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All contemporaries have passed. No available friends nor family . . . Frustrated & fearful.

First,,,my opinion a person with dementia should not be living alone.
If this is a family member I would contact an Elder Care Attorney and you, at this point, would probably have to file for Guardianship. (If no one wishes to become Guardian then the Court would have to appoint one)
If this is a friend or neighbor contact local Senior Service Center and report that there is a vulnerable senior living alone. They will follow up and if it is determined that it is not safe for this person to be living alone they would then have to search for family (you say no "available" family they would search for any family member) but this would then go to court and a Guardian would be appointed.
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Reply to Grandma1954
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If this person has no family, APS needs to be called. (Adult Protection Services)

If this is you, need to speak with your PCP and ask if he knows someone, like a Social Worker, who can help you. May need an Elder Lawyer to get your ducks in a row.
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Eventually they will probably become wards of the state when their assets run out if they did not make plans as suggested or don’t have resources. I have a single friend, now in her mid 60s who has spent the last decade investing in her relationships with a younger friend group. She knows she will probably be alone as she ages and is creating a safety net. She is an incredibly generous person, fun, and always there for her friends through thick and thin. She is basically a grandmother to one couple’s child. I believe her generosity will be repaid in spades when the time comes. But she also has a good financial planner. She’s doing everything she can do.
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Geaton777 4 hours ago
To clarify, one doesn't become a ward of the court because they run out of money: they get a court assigned guardian if they are a danger to themselves and can no longer make decisions in their own best interests, can't do their ADLs, aren't achored in reality, etc. Money is never the trigger.

Your friend is a "bonus" Grandma until one (or both) of the couple's *real* parents need help. Remember, there may be 4 of them. Your friend needs to get a back-up plan in place that doesn't rely on people who will eventually have their own parents to deal with. They may have it all romanticized in their heads and cannot image how stressful it would be to try to care for their own kids plus an impaired elder, money or not. If your friend has lots of assets, she should consider a good, reputable continuum of care community, where she can enter at IL and stay there through AL, MC, LTC and hospice. That would be her most solid plan. She can have one of that young couple be her PoA but should not assume they'd orbit around her in her home.
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If you are referring to someone else as the Elder Orphan (which is technically what such a person is now being labeled) the report them to APS (Adult Protective Services). Make sure they know this person has no support whatsoever. Don't offer to help as this will prevent a permanent care solution.

If you are referring to yourself, book a consult with an elder law attorney to get your legal ducks in a row. You will need to assess your assets and how long they will last if you transition into a facility (which I would recommend). Then Medicaid planning and getting a legal guardian to make decisions in your best interests.
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PeggySue2020 14 hours ago
This is really an awesome reply, Geaton
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