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So "camper ... is so small she can't get to the bathroom to shower or not even walk if she wanted to " means Mom is unable to walk and therefore navigate through the cramped living space, so much so that she sometimes doesn't get to the bathroom in time?
Other questions that may help you make a case for keeping Mom from returning to the camper:
Does she need help with medication?
Once in the bathroom, can she care for herself?
Who's with her during the day?
Who provides food and water during the day?
Check your State's Aging office to see what options there are for Mom to get into a safe place.
Hi again.
I'd caution you against attempting to get POA; it seems mom LIVES with Sis?
Do remind us of her living situation. You mention a van and how tiny it is, and mention sister's management of mom's day-to-day care. But I forget the rest you told us.
It's clear to me that you mom doesn't wish now to make changes, and she's still able to make her own decisions. You've apparently talked to her, and she's said this:
"sister will have to prove to her she will not treat her like she has before."
So that is what I think you should do. Allow her to assess for herself.
You say mom is incontinent on the sofa. I can see sister having a brief mental break on that one! It seems mom isn't ready or willing now to leave sister, nevertheless.
There's only so much you can do. Mom's mentally capable of choice, and has made her choice to live with sister.
Any POA will might get/have would begin a war with sister, and mom in the middle.
I'd contact the Social Worker at the rehab. He/she either is or can guide you to discharge planners. I'd tell them your concerns, and ask if someone can speak with sister, assess her willingness/ability to have mom back and watch over her.
Medicaid doesn't normally cover ALF, though you can call around, because SOME few do. Sometimes Board and Care Homes do also and as rare as they are becoming they can be excellent: fewer residents, more homelike, often run by families, better food.
I don't have a lot else, but unless mom comes to you without your prompting and asks you to be POA for her I would not interfer. And don't allow yourself to be the one she whines to (as that might lose her her phone).
I would HELP sis. Couch cover for instance. I would show up with some bags of groceries, a delivery takeout coupon for meal brought in, incontinence supplies, some such. I would try to work together, but I wouldn't interfere.
I hope things go better.
Best wishes.