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My mother was in assisted living for 9 years, she moved in with us 1 month ago. She used to walk the floor at Atherton Place(AP) for hours at night. She has no dementia and was able to describe why. Part of the problem was, of course, plain old circadian rhythm disturbances as I am told are common in PD. She, however, attributed most of the problem to what she calls 'leg cramps'. From the reading I have done I wonder if it cramping she experiences or restless legs syndrome. She describes her legs as tingly, crampy, and she has to move them. So she would cruise AP with her walker, sometimes seemingly all night long. The only relief was sleeping medication so strong she was at risk of falls or confusion. Lately this problem has been much better. The only changes are 1.she moved here, 2.the Doc added an antidepressant. He said this med. is one that a younger person would hate because of the sedating effect , but for the elderly that is often a welcome side effect. For mom the sedation has helped greatly at night and has not seemed to make the daytime sleepiness any worse than in already was. The med. is called Remeron. It would be interesting to see what your neuro has to say about it. Could this leg problem be what is adding to your mom's night-time troubles but perhaps she is unable to communicate it ? Anyway, just another way to look at the problem, I seem to have to look at mom's different problems from every which way but up before I figure out what is happening. PS Mom swears that soaking her feet in HOT water with Epsom salts in the middle of night often gave relieve and allowed her to sleep. Not too scientific, but she thought it worked so for her it did. Good luck, and good luck getting assisted living to work with too many med. times! Kathy [log in to unmask]