Adult Family Homes, Assisted Living Homes and Skilled Nursing Homes fall under 3 separate and distinct categories in the State of Washington. Assisted Living falls under Boarding House rules and does not take care of any medical situations other than calling 911, they can do medication delegation with trained staff. Adult Family Homes can do some skilled nursing but more often than not is used for elderly with dementia, nurse on staff and has a 6:1 ratio. Skilled nursing facilities for those persons requiring 24/7 medical attention. I have Grandma (will be 101 this month) in an Adult Family Home at this time. She went from my house to Assisted Living (7 yrs) to hospital to Skilled Nursing to Adult Family Home and the experience at the Nursing Home was not favorable. However Grandma is on Medicaid and there is no problem financially with her.
Then we have my mother who is in an Adult Family Home incapacitated by dementia and stroke. And all on self pay and her estate should be depleted in 3 years. At this time she is pulling out 72G from her IRA plus Social Security to take care of the Adult Family Home. Will be selling her home soon and stop the IRA distributions and live off the proceeds from the house since it will not be taxable income.
Then I have a couple of clients on self pay for spouse and they have asked me about deductibility of some of these costs for Adult Family Homes. I cannot find where AFH costs are deductible since they are basically lodging and meals.
So all opinions are welcome and cites are welcome and experiences are welcome.