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QUESTION: I have a client whose wife lived in a nursing home after she
was diagnosed with alzheimers.Once a week, a doctor visited her, and others at the nursing
home to check on their well being. Also, the nursing home
staff made sure she was taking her medication.
Are these facts alone strong enough evidence of medical
reason being the primary reason for her being in the the
nursing home, for purposes of an itemized deduction for
nursing home costs?
ANSWER: If the client is in a "skilled nursing facility" and/or is
otherwise there upon a doctor's order, you shouldn't have a
problem deducting the entire cost including room and board.
(In my area, dedicated Alzheimer's facilities are generally
considered to be SNFs and/or are part of a SNF.)
However, if this is an "assisted living" arrangement that
does NOT require a doctor's order for admission, then I
believe you are limited to deducting only those expenses
that are medically related (generally excluding room and
board). In that case, figuring out "what's what" could be a
pain, especially if the billings are not well itemized.
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