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My father has been living in his AL MC facility for around three years now. I only recently took over the role as a primary advocate. My mother passed away earlier this year. So earlier last week I saw my dad flirting and kissing multiple female residents. I spoke with the staff and they told me that is how my dad has been and they don't get complaints so it is all good. Idk this does not sit right with me, should I try to address it. My father is young and old he is 68. I know my dad has always been a ladies man. He cheated on my mom a few times so this behavior is not exactly out of pocket for him. The staff seem to be aware and okay with it. So I guess it is okay no?

If we were to walk into my mother’s MC, there would be no one who would take more than a few minutes to agree that NONE of the ladies in that community room could give legal consent.

It doesn’t matter if people are “having fun” , “enjoying closeness”or however we want to categorize what is going on.

No consent? Assault.
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Reply to cxmoody
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I see you responded below: "I don't want him to be removed from his placement. My mother went through a lot to find him his current placement."

This issue is deeper than just your dad and not wanting to have to re-locate him. You NEED to consider the women he is approaching / touching / flirting with.

Of course you don't want to have to re-move him to another facility. With this history, another facility may not want to take him, either (I don't know). I think you need to consider everyone concerned, and the potential of a lawsuit if your dad 'acts' inappropriately.
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Yes, I would address it with the administrator.
This could be a law suit for the facility - although this is a very common concern and staff 'should know' how to manage / deal with it.

My concern would be, in addition to being inappropriate (if it is ...) is some females may either not be able to assert themselves / needs / desires and others with dementia could easily be taken advantage, too.

For staff to respond to you 'they don't get complaints' tells me that they:
* do not discuss with administrator
* do not know how to manage these situations
* do not have the experience / mindfulness to understand that some residents are vulnerable and unable to set boundaries - which should be 101 for facility staff/managers / administrator.

If you are okay, then so be it. Or perhaps your last sentence/question says that you do not know how to proceed, if at all.

It sounds like you are deferring to staff (whoever you spoke to).
If you are okay with this, then there is no issue - for you and/or your dad. He will continue to have a good time. However, what IF / when (if not already) he takes this a few steps further and ends up in someone's bed?

If it were me, I would be MORE CONCERNED with the female residents - and see it as a major RED FLAG that they do not consider how female residents need protection due to vulnerabilities and feeling confused and/or lonely or both.

And, who knows ... if a female resident's family member files a complaint, you/r dad may be sued and/or held accountable along with the facility.

I would also consider calling the facility's licensing board and see what they say. I believe (?) there 'must' be some clear guidelines / rules and regulations that facilities need to follow in these matters.

The challenge, too, is realizing that as a person ages - does this mean that they are not entitled / allowed to have some intimacy / fun, etc.? If not a relationship in a facility.

Perhaps the issue is one of staff / administrator
- OBSERVING this behavior more closer;
- talking to females residents about it
- as well talk to female residents' family member(s) and see how they feel about it.

It seems like the facility management needs to take more of an active role in many ways. At the very least, I would bring up your concerns with the administrator.

You will also need to consider that if you dad causes any problems in this area that he may be asked to leave. You want to deal with this before it may get to that point, or have another resident's family file a complaint.

Gena / Touch Matters
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If the mentally competent women he is involved with consent, then it isn't a problem. If the families of the mentally incompetent women are ok with him and the ladies do not complain, then it isn't a problem.
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TouchMatters Dec 20, 2024
The problem is that a person with dementia or an inability to assert themselves and set boundaries is / could be a very wide gray area. I disagree, the facility administrator needs to monitor, observe this behavior 'even' if the ladies do not complain. There is a huge difference between feeling lonely, wanting sexual/romantic touch, being able to assert boundaries, and dealing with brain chemistry changing (dementia).
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If it’s agreeable to all and no one taking advantage it might be a good thing ?
maybe speak to the residents and ask if they mind his attention
they might be pleased with having a make friend
or a direct conversation with your father to address your concerns that he may inadvertently cause someone upset with his flirting and if just one person complains they will put a ruling down .
bring it out into the open to discuss and monitor openly!
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TouchMatters Dec 20, 2024
It could be a very good thing (a friend with some benefits in a facility) - so that is hope for me yet ... when I am there. Kidding aside ...

I agree - if her father is of sound mind and able to understand how his behavior / advances are possibly / potentially taken, he might be willing and able to manage / adjust his flirtations. My concern is if it goes way belong that and a person cannot set their boundaries due to both feeling alone and having dementia. He may feel or say 'it was consensual' like a lot of men do who are not in a facility. . . Gena
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Again, I would be calling about assault, were it my mother.

I feel like you’re being warned here, and all it would take was for a family to complain, and they might ask your Dad to leave on short notice.

I’d figure out a way to make this stop, if I were his Dad.

Again, no consent? Assault.
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Fatherdrama94 Dec 19, 2024
This is my concern I am going to call his doctor but I am worried they are not going to do much cause he has no complaints from the facility of residents.

I don't want him to be removed from his placement. My mother went through a lot to find him his current placement.
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My mom did that. No complaints. Both were happy because they could cuddle together and both were extremely happy
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TouchMatters 3 hours ago
This is your mother. It is fine to provide a personal story although this issue is so much more broader - and has legal implications. In addition, there could be trauma to the recipient of his behavior.
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You might want to look again at the diagnosis that got F into the facility. My own F ‘faked it’ to get himself into government subsidised respite board and care inside a ‘free brothel’ – knowing that he could walk out if he chose. The government records were state-based, this was his third 'respite' by moving states. Your F at 68 “looks good for his age, always well groomed and dressed” – doesn’t sound like most people in MC. "Complicated history" is par for the course. You have my sympathy, Margaret
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Fatherdrama94 Dec 19, 2024
My father 100% has dementia. Generally speaking everyone at my father's facility is well dressed and put together. It is a fairly expensive place we are talking 28k a month expensive.

The facility overall is entirely MC so no one is free to leave the grounds without someone accompanying them.

It is hard to explain never seen such a place like it. I did not visit him after mom placed him.
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What are YOUR concerns? You are not responsible for your father’s behavior. I’d suggest that you put in writing that you have raised with the staff whether there is any objection from them or from the women involved, and that they say it’s all OK. That should protect YOU.

If there are complaints, your father may be made to leave, and a new placement may be difficult. Yes, that is a concern for you. You might want to consider medications at that point. Then HIS consent gets tricky.

My own personal issue is that D is only 68, and looks like any other ‘dirty old man’. My own unpleasant F told me about his escapades in respite care (unjustified) with a dementia patient who couldn’t remember anything about it next morning (ha ha). By that time her family had removed her, he had moved on, I was disgusted. But that is not your own situation, I hope. Yours, Margaret
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Fatherdrama94 Dec 19, 2024
My concerns are my father emotionally hurts these women, maybe even gets kicked out leaving me to find new placement. My mother handled all of this. She unfortunately suddenly and unexpectedly passed away so I really did not get a run down of everything. Flying at the seat of my pants atm.

I was shocked when they told me that they knew. I get it is a weird area cause everyone seems happy enough and here I come getting concerned and to be frank grossed out.

I get my old man looks good for his age, and still carries himself with that certain element I cannot explain. Always we'll groomed and dressed. I get he may not know what is going on but a part of me thinks indirectly he is taking advantage of these women's memories of their loved ones.

Idk my dad was a good father horrible husband so I have a complicated history with him.

I will reach out to his doctors in the morning. I hope they listen but i am afraid they will brush it aside cause no one has complained.
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I’m sorry but I would be one who would bring charges if I found out he was kissing and or having sex with my mother.

A woman with dementia who lives in a nursing home cannot consent to sex. Same as a drunk woman. Same as a child. Etc.
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Bulldog54321 Dec 19, 2024
And her non consent cannot be over ridden by staff who let it happen because it’s less for them to deal with if the woman isn’t complaining.

Frankly, to me that is grounds to get the whole darn place shut down.
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This sounds like an impulsiveness issue, if he is kissing (possibly more?) with multiple women. I think you are right to be concerned because family members of one or more of the women might feel like their mother is being taken advantage of, and the behavior might escalate. I suggest talking to his neurologist and the medical staff at the facility about medication to help dial down the impulsiveness.
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I apologize my father is in memory care. The entire facility is a memory care unit but it has certain levels. My father ia part of the assisted living memory care portion.

The entire ground is a locked down but he is still free to walk around, he is free to go to the common areas, walk around the campus.

They do have a locked down floor but that is more so meant for end stage dementia.

It is a fairly expensive placement.

As for my fears yes I am afraid of someone making a complaint or claim of assault.
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Daughterof1930 Dec 19, 2024
I think your fear and concern is quite valid. Those with dementia cannot give adequate consent, giving ample grounds for their family members to be upset. The attitude of the memory care place is surprising as they have possible liability issues. I’d address it with dad’s doctor as there are meds that can calm the behavior and may be appropriate for the circumstances
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It sounds like this could be a potential problem in the future if a resident does complain. You can't regulate your father's behavior so I don't know what you could possibly do.

For now nothing is broke so I wouldn't try to fix anything. Just leave it alone and deal with the situation when and if his behaviour becomes a problem for the facility.
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Reply to Hothouseflower
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From the OPs profile:

I am caring for my father, living in assisted living with alzheimer's / dementia.

Combine that with her saying he's living in "AL MC" a couple times and I think it's clear dad's in Memory Care Assisted Living. Until she clears it up, I'm going with that.

What do you mean "relationships" OP? Dad is having sexual relations with other residents in Memory Care in their rooms? If that's the case, consent cannot be given when dementia is at play. I am surprised the admin is ok with this, frankly. I feel like this WILL come back to bite you one day. One of these women will tell their loved ones she has a boyfriend or a lover and all hell will break loose.

I would not have been happy had I found out such a thing when my mother lived in Memory Care Assisted Living. Then again, she was loud and vocal and would have screamed bloody murder had a man even entered her personal air space, let alone anything else.

The other way to look at it is two adults enjoying themselves. But w/o the ability to give consent, THAT is where the potential problem lies. Your father would be better off keeping his pants zipped up, and would've been his whole life, huh?
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Fatherdrama94 Dec 19, 2024
The staff has told me it is mix. Some he is sexual with others it is just flirting and stuff. The staff told me that is not common but not uncommon for residents especially younger ones to get together.

I don't exactly like it, but on the same token what exactly can I
do? Not like talking to him will help. He does not even recognize me.
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Are you afraid he's going to get one of them pregnant?
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lealonnie1 Dec 19, 2024
What about if the police show up to arrest him for assaulting an elder with dementia who is now complaining? That's the potential problem.
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Not a problem for residents? Not a problem for staff?
I don't see a problem here.
I think your father has had enough losses for a lifetime if at the young age of 68 he is already in care. I would let him be unless there is a problem. Your mom is gone and cannot be hurt by this behavior now.

It is, you should understand, exceptionally common, and somewhat a comfort to my mind that special loving friendships and flirtations consider in care forever in many circumstances. Often visiting husbands of wives have to accept the new love as the one the person with dementia believes is their spouse. It takes courage, but the person is no longer the person they were known to be throughout a lifetime. As Oliver Sacks says "They have a whole entire world; it just isn't YOUR world".

This is all just my opinion and you may see it differently, but I am not certain you can DO much about that, after all?
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swmckeown76 Dec 20, 2024
My opinion: When my husband became a private-pay long-term care resident at age 59 due to frontotemporal degeneration, he would sometimes hold hands with a woman while they were watching TV or playing a game in the activity room. I told the activity director, social worker, and his unit's charge nurse that if it didn't go beyond that, fine. But if it did, remind him he was married and his wife wouldn't appreciate it. Had they allowed any hanky-panky, I would have complained to the nursing home inspection board.
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If an AL, then the women have the ability to say no or complain. MC, do these women know they can complain or give consent? I have already told my daughter I want no man touching me in an AL, MC or NH. If I did not like the attention before Dementia, I am not going to like it after Dementia. My Mom didn't like men after her Dementia set in.
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I am reading this that he is in the AL portion of a facility that has both AL and MC. so I am going to comment as if he is in the AL.
I would send a note to inform his doctor that he should be tested for STD's the next time he is in for any reason. (easy to send a note if you have access to his medical Portal)
I see no need to bring up the conversation with your dad.
If there are complaints though be prepared to have this conversation. There are some family members of other residents that might not look on this so calmly.
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Reply to Grandma1954
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So my question to all of you worried about consent - what is consent? People are sexual beings and if nobody is feeling distressed by his attentions I don't think the legal definition of capacity should come into this, if two people who clearly enjoy each other's company want to flirt, canoodle or more IMO it's not something that needs to be policed. Of course there are coercive lines that might be crossed but that is different and doesn't seem to be the case here.
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My mother has lived in MC for 4 years, now.

There is no way that she could give consent.

I would be quite upset if she were assaulted this way.

No consent = Assault

The MC MUST redirect him.
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Grandma1954 Dec 19, 2024
I am reading this that he is in AL not Memory Care. I think there would be the difference.
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That is my concern it is memory care does anyone really have the ability to grant consent?
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Grandma1954 Dec 19, 2024
I think he is in AL not MC
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I guess I would worry less about him and more about the ladies. Is it considered consensual? If so, what can you do? If the family of the women are concerned, that’s when would intervene.
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