Programs for elderly people?

My grand parents are both 85 and still live alone. My gma has early alzhiemers and forgets how to do simple things such as cook and do laundry. My gpa has deiterierating health and can barely walk any more and has advanced diabetes. Niether of them shower daily and they rarely change clothes. (note: i do not think this makes them unclean as they do not produce skin oil any more and do nothing to get dirty.) The do not eat hot meals daily because they have both forgotten how to cook so they eat lunch meat most meals. My aunt and my uncle check on them but they both live 45 minutes to over an hour away and can not come by everyday. Both my grandparents refuse to go to a nursing home or isted living facility or hire a live in nurse. They are on the waiting list for meals on wheels but is there any other programs that can provide them with brief daily help in areas such as grooming, caring for pets and each other, and make sure they take there medications. and possibly provide free or reduced soaps and things and ist in house work? Thank you.