There are options and choices to make, and your Dad will need increasing care as he gets older. Have you talked to your Dad about possibly moving closer to you? Does he have relatives and friends in his community that can help? Could you have him visit for a period of time and see how he adjusts to a new location? Moving can be difficult for the elderly, but in time, many do adjust to the transition and do well. There are professional Geriatric Care Managers that would help you to assess all of your options and help make the best choice. Look locally for one in your area, or look for one on this website: http://www.aginglifecare.org.