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I have a neighbor named Margaret who’s 85 years old. Her world has grown incredibly small—smaller than the front porch where she used to sit and enjoy tea while chatting with neighbors, smaller than the flower garden she once lovingly tended with her late husband. She was diagnosed with ALS about a year ago, and since then, the disease has slowly taken over her body, robbing her of her mobility and her voice.

These days, Margaret is confined to a hospital bed in her living room and can only communicate through eye movements and blinking. She has no family left—her only son passed away in an accident years ago, and her husband died long before that. If I hadn’t stepped in, she would’ve been facing all of this completely alone.

I’m not a caregiver myself, but I hired Clara, a kind, soft-spoken woman in her early fifties who was on the verge of becoming homeless. Clara now lives with Margaret and takes care of her—bathing her, feeding her, managing her appointments, and staying with her through the long, difficult nights when all Margaret can do is stare at the ceiling and blink.

I’ve been covering all of Margaret’s medical expenses and visit her twice a day—once in the morning before work and again in the evening—to make sure everything is okay and that she’s being cared for properly.

The issue now is that Margaret’s doctor recently said she may not have much time left. I’m trying to figure out what to do when that time comes. She has no family, and I’m not sure what will happen to her house or how to handle everything after she’s gone.

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I'm sorry but I just don't buy a neighbor is covering all her medical expenses.
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This woman needs to be in a Nursing Home with Hospice.

Unless she gave you POA you have no legal standing. If you do, POA is revoked at death. If she dies with no Will someone needs to become Administrator of her estate doing the work of the Executor. Then the State determines who inherits and that will be family. If she has children, does not matter they did nothing, they inherit. Nieces or Nephews only, they inherit. Brothers or sisters, they inherit.

If she has a Will, that has to be followed.

I think you have gone over and above here.
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She is your neighbor. Stay out of it and stop wasting your money.

Your neighbor should have been put in a NH years ago.
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Is anyone else getting an AI vibe from this question?
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AlvaDeer Jun 21, 2025
I am so HAPPY that someone ELSE is in on this "conspiracy theory" end of things with me. I hesitate anymore to bring this up. But today we have questions that include "&" over and over again. I think that doesn't happen without a machine. Sure doesn't happen on MY keyboard.

I am experiencing quite the head-trip on the threads this a.m.
I admit to liking it.
Kind of like Floating in the car through Pt. Reye's National Seashore Park, higher than a kite and listening to Pink Floyd when I was a kid.
Back to the Future.
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You have not mentioned how LEGALLY this has all come about, and what POA you have had to come into a neighbor's home and care for her, so I am afraid the cart has long been put before the horse.

I wouldn't have a clue now, where to begin. Hopefully an attorney WOULD.

It's clear that you must be very comfortable financially if you are paying for this, as it would be exceptionally expensive. Seems now you will be looking at an attorney and the Social Services system to get things LEGALLY put in place.

See an elder law attorney with your question this coming week.
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Are you POA? I am guessing not.
Is Margaret cognizant? If so she, with help should contact an Elder Care Attorney and make her wishes known.
She should have Advanced Directives.
And she should make all the arrangements that need to be made. If this means making you her Executor and this is a role you wish to carry out. Or the law firm may do this if she has no family.
She can state what she wants done with her house and other property and the Executor should carry out those directives.

As to Margaret. I hope she has Hospice in helping, if not then contacting Hospice would be a priority as well
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This is likely going to be complicated without having any authority but I recommend finding a hospice facility for her final days, 24/7 shifts of workers dedicated to end of life care can keep her more comfortable than one caregiver and even the most loving and dedicated friend.
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You need to look through her house to find any legal paperwork that would have named a PoA, or a Will, or any other important documents, like the name of her elder law attorney, if she had one. What really ought to happen is for you to report her to APS and tell them it is urgent that she get a legal guardian. Sounds like she may be on track for hospice, which would require a medical assessment by a doctor for approval. Then you will need to understand that in-home hospice means that Clara will still need to be there taking care of her needs while Margaret is actively dying. Otherwise, she may be better of in a hospice facility where she will be properly tended to and you can visit her stress-free. Once she passes, her estate will need to go through probate. If you never find a Will, then you can apply to become her Executive/Personal Representative. It usually takes several months for probate to close (and this may vary by state). I recommend you work with an attorney unless you want to be doing all the paperwork, filings, paying fee(s) and being responsible to know how to complete the probate process legally. If you pay for her burial or cremation, make sure to keep receipts clearly and accurately so that you can be reimbursed from her estate once probate is concluded. I'm not sure what happens to her physical property and belongings, like her house. This is where you will probably need to consult with an attorney. Bless you for being a kind person to Margaret.
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Geaton777 Jun 21, 2025
chris1962, Clara, the hired aid, will need to find somewhere else to live. She should start this process sooner rather than later so that she's not blindsided by APS or any other entity that eventually controls Margaret's estate and given 30 days to move out.
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Did she appoint you as POA before she became immobile? If not, you have no rights. You can make phone calls to notify her various services to cut them off after she passes. Not sure what will happen to her home if she owns it. It will all pass to the state eventually. You are a kind person to step in to help her otherwise she’d be alone in a nursing home home.
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Geaton777 Jun 21, 2025
Shirley, the OP needs to have some sort of legal standing in order to have the authority to cut off services, which shouldn't probably be done lest it creates problems in the house (like cutting off the AC here in FL in the summer would be a disaster).
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