If your parent is an ALC patient in a hospital why would you make any effort to get him/her into a nursing home? The maximum hospital co-payment in Ontario is $1819.53/month while it can cost more than double that for a nursing home and what kind of care is the nursing home going to provide.  Hospitals are chock full of bed blockers who have no intention of going anywhere else and are putting acutely ill patients at risk by abusing the system.