a fairly small resort town in the mts. with only a SNF at the hospital and no day care centers. The nearest big city is about 30 miles away. We do have lots of Caregiving Agencies available as a last resort. My husband is still physically in good health, rides his bike and skiied until last winter, but can't follow simple directions, answer the phone, etc, so he can't be much physical help as he needs supervision-min. assist with most of this ADL's. I'm sure it will all work out but it's taking lots of planning and coodination. Thankfully, I'm a retired physical therapist so this isn't totally new to me. I'm just used to being on the other end of this issue of home care, and on the east coast, not CA.