What is the best way to assure safety and quality care in assisted living for dementia? The key is specialized dementia care. Frail elders with dementia are difficult enough to care for in general, and they often have subtle medical symptoms that can result in serious illness especially for diabetics. For example, a heart attack may seem to the caregiver to be only indigestion or some shortness of breath. If the elder has dementia they cannot communicate as adults are expected to, so it is crucial that the staff have the proper training for optimal care. One common example that I see are pressure ulcers due to sitting in one position in a wheelchair for over 2 hours- or 6 hours straight. There must also be more compassion for the care of these fragile people as opposed to completing tasks as if they were on a factory line. A discussion that needs to continue.