text: how do you respectfully tell your grandma it is time to live in a nursing home? my grandama had a stroke 2 years ago we had her in assisted living for the last 2 years. however last month she fell down and fractured her hip and now she has to be in a wheelchair. the staff think she has gone past the type of care that they offer at assited living and she needs more of a 1 on 1 nursing home to tend to her.  she is very stubborn and hates the fact she has to be in assited living to beguin with, she thinks she is the temproraily and will be back to her old life pre-stroke but this is untrue.  one time i accidently asked how her nursing home is and she got angry and said don't ever cal lit that and hung up on me.   how do i let her know that we need to move her to this new place.. she is not going to take it well. i really feel for you, this is a very hard thing to go through.  my family went through the same experience last year with my grandmother.    my grandmother had cancer and it basically debilated her. she was unable to walk or do any of her daily living activities.     you can try to explain to your grandmother that you can no longer provide the care for her that she requires and tell her that you are doing so because you love her and want her to have the proper care and just hope that she will understand.  this will most likely be one of the hardest things you've ever done, but you are doing the right thing knowing she will have the care she needs.   good luck and god bless.  p.s.  i think some of these answers are pretty harsh.  it is a very hard decision and people don't really understand unless they have lived through it with a loved one.   there are situations when we just are not  physically capable of giving the proper care to a person with sickness or illness.  try not to let some of the responses discourage you.