My MIL had the usual negative impression of "nursing homes"; e.g., 'where old people go to die!' attitude.
She lived with us for seven years after selling her home but after a while it was clear the lack of socializing was negatively impacting her mild dementia. Friends had died off or moved away; she had no family living nearby except DH and me.
We researched nine facilities (eight by DH and me, one by myself). Had to be a full service senior facility: independent + Asst Lvg + skilled care (nursing) + Memory Care. Had to be within 15 min drive of our home.
Four facilities made the first cut; two profit, two non-profit. Return visits narrowed that down to the two non-profits. Both were good facilities; I let DH decide which one had the right "atmosphere" for his mom.
He picked one and then, ONLY THEN, did we take MIL for a visit. Had lunch, did a quick tour. A month later went back for a dinner, toured some empty units. She wanted a hillside view instead of a bay view, but wanted to be a little higher up above the trees. We told mgmt to let us know when a unit became available that met her request.
Two months later a unit became available and the three of us toured it. She liked it very much and altho still a little dubious, we moved her there the next month.
Within a few weeks she was telling all her family and friends by phone she loved living there! Great staff, excellent food, full services including 'field trips' twice a week. It has its own senior center on-site with daily classes for all kinds of activities. A hairdresser eliminated the need to go out for an appt. We saw her regularly to take her out for Asian food (she missed it) and to doctor and dentist appts.
Her spirits lifted and she made many friends there, both residents and staff. The routine made her comfortable - dementia increases anxiety - and the secured facility/grounds made her feel safe. She became a bocce ball whiz and learned to love bingo. She had felt "old" at 84, only to discover that at her assigned dining table, her companions told her she was the "young" one because they were in the late 80's and one woman was 100!
Every community has its own culture and social atmosphere. It's important to find the one right for you. Then it's a question of whether you can afford it. The best ones are not cheap.
Most people overlook the socialization issue. Why would I want to stay in my home forever, when it can't be modified for universal access, and especially if I can't drive any longer? Where we live one car is a necessity and two make your life go more smoothly, as a couple. Our friends are mostly younger and the majority are still working.
We're happy in our SFH. We've put a lot of money into making it the way we like. But it takes a lot of work and $$$ to maintain the property. When we travel there is the security issue, even with an alarm company and good neighbors next door.
I enjoy gardening, but this is a big urban lot on a hillside, and it takes regular work every week to maintain. Within 3-5 yrs it's going to be too much for us, and we'll sell. At that point, we have two nearby CCRCs and any number of distant CCRCs to investigate for move-in. We've planned our finances so we should have enough funds to move anywhere we want.
We may stay in CA, or we may move to OR. One of our plans is to go up to OR again and start looking more seriously at the various CCRCs there.