It is a hard call and yes certainly a very expensive call. Thinking a one bedroom small apartment is $3800 a month, one meal. The family went through this with my MIL last year, her children's choice not hers to enter. I think sometimes early maybe better when you are still fully capable of planning your own future. Most of her stuff needed to go and still she has too much in her new digs.
Me I am a selective saver. I saved my kids favor plush toy from their early years, best of the best art work, tokens of their years tucked into jewelry chests. My MIL saves so much. I have two SILs (they are sisters) that are married to the other two brothers (always been a strange dynamic) Their (sisters/my SILs) Mom who is just the nicest lady and I love dearly though not even related to me is a genuine horder. She saves all things paper. In her three bedroom home 2 of the bedrooms that were the daughters were filled floor to ceiling with newspapers, mail, catalogs etc. While in rehab for a broken hip they got a dumpster. Sad, she has started to refill them. Beyond this she is a lovely women, normal in every way. .