Generally, it is safe to say that when they are no longer safe in their current environment as evidenced by increased incidents of accidents, minor or major, then it is time to consider a move. Indicators that one needs a higher level of care are, falls, memory-related issues (forgetting, getting lost, lack of safety in kitchen, etc.), mobility limitations, increased instances of calling 911, and feedback from friends, family and neighbors.  However, with relatively healthy and mobile seniors many people overlook the emotional need to move. Isolation and depression are equally good indicators that someone needs to make a move to an environment where they can receive community with people their own age, good nutrition, exercise and activities. It is equally important to provide an environment where they can contribute as well as benefit from the community.