Best state for affordable senior housing and nursing home

[Anonymous]

Which state is most elderly friendly?

[Anonymous]

Where do they have a connection? Where did they grow up, go to college, start a career? Where do they have a connection? Do they elder friends, old roommates, siblings of theirs. Where have they moved? Our parents were very happy to be back in their old home town. They had things to talk about with the other residents, geography in common even if what they had in common was from 50 years ago. We were fortunate, though, that 1 child or theirs lived in the area. The rest of us flew in for visits.

[Anonymous]

Anonymous wrote:Which state is most elderly friendly?

That's a different question from "affordable."

[Anonymous]

The one closes to a family member who will help out.

[Anonymous]

Anonymous wrote:Where do they have a connection? Where did they grow up, go to college, start a career? Where do they have a connection? Do they elder friends, old roommates, siblings of theirs. Where have they moved? Our parents were very happy to be back in their old home town. They had things to talk about with the other residents, geography in common even if what they had in common was from 50 years ago. We were fortunate, though, that 1 child or theirs lived in the area. The rest of us flew in for visits.

If we could have swung it, my siblings and I would have definitely placed our mom in the care facility in her hometown where some of her siblings and spouses resided as well as some of her cousins, HS classmates, and friends from childhood. But we couldn't afford to do so. Where she ended up worked, but I have regrets that we could not manage to move her after our dad died.

[Anonymous]

If low income subsidies then it’s CA and NY.

[Anonymous]

Anonymous wrote:If low income subsidies then it’s CA and NY.

Please explain. Are these the best states for patients on Medicaid? If an elder is private pay, is Maryland a better option? My mom’s attorney in upstate NY is trying to help my mom shield her assets so that she can eventually enter a NY nursing home in her current state, although my mom has no family there.

[Anonymous]

Anonymous wrote:

Anonymous wrote:If low income subsidies then it’s CA and NY.

Please explain. Are these the best states for patients on Medicaid? If an elder is private pay, is Maryland a better option? My mom’s attorney in upstate NY is trying to help my mom shield her assets so that she can eventually enter a NY nursing home in her current state, although my mom has no family there.

Addendum: some of the private pay assisted living places here in MOCO seem very nice.

[Anonymous]

Anonymous wrote:

Anonymous wrote:If low income subsidies then it’s CA and NY.

Please explain. Are these the best states for patients on Medicaid? If an elder is private pay, is Maryland a better option? My mom’s attorney in upstate NY is trying to help my mom shield her assets so that she can eventually enter a NY nursing home in her current state, although my mom has no family there.

CA and NY have the best systems for the low income, so yes that includes Medicaid. They also have state versions of Medicaid but I am not sure if it’s relevant in your case. Seems like the atty is doing the right thing. I am not sure about upstate NY but the low income in NYC have a lot of options.
If she has residence in the state (seems like she does) she should look into affordable housing too. NYC would have some for sure. Not sure about smaller cities.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:If low income subsidies then it’s CA and NY.

Please explain. Are these the best states for patients on Medicaid? If an elder is private pay, is Maryland a better option? My mom’s attorney in upstate NY is trying to help my mom shield her assets so that she can eventually enter a NY nursing home in her current state, although my mom has no family there.

Addendum: some of the private pay assisted living places here in MOCO seem very nice.

Sorry I don’t know much about private pay.
Also she should look into the IHSS system (in home care), CA is very generous about it for the low income, and I think NYC is too.

[Anonymous]

Anonymous wrote:If low income subsidies then it’s CA and NY.

+1

It seems like every elderly person in Southern California has their own nurses aide.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:If low income subsidies then it’s CA and NY.

Please explain. Are these the best states for patients on Medicaid? If an elder is private pay, is Maryland a better option? My mom’s attorney in upstate NY is trying to help my mom shield her assets so that she can eventually enter a NY nursing home in her current state, although my mom has no family there.

I think what I am most worried about is that if my mom protects all of her assets in an irrevocable trust, she will HAVE to eventually go into a Medicaid nursing home in upstate NY, where she has residency, but no family. If she keeps her assets out of an irrevocable trust, she might be able to afford the entry fee for a nice private pay assisted living near me in MOCO. She hates the idea of not being able to leave me an inheritance after her death. (Thanks, mom). Maybe the best solution is to put only half of her assets in a trust? Mom refuses to meet with a financial adviser. She hates paying people for something non-tangible like advice. She grew up dirt poor.
CA and NY have the best systems for the low income, so yes that includes Medicaid. They also have state versions of Medicaid but I am not sure if it’s relevant in your case. Seems like the atty is doing the right thing. I am not sure about upstate NY but the low income in NYC have a lot of options.
If she has residence in the state (seems like she does) she should look into affordable housing too. NYC would have some for sure. Not sure about smaller cities.

[Anonymous]

Sorry, my response is in the upper half of the blue text!

[Anonymous]

Anonymous wrote:

Anonymous wrote:Which state is most elderly friendly?

That's a different question from "affordable."

If it ain't affordable, it ain't friendly.

[Anonymous]

They won't be low income so no free services, yet not a lot of money to be spent without frugality and planning. They don't want to struggle, have done it growing up and then did it to support parents in a country without any social services. Also hoping to not ever be a burden on kids but leave at least something for them instead of leaving debt to pay.