This site deserves many medals. I am ready to help with an application. Our vet has excellent physical health considering he is 97. However, he has dementia and the physician will note this on the 2680. I had thought that because of the fact that our vet wanders and therefore has been placed in a locked unit that the VA approval of A and A would be a slam dunk. But, a knowledgable VA staff member wrote on this Forum some time ago that "... VA does not consider emergency pull cords, 24-hour staffing, and locked exterior doors as a medical or nursing service..." So, now I'm not so sure that we have a qualifying facility. This is expensive, private care, so the countable income is not an issue....the vet's income is far less than the cost of the facility. Yet this particular ALF does not offer medical care as a regular part of their services. If someone has a medical concern, they go away to get it corrected, and then come back to the ALF when they are recovered. Is the VA likely to consider the dementia the most important condition and come through with an award?