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I can see that you are doing the best you can with a difficult situation, Can I summarize the problems - as I understand them - and offer suggestions.

1 - Your sister appears to be overwhelmed or burnt out with caring for your mom. It is not about your mom's conditions, but about your sister's coping. If she is not willing to talk to a counsellor regularly or allow additional help, the situation will not change. "Venting" to you does not change the situation, and does not appear to relieve your sister's stress either. Next time she calls to "vent," decide on how long you are willing to listen (10 minutes?) and explain that you would like to listen for ______minutes and then discuss changes to alleviate whatever she vents about. She will either get onboard with finding solutions or stop complaining longer than you are willing to listen.

2 - Your mom has problems that require help.
If she can live mostly independently, she may only need home health care in the morning and/or evening for hygiene and dressing. If you and your sister check in on her daily via phone and visits, could she manage in an inexpensive apartment that was not assisted living? Can she get by/afford more home health care aide hours and less time with your sister?
If mom needs more help than I mentioned above and she doesn't qualify for residential facility, are you willing/able to move mom in with you? It appears all your sister's complaints are that she wants out of caregiving and would rather you do it. I understand that it would require a lot of planning, moving, and contracting help near you to care for your mom.
The compromise between those 2 options is to start conversations with the facility where your mom resides. Explain that your sister needs respite -and maybe to be relieved of caregiving responsibilities - and game plan with them about how to meet your mothers needs while your sister takes time off from caregiving. If you decide on this option, you will need your sister to work with you and the facility on this plan. She will need to decide if she just needs respite - and for how long - or needs to bow out of caretaking all together.
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Sound like you need to decide / determine to stand your ground - do what you can as you can and have been in specific areas.
* Your sister is burnt out upon layers of burnt out. She is taking it out on YOU.
* Your sister needs to learn to take responsibility for how she feels and, if open to a discussion, decide together how to make this easier for her, i.e., hire others.
* You cannot change your sister. She has to do that.
* You may need to accept how the relationship is now. It may change, improve, or not. You may need to learn to let go (more).
* And, if you haven't done this yet 'do' see the situation from your sister's point of view (burn out/put upon, you have it 'easy street' due to distance). Give her reaffirming compassion and understanding for how SHE FEELS. This doesn't mean you agree with her; it means you hear her and are listening and validating how she feels. If this doesn't work / if she isn't ready for this, you need to back off and take care of yourself, offering to do what you can.
Glad you are venting with us. That's what we are here for. Gena.
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You cant be a team when you live in different states. Did you make any sort of commitment that when Mom got to a certian point you would move?
These problems happen more often than you think. If your sister cant accept that you live out of state and you are unwilling to relocate... well... not a lot can be done here. The best you can do is get on with your life, be supportive when you can and just move thru it. Hopefully after your Mom passes the wounds will heal. My wife went thru some of this with her siblings. She insisted on taking care of her Mother. As things worsened none of her siblings stepped up (2out of 3 live out of state) They could not or were unwilling to drop their lives and run back home to help. It is just how it goes. It is called life. Good luck
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I was the sister. I was the live-in caregiver for my dad with Alzheimer’s. I only did this for 8 weeks until my mom was released from physical rehab following a broken hip. Mom is his full time caregiver. My sister lives and works in the same town where my mom was convalescing, a 1 hour drive from their home. My sister went to work everyday and spent (what she calls) blissful, happy evenings with my mom. I got pictures from her, proof of the bliss. Meanwhile my dad, the sweetest soul I’ve ever known, was driving me crazy. I wasn’t used to doing everything my mom did full time. Here’s a few things I wished my sister had done and the things I wish she hadn’t. I’m sure she could produce a list about me too but we managed to come through our difficulty intact, if not closer for the struggle in the end. Emphasis on, ‘in the end.’
I wish she hadn’t used social media to update her friends and family about what a nice time she was having with my mom. 
I wish she hadn’t sent me pictures of her and my mom laughing and having a great time. 
I wish that once in a while when she called me that she would have validated the obvious; that this was very difficult for me. 
In short, I developed issues I never knew I could have. Anger, resentment and a loathing for my sister. Thank God they were temporary because I couldn’t stand myself for having those feelings. It’s likely that your sister feels much the same way. When she’s tending to your mom’s needs, she’s imagining what you’re doing at the same time. You're getting up and going to work, coming home to a normal routine at night, sleeping undisturbed hours and living your own life. But your sister isn’t, she can’t. Even though you handle your mom’s finances and phone calls it’s not at all what your sister faces day in and day out. 
So keep exciting news of your life to yourself for now, and even mundane news. Give her the praise she deserves. Listen to her and let her vent because she really needs to vent. Never tell her to settle down or get a grip on herself. Don’t be condescending (although I’m sure you don’t intend it that way)by offering to hire help for her, she’ll tell you when she needs it. Tell her how grateful you are that she is handling this hard situation. Tell her you admire her loyalty and dedication. 
Just give it a try, I’m willing to bet it will help.
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What state are you in ?
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I am a full-time caregiver for my mom with Alzheimer's disease. My father died from Alzheimer's 28 months ago and I was his power of attorney while he lived in a memory care facility 3,000 miles away from my home. My mom lived 20 minutes from my dad's facility. My 6 SIBLINGS lived either 20 minutes, 45 minutes, 90 minutes, 2 hours or 4 hours from my parents. I spent more time with my parents than all my siblings combined! I flew across the country to be with them and so did my husband - one of us tried to me there 3 out of 4 weeks each month. I managed my parents health, living situations and expenses. I moved my mom out of her home without any help from my siblings although when I asked if they wanted any furniture or items, they came and took stuff and then left me to deal with both my parents - my dad's Alzheimer's was very advanced. I moved my mom and dad to live with me 19 months ago where my dad was able to die peacefully in my home, in bed next to my mom. My siblings resent me for being with them! Yes, they resent me! I am only disappointed in them, but do not have resentful feelings toward them. I feel hurt, not hate. However, they HATE me and completely splintered the family. I don't get it. I was told by a close friend who also happens to be a Priest that said my dad's funeral Mass that he sees this type of family dynamics all the time. He said that Guilt manifests itself as Hate. He said their hatred is stemmed out of guilt and possibly jealously that I was assigned power of attorney. I never asked for POA, as a matter of fact, I thought my brother was going to be POA with me, but once we got the paperwork as my dad's Alzheimer's got worse, we discovered their choice. They was also a huge issue in which I had nothing to do with. You cannot change someone's feelings. If they would rather feel hatred than love, that is their loss. I know how deeply it hurts, and how many tears result from that pain, but in the end we cannot control their thoughts and harsh words. I try to look inside my self and say that I am doing the right thing and that it is sad that they chose the path of hate over the path of love. I miss my family.
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What a terrible situation for all of you. If you have the financial means, or your mother has the means, insist on hiring as many paid services for your mother as you can. It seems you have tried that, but it is time to insist. Secondly, if your mother needs to be in assisted living, this is a conversation to have with the insurance company providing the long term care insurance. They will send a nurse to assess your mother's real condition. My mother could also perform most of the activities of daily living (dressing, feeding herself, showering), but was incapable of cooking her own food, was very unstable because of a bad hip, and could not remember to take her medicine. She was approved for long term care insurance payments. You may be surprised at what the long term care insurance will decide, but be firm in your attempt. Do you telephone your mother frequently? Perhaps some of your sister's stress is that she receives a lot of "complaining" phone calls from your mother. If that is the case, see if you can take that off your sister's shoulders. In my opinion, you are doing everything humanly possible to help with your mother, but you do not have to regret your choice to live out of state, nor change your whole life now due to your mother's situation. It is also entirely possible that your sister is really unhappy about something else in her life and is using you as her punching bag. Don't fill that role, and don't take on undeserved guilt.
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I hate to say this but often when there are siblings and something goes wrong with a parent or another situation, all hell breaks loose and you see the real side of the other person. Sometimes things can be fixed but sometimes they can't. Only you can determine what to do about it. Please face the fact that some people can't be good caretakers for often valid reasons and if there is no caretaker, then the person must be placed so the rest of the family can be preserved. If nothing works out, and your sister continues her resentment and her hatred for you, as much as it hurts and is wrong, you may have to decide to walk away into your own new future without your sister. There really is no other way.
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I think that assisted living might be the answer that will help everyone. Had a meeting with siblings regarding our 88 year old overbearing demanding mother that was in independent living. My mom doesn’t need a walker but has the beginning of dementia. She decided that she didn’t want to cook anymore. Had a discussion with siblings that mom needs to go to assisted living or they could do more. Needless to say that everyone decided that assisted living is the way to go. Mom agreed. She likes the food and activities and they take care of medicine, doctor appointments. It has taken a great deal of pressure of my sister and I.
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Be sure to read IamAmy's comment. It is spot on.

The difference between you and your sister is the varied dynamics each of you have re: control and response.

You have control of when and how you engage and can be proactive. That is an imposition, yes, but it is known to be less stressful than a constant reactive dynamic. This dynamic allows you to maintain a positive mindset. You can disconnect and enjoy your life.

Your sister has no control over 24-hour on-call, reactive care (again, known to be far more stressful, especially over time). Her dynamic can lead to depression, resentment, and a negative mindset (the brains way of protecting you so you aren't disappointed). All decisions for her life are dictated by your mom's needs.

Is there any chance that you could offer to step in for her, for a long (10 day or 2 week) vacation? You could tell her you are concerned that she is experiencing burnout, love her immeasurably, and want to give her a break for her to rest and recharge.

This immersion might give you a fresh perspective, her an overdue break, and both of you a fresh appreciation for one another.

It is a difficult situation, but surmountable.

Wishing you peace,

Heather Marriott
Crisis Coach
Nashville, TN
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Although this discussion hasn't had updates recently, I did want to chime in here.

I was a bit dismayed by some of the responses, esp from some of the "sisters" in "similar" situations. Redirecting your own anger or relating your own situation into this one isn't really productive. I have no sisters, but my two brothers are useless and mostly non-present. However, this sister HAS been helpful excluding 2020 due to the virus, by spending 4 months doing the care needed and taking care of the paperwork and finances. I would have been ecstatic had my brothers even visited! Less flak from them would have been helpful too. So, I am also the "one" who takes care of everything, but had to learn to let the anger at them go. It was counter-productive and wouldn't change anything.

While I understand the angst some of you have, taking a few minutes to ask questions or consider suggestions rather than dumping on the OP based on your own experiences would be more productive and helpful. Some comments were fine, others were really not. It is one reason why I reached out privately to the OP.

Rather than "chime in" here, I addressed the OP via PM. Without going into all the details, in the end it turns out the big issue was that mom had an infection in her mouth, which was causing a lot of the recent issues. I had highly recommended OP post a comment, to let everyone know that things have more or less been resolved, but she hasn't done that. Perhaps she wasn't comfortable coming back to post anything - I wouldn't be surprised!

I don't feel it is my place to do that, but dealing with the run-on issue with home-care warriors and facility deniers made me think of this discussion often too, and how some were "judging" the OP. Please BBKjets, forgive me if I'm overstepping here, but this was the result of getting mom treated:

"...mom for now, has bounced back to the woman she normally is. My sister and I were able to "make up" and have a good heart to heart talk."

Hopefully all is still well with you BBKjets, and hopefully you haven't sworn off this site. Some people just get a little too wound up!

To whom it concerns: Before jumping to conclusions, perhaps try asking questions or making suggestions instead of taking your own frustrations out on this person.

Apologies to BBKjets for stepping in here. I hope you don't mind.
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