Originally Posted by PastorMikH

And if this is the case, what is Roy supposed to do? She's not related to him. Legally, he has no say in her care. If he backs off, the niece that comes around starts realizing that the lady needs more care and starts coming around more. IF dementia is a problem, then she will see it and since she is the closest family member, it will be HER place to deal with it not Roy's.

I'm not advocating Roy completely disown his neigbor, but if doing so much for her is starting to bother him, he should back off. If he doesn't resentment will set in and he will cease to care for her - then who will she have looking out for her?