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My older sister lives with mom and takes care of her, but it is discomforting for her to always hear about the other's in the house at night or when she's away. My sis tries to explain in a nice way that no one else has been there, but mom keeps insisting.

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Could be something as simple as the TV is on loudly. Could be she is having hallucinations. This is something to tell the doctor.

Maybe I misunderstood what you wrote, but it sounds like you are saying your sister leaves her alone, maybe at night? Maybe Mom is afraid of being alone and could use a sitter for those times.
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bullyboy, does your Mom wear a hearing aid? I remember my Mom when she got her new hearing aid was hearing what sounded like a talk radio station. I knew exactly what Mom was talking about because I was getting that same thing with the landline telephone. And it happened very late in the afternoon and sometimes into the evening. It's was a telecommunication hiccup somewhere. It has since stopped.

Or it could be a stage of Alzheimer's that your Mom is experiencing.
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Better drugs. See the MD asap
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Take her to see her geriatric specialist. And have your sister watch Teepa Snow videos.
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