When his health deteriorated he would be wheeled around in a wheelchair and brought to the dock of his Florida mansion for fresh air. He would be immediately brought in as sightseers approached the dock. He would play cards with old associates and thought he was still in charge. Most of his fellow mobsters would appease the big fellow by obliging his winning the card game. Near the end he was confined to a room * with two seperate beds, one being for Mae, and one for Al . He suffered from pneumonia,but seemed to get better near his birthday. At the end he succumbed to a stroke brought on by the syphillis on January 25th,1947 at 7:30 pm.