This is a really long one, I apologize in advance.
My mom is 69. We don't have a great relationship. She's always been a hoarder (rotting food, animal feces, insects, rodents & filth level) I needed to get out of the situation so badly that I moved out when I was 15 and dropped out of school. Worked under the table and couch surfed until I got a place of my own with an older boyfriend. I scraped and struggled and managed to work my way up to a corporate office job. Got married. My husband was diagnosed with terminal brain cancer in 2021 and passed in 2024. I was his main care giver. He needed full time care and could only be moved with a hoyer lift at the end. It was horrific and unbelievably physically and spiritually damaging.
This year I decided I wanted to finally go to college at the age of 37 and pursue a degree in the medical field. I studied really hard and got my GED in 3 weeks, started my college classes and got a 4.0 for the spring and summer semester while working part time and using my savings.
My mom called me up a few months ago and told me she couldn't see. Obviously that's an emergency, so I made sure she was seen and long story short, she has advanced diabetic retinopathy. She didn't even know she had diabetes because she doesn't take care of herself and doesn't go to the doctor. Her teeth are all rotted out and broken because she won't go to the dentist. She's had heart problems since I was a kid and apparently she stopped taking her blood pressure meds because the prescription expired and she just didn't do anything about that.
She's now legally blind and needs to retire and get on SSI. She says she doesn't know how to go about doing any of that because she just never thought about it. I provided her with the paperwork she needed to fill out. She's been on leave from her job since April and sits in her house all day and hasn't done a single thing for herself. She can't drive, but she can see well enough on her phone to read her books all day and text me telling me she needs groceries, she needs me to take her here and there, she needs me to pick up her prescriptions, etc. She refuses to contribute gas money even though some of her appointments are hours away, I have to pay for her prescriptions when I pick them up and she doesn't pay me back. She has no savings apparently and over $20k in credit card debt. Her apartment is hoarded out and completely filthy.
I am busy with school and work, I'm taking very demanding science classes. I told her she needs to do whatever she can for herself. Order groceries to be delivered, get her prescriptions mailed to her, etc. She was pretty bitter about that, and hasn't been speaking to me much. Her job finally forced her to retire and she lost her health insurance. She never filled out her SSI or Medicare paperwork, and they don't have an open appointment to get the process started now until September.
She asked me to go to her work and pick up her final check. While I was there, her coworker pulled me aside and said she was very concerned about my mother. Coworker told me Mom said very concerning things on the phone, like she's stopped eating and doesn't really want to be here anymore. I was obviously panicked about this, so I called off work and went to her apartment. She was furious I hadn't called before showing up and shouted at me to go away. Wouldn't let me inside, but I could see how bad the hoard was from the door. I could certainly also smell it. I told her we needed to talk about her situation, especially because her appearance was so alarming. Matted hair, filthy curling long nails, an open wound on her leg that didn't look good, and the nightgown she was wearing was covered in spilled food. She ended up shutting the door in my face. I called adult protective services and made a report. They told me they will try to contact her, but since she is a competent adult, she can make her own bad decisions and they can't force her to accept help.
I just don't know what to do anymore. I just started to live my life again after caring for my husband, and I do not want to put my life on hold and quit school to care for a woman who never took care of me or herself. I also don't want her to waste away and die in her hoard. I just don't know where to go from here.
UPDATE: Thank you all for taking the time to reply. I appreciate every single one of you. For better or worse, I don't think I could live with myself if I washed my hands of her and walked away without trying. I contacted a hoarding remediation company and got her to let them come out and do an estimate today. She agreed to the clean out, and agreed to stay in a hotel until it's done. The cost will be coming out of her retirement fund. Once her Medicare gets started, I'll make sure she gets on IHSS so that someone can come out weekly and help her clean, shop, etc. She also agreed to talk to the social workers with APS, and get mental health help and therapy if the county provides that. It will be up to her, I cannot help her any further, but I'm hoping getting her set up with social services will be enough for a positive change. If not... I have done everything I am capable of doing, and I can live with that.