Moving to Assisted Living: What Happens to Your House in Texas?

If you or a loved one is moving to assisted living, one of the biggest worries is:
“What happens to the house?”

It’s a valid concern. After all, your home is more than just property — it’s where memories live, and it’s often your largest asset. When medical bills and government programs like Medicaid come into play, the house can feel at risk.

The truth is:
✅ You don’t automatically lose your home.
✅ But without the right planning, the state or a nursing facility could claim it later.

👉 Bankrate explains more about Medicaid and homeownership.

Also wondering what your options are? Here’s what really happens when you move to assisted living ➔

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What Happens to Your House When You Move to Assisted Living — Your Options

Here’s the good news: you still have control if you act early. Families who wait until after Medicaid steps in often lose flexibility, but those who plan ahead can:

  • Transfer the home legally under Medicaid exemption rules

  • Sell the house before moving, using the funds for care or family needs

  • Protect it through planning tools like trusts, life estates, or exemptions

Timing is critical. The sooner you explore your options, the more choices you have — and the more likely you’ll avoid surprise medical liens or losing the home.

👉 Nolo provides a clear guide on Medicaid estate recovery.

Wondering if you’ll be forced to sell? Here’s what to know ➔

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Do You Have to Sell Your House When Moving to Assisted Living?

The short answer: not always. Whether you can keep the home depends on your situation:

You can usually keep the house if

A spouse still lives in it

A dependent or disabled relative lives there

Medicaid rules exempt the property

⚠️ But you might lose or be forced to sell if:

No one else lives in the house after you move permanently

Medicaid pays for your care, and the home isn’t exempt

The state files a Medicaid Estate Recovery claim after death

When Medicaid or Nursing Homes Can Claim Your House

Here’s where it gets serious. The government or a nursing home may try to recover costs, usually through:

  • 🏛️ Medicaid Estate Recovery (MERP): After death, the state may place a claim on your home to recover long-term care costs.

  • 🏥 Nursing Home Liens: Some facilities pursue unpaid bills, which can turn into property liens or lawsuits.

⚠️ Common triggers include:

  • Moving out permanently with no spouse or dependent in the home

  • Medicaid paying for your care

  • Failing to set up exemptions or transfers in time

👉 Learn more from the Texas Health & Human Services MERP page.

How to Protect Your House When Moving to Assisted Living

The good news: you don’t have to lose your home if you plan ahead. Families often protect property by:

  1. 🛡️ Filing for Medicaid Exemptions (spouse, minor, or disabled child still in the home)

  2. 📜 Using Legal Tools like irrevocable trusts or life estates (must be set up 5 years before Medicaid)

  3. 💰 Selling Before Medicaid Pays for Care — giving you control over funds instead of losing the house later

👉 ElderLawAnswers offers more on protecting assets from Medicaid.

Timing and planning are everything. We work with families and attorneys to help make the sale clean, compliant, and fast — without stress or delay.

Want to understand your legal options? Here’s how to avoid nursing homes taking your assets ➔

Selling the House Before Moving to Assisted Living

Sometimes selling is the cleanest, most stress-free solution. If no one’s living in the home, or it’s too expensive to maintain, selling gives you:

  • ✅ Cash to cover assisted living costs

  • ✅ Freedom from estate recovery risks

  • ✅ Control over what happens next

We buy houses as-is — no repairs, no fees, no delays. That way, you can focus on care and family, not paperwork.

👉 See our full guide on selling a home that needs repairs.


Still wondering if selling is required? Learn more here ➔

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Real Story — A Family Who Sold Before Medicaid Took the House

Maria’s mother needed 24/7 care. The family worried Medicaid would claim the home she had lived in for 40 years. They reached out, and we explained the risks of estate recovery.

We gave them a fair cash offer, closed quickly, and the funds paid for a better assisted living facility.

“We didn’t even know the state could take the house. You explained everything so clearly and handled the sale with urgency. Thank you.” – Maria S., Mission, TX

Common Questions About Assisted Living & Your House

We hear these questions all the time from families just like yours:

1

Do I have to sell my house to go into a nursing home?

Not always — but sometimes it’s the best option.
👉 Read the full breakdown ➔

2

Can a nursing home force me to sell my house?

They can’t “force” it directly — but unpaid bills or care costs may trigger a lien or court action.
👉 Here’s what to know ➔

3

Can the government take my house to pay for care?

Yes — especially if Medicaid pays for long-term care and the home isn’t protected.
👉 Learn how that works ➔

4

5

6

Does Medicare take your house?

No — but Medicaid might.
👉 See the difference ➔

Can a nursing home take my inheritance?

In some cases, yes — if the inheritance is left to someone who still owes care costs.
👉 Here’s how to protect it ➔

How can I avoid losing my house or assets to the state?

With the right plan, timing, and support.
👉 Explore your options ➔

Let’s Talk About Your Options — No Pressure

Every family’s situation is unique. Whether you want to:

  • Sell quickly to cover care costs

  • Protect your home from Medicaid recovery

  • Understand your legal options

👉 We’re here with answers, not pressure.
✅ No repairs
✅ No fees or commissions
✅ No waiting on agents

📞 Ready to talk? Get a fair cash offer today.

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