How to Protect Your Assets from Nursing Home Costs: A Comprehensive Guide

Did you know that nearly 70% of individuals turning 65 will require some form of long-term care during their lifetime? With nursing home care costs often exceeding $100,000 per year, many families worry about how to protect their life savings from being consumed by high costs. 

Protecting your assets from nursing home costs is not just about preserving wealth, it’s about safeguarding your financial future while ensuring access to quality elder care when it’s needed most.

In this guide, we will explore vital strategies for safeguarding your hard-earned wealth while ensuring that the necessary care is available when you need it. We will cover everything from basic estate planning to savvy Medicaid strategies, equipping you with the vital knowledge to secure your future without sacrificing financial stability. 

Understanding the Challenge of Long-Term Care Costs

The reality is sobering: nursing home care costs and other life care expenses continue to rise. Without proper planning, savings accounts, real estate holdings, and other personal assets can quickly be depleted.

That’s why proactive planning is essential.

What is Long-Term Care?

Long-term care refers to assistance with daily living activities such as bathing, dressing, eating, and mobility. Care may be provided at home, in assisted living, or in a nursing facility. As health needs increase, many families transition to full nursing home care.

The Importance of Early Planning

Asset protection is not just about managing wealth, it’s about ensuring peace of mind for yourself and your family. It’s lawful, strategic preparation. Whether you are protecting your own life savings or planning around parents’ assets, early action gives you more flexibility and control.

Waiting until a crisis occurs may limit options and trigger costly consequences under Medicaid’s five-year look-back period. With proper planning, however, families can structure finances in a way that meets Medicaid eligibility requirements while preserving financial stability for a healthy spouse or future heirs.

Strategies for Asset Protection

As you embrace the reality of long-term care needs, you can implement several strategies to protect your assets. 

1. Creating a Comprehensive Estate Plan

A strong estate plan forms the foundation of asset protection. This includes essential legal documents such as:

  • Wills – Direct how property is distributed and guide estate administration.
  • Trusts – The type of trust used significantly impacts asset protection.
  • Revocable Trust – Useful for probate avoidance but does not shield assets from nursing home costs.
  • Irrevocable Trust – Often used in Medicaid planning to protect assets if structured properly.
  • Durable Power of Attorney – Authorizes financial decision-making if incapacitated.
  • Healthcare Directives – Outline medical wishes and appoint decision-makers.

Working with an experienced estate planning attorney ensures these documents are aligned with Medicaid rules and long-term care strategies.

Choosing the Right Type of Trust

Not all trusts offer protection against nursing home expenses.

  • A revocable trust helps avoid probate but does not shield assets.
  • An irrevocable trust may protect assets if established properly and funded outside the five-year look-back window.

The structure, timing, and funding of the trust determine its effectiveness.

Capital Gains Tax and Tax Implications

Transferring real estate or investment assets can create capital gains tax consequences if not structured correctly. For example, retaining certain ownership interests may preserve favorable tax treatment for heirs.

This is where integrated legal and financial planning becomes crucial.

Special Needs Planning

If you have a loved one with Special Needs, protecting assets requires additional care. Improper transfers could jeopardize government benefits for a disabled child or dependent.

A coordinated elder care and Special Needs strategy ensures protection for all family members.

2. Understanding Medicaid Planning and Eligibility Requirements

Medicaid is the primary government program that helps pay for nursing home care. However, qualifying requires meeting strict income limits and asset thresholds.

Key Medicaid Rules to Know:

  • Eligibility requirements vary by state.
  • Applicants must meet income limits.
  • Countable assets include savings accounts, certain investments, and excess real estate.
  • Transferring assets improperly can trigger a penalty period.
  • Medicaid’s five-year look-back period reviews prior financial transactions.

If you gift money or transfer property within five years of applying, you may face a Medicaid penalty period during which benefits are delayed.

Special Protections for a Community Spouse

When one spouse enters a nursing facility, the healthy spouse, known as the community spouse, is protected under specific Medicaid rules. These protections allow the community spouse to retain certain income and assets to prevent financial hardship.

Advanced planning may include tools such as a Medicaid-compliant annuity to preserve income for the community spouse while qualifying the institutionalized spouse for benefits.

nursing care

3. Explore Long-Term Care Insurance

Investing in long-term care insurance can provide a safety net, covering all or part of your assisted living or nursing home care costs. Research various policies, costs, and coverage amounts to determine this option’s applicability to your situation.

4. Asset Transfers

Transferring assets can be part of a plan, but timing and structure are critical.

Improper Gifting Assets to children or relatives can jeopardize Medicaid eligibility. However, certain strategies may be lawful and effective when done outside the look-back period.

For example:

  • Creating an irrevocable trust
  • Establishing a life estate in real estate
  • Using annuities structured to meet Medicaid guidelines

Each strategy must be carefully evaluated to avoid unintended tax or eligibility consequences.

5. Utilizing Exempt Assets

Not all assets count against Medicaid eligibility.

Understanding which personal assets are considered exempt can help retain essential financial security. Common exempt assets may include:

  • A primary residence (within equity limits)
  • Personal belongings
  • One vehicle
  • Certain retirement accounts
  • Limited cash reserves for a community spouse

Understanding which personal assets are exempt under Medicaid rules can significantly impact your strategy.

The Role of Family Dynamics in Asset Protection

Discussing planning strategies with your family is vital for a smooth continuation of your wishes. Family dynamics can significantly influence decisions around care and financial management. Having open conversations can prevent misunderstandings and ensure everyone is on the same page.

Working with Professionals

Navigating the complexities of elder law and asset protection requires skillful guidance. Working with experienced attorneys who specialize in elder law can provide you with personalized strategies based on your circumstances.

  • Find Elder Law Attorneys: When selecting the right elder law attorney, consider credentials, experience, and client testimonials.
  • Consult with Financial Advisors: Integrate your financial and legal strategies for maximum effect.

Common Myths About Nursing Home Planning

Myth 1: “I’ll Never Need a Nursing Home”

The risk of needing long-term care increases as we age. Planning for potential needs is proactive and practical.

Myth 2: “I Can’t Afford Any Planning”

Asset protection is primarily about informed decision-making rather than necessarily incurring heavy expenses upfront.

Myth 3: “Medicaid is Only for the Poor”

Many individuals eligible for Medicaid have significant assets. The aim is to protect wealth strategically rather than demonizing the notion of assistance.

What Happens During a Crisis?

If a loved one suddenly requires placement in a nursing facility:

  1. Gather financial records and legal documents.
  2. Avoid making large transfers without legal advice.
  3. Consult an experienced estate planning attorney immediately.
  4. Evaluate assisted living or home care alternatives if appropriate.

Even during a crisis, options may still exist — but swift action is critical.

Final Thoughts: Empowering Yourself

Without proper planning, nursing home costs can quickly consume a lifetime of savings. With the right strategy, however, families can preserve stability, dignity, and legacy.

Understanding your options gives you the power to make informed decisions regarding long-term care while preserving your legacy. Empower yourself and your family by establishing a cohesive strategy tailored to your unique situation.

Take the first step today by calling for a consultation. Begin your journey towards securing your family’s future and ensuring that your wishes are respected. Visit PathsLawFirm.com for more information. Remember, it’s never too early—or too late—to ensure that you’re prepared!

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We are legal experts focusing on wills, trusts, medicaid, guardianships, and asset protection for seniors and veterans in Missouri.

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Paralegal

Jennifer Scott

jennifer scott

Jennifer serves as an Estate Planning Paralegal, providing comprehensive support to the firm’s attorneys and clients. She assists in the preparation of wills, trusts, powers of attorney, and other estate planning documents, ensuring accuracy, clarity, and alignment with each client’s objectives.

Before transitioning into estate planning, Jennifer gained extensive experience as a Family Law Paralegal, this background enables her to navigate sensitive client circumstances with professionalism, discretion, and a strong understanding of family dynamics.

Jennifer is recognized for her attention to detail, strong organizational skills, and commitment to delivering a thoughtful and reassuring client experience. She approaches each matter with integrity and a focus on ensuring clients feel informed and supported throughout the process.

Outside of the office, Jennifer enjoys practicing yoga, watching sunsets, and spending time in nature—activities that provide balance and inspiration in her personal life.

Assistant to Russell Fracassa

Peyton Osborne

Peyton Osborne

Peyton serves as the Assistant to Russell Fracassa, bringing dedication, reliability, and compassion to her role at Paths Law Firm.

With prior experience supporting small businesses in administrative and operational capacities, she has developed strong organizational skills and a sharp attention to detail that help ensure both attorneys and clients are well supported.

She is currently studying at the University of Missouri–Kansas City as an Honors Student, demonstrating a strong commitment to excellence in both her academic and professional pursuits. Peyton’s work ethic and drive are reflected in the care she brings to each task and interaction.

Outside of the office, Peyton enjoys spending time with her family, reading, and exploring new places.

Probate Paralegal

Shaye Kotze

Shaye Kotze

Shaye entered the field of civil law in 2022 and has quickly developed a strong foundation in client service and legal support.

Her academic background includes an Associate of Science degree in Healthcare Services and Informatics Administration and a Bachelor of Science in Interdisciplinary Studies, with an emphasis in Health and Human Services, Social Sciences, and Humanities.

This unique blend of legal experience and healthcare-focused education allows Shaye to approach her work with both analytical precision and genuine empathy — especially when supporting families navigating complex and sensitive situations.

Outside of the office, Shaye enjoys spending time with her husband and their one-year-old daughter. Whether she’s baking sourdough, working on arts and crafts, or enjoying time outdoors, she values creating meaningful moments with her family.

Receptionist

Malia Blosser

Malia Blosser

Malia serves as the first point of contact for many of our clients, helping create a welcoming and supportive experience from the very first phone call. As our receptionist, she assists with scheduling, communication, and ensuring that each interaction reflects the care and professionalism our firm values.

She understands that many families who contact our office may be navigating stressful or uncertain situations, and she strives to make every conversation feel comfortable and reassuring.

Outside of work, Malia enjoys spending time with her husband and their two children. She loves reading, watching movies, and baking with her kids — creating meaningful memories both at home and at work.

Of Counsel

Janeece L. Dent-Bennett

Janeece L. Dent-Bennett

Janeece Dent-Bennett was born in Lexington, Missouri, in 1960 and graduated from Lexington High School in 1979.  She graduated with a Bachelor of Science in Business Administration with a major in Accounting from University of Central Missouri in Warrensburg, MO in 1982. 

In 1985, Janeece graduated with distinction from the University of Missouri-Kansas City School of Law.

Upon graduation from law school, Janeece joined the former Shughart Thomson & Kilroy, P.C. law firm (now Polsinelli) in Kansas City, Missouri, with a primary practice in corporate and business law. 

She started her own law practice in 1989 and has since practiced law in Lee’s Summit, Missouri, serving clients throughout the state of Missouri with a primary emphasis in Wills, Trusts, Estate Planning, Probate, and Business Transactions.

Janeece is married and has 3 children.  Jillian Dent is an attorney in Kansas City, Missouri.  Nathan Dent is a Certified Public Accountant in Denver, Colorado.  Andrew Bennett is an Electrical Engineer in North Kansas City, Missouri.  Her husband Mark Bennett is an IT specialist contractor for the USDA.

Recently, Janeece closed her former solo law practice of 36 years and joined Paths Law Firm in Lee’s Summit, MO as Of Counsel.

Legal Assistant

Reese M. Lehr

Reese Lehr

With a strong background in customer service and a passion for helping others, Reese brings dedication and a positive attitude to her role as a Legal Assistant at Paths Law Firm. She supports the team by managing client correspondence, organizing policies, and stepping in wherever needed to ensure clients receive the highest level of care. Known for her strong work ethic and adaptability, Reese is always ready to tackle new challenges and contribute to the firm’s mission.

Reese is currently enrolled in the Honors Program at the University of Missouri–Kansas City, where she continues to pursue academic excellence. Outside of work and school, she enjoys spending time outdoors and cherishing meaningful moments with her family and friends. Her enthusiasm, reliability, and drive make her a valuable part of the Paths Law Firm team.

Office Assistant

Christine G. Yates

Christine G. Yates
Christine serves as the Office Assistant at Paths Law Firm, where she supports day-to-day operations with a strong work ethic and a positive attitude. A student at Faith Christian Academy, Christine is passionate about pursuing a future career in both business and law, with a goal of serving her community and making a meaningful impact.
 
Outside of the office, Christine is a multi-talented individual who enjoys spending time with family and friends, playing musical instruments, practicing martial arts, cooking, exploring the outdoors, and constantly learning new skills. Her energy, curiosity, and dedication make her a valued member of the Paths team.

Legal Assistant

Bailey E. Harrison

Bailey
Bailey is a skilled Legal Assistant with a focus on elder law, providing dedicated support to both clients and attorneys. With a strong background in customer service and a certification from the University of Arkansas’ paralegal program, Bailey brings exceptional organizational skills, attention to detail, and a client-centered approach to their work.
 
Committed to efficiency and professionalism, Bailey assists in navigating complex legal matters with compassion and precision. Outside of work, Bailey maintains a balanced lifestyle by reading, staying active, and spending quality time with their cats.

Community Relations

Jeane M. Fracassa

Jeane M. Fracassa

Jeane Fracassa – a dedicated and accomplished professional who retired with an impressive 38-year service record from the Kansas City Missouri Police Department. Throughout her illustrious career, Jeane served as a Civian Supervisor in the Communications Unit, where she played a pivotal role in ensuring efficient and effective communication within the department.

Even in retirement, Jeane’s commitment to community service remains unwavering. Currently, she serves in various capacities within Community Relations at Paths Law Firm. Actively engaged in the Lee’s Summit and Overland Park communities, she proudly represents the law firm.

In all aspects of her life, Jeane Fracassa exemplifies the values of community, compassion, and family. Her commitment to making a difference and her love for exploration make her a remarkable individual, whose presence brightens the lives of those she encounters. Whether at work, with family, or during her travels, Jeane’s genuine care for others and her zest for life make her a truly remarkable and inspiring person.

Attorney

Kathleen E. Overton

Kathleen E. Overton, Attorney

Kathleen Overton is an attorney and owner at Paths Law Firm. She has more than 17 years of experience advocating for those with special needs and navigating the state and federal agencies formed to help the disabled and elderly. At Paths Law Firm, Kathleen’s practice focuses on helping the elderly qualify for nursing home Medicaid, creating estate plans to protect beneficiaries, as well as a lot of time planning and forming businesses. Kathleen also enjoys helping clients form non-profit organizations and obtain 501(c)(3) tax exempt status.

 

After attending law school at the University of Oklahoma, Kathleen began representing clients before the Social Security Administration. Eventually her practice switched to federal court appeals and Kathleen spent years representing clients before the Eastern and Western District of Missouri, the District of Kansas, and the Eighth Circuit Court of Appeals. Kathleen has since focused her practice on estate planning and elder law after watching clients struggle to find ways to financially care for loved ones with special needs or aging parents.

 

Kathleen lives in the Northland with her husband and four children. She spends her free time attending soccer matches and ballet performances with her children and starting endless home improvement projects with her husband. 

DIRECTOR OF OPERATIONS

Sydney R. Morris

Sydney R. Morris

Sydney serves as the Director of Operations at Paths Law Firm, overseeing the firm’s internal processes, team coordination, and strategic initiatives. Since joining the firm in 2017, she has grown from an experienced paralegal and internal accountant into the central force behind the firm’s operational excellence. 

She graduated with honors from the University of Missouri–Kansas City in 2022 with a Bachelor of Science in Accounting. Sydney is also a proud alumni member of Bloch Launchpad, Phi Theta Kappa, and the National Honor Society.

Outside of the office, Sydney enjoys spending time with her husband, reading, baking, and going on long walks.

FINANCIAL MANAGER

René A. Fracassa

René A. Fracassa

René is the Financial Manager at Paths Law Firm overseeing all aspects of revenue, expenses, and financial planning. She is also responsible for general office management, including assisting in many of the administrative matters that periodically arise. 

René earned her Bachelor of Science in Hotel and Restaurant Management from Central Missouri State University in Warrensburg, Missouri and soon thereafter worked her way through management at The American Restaurant where she worked almost 17 years before relocating to the country of China.

In her spare time, René is currently quite active managing multiple generations of her family, including parents and grandkids.  René has had great impact on the lives of many women teaching discipling and teaching and abundance of Bible Studies. Her former career in management and event planning trained her well to juggle all the activity.

MARKETING MANAGER

Hilary R. Tichota

Hilary Tichota

Hilary plays a vital role in managing the Marketing Department at Paths Law Firm.  She is excellent at bringing new ideas and sharing valuable resources with the law firm and our community. Hilary has been with the law firm since the beginning, working in nearly every role which is invaluable in her marketing endeavors as she brings a unique set of skills into the Marketing Department.

Hilary is nearly complete in her Bachelor’s of Arts Degree in Marketing at Park University.  She has earned the honor of being listed in National Honors Society, Phi Theta Kappa, and the Dean’s List. Hilary is always looking for new and innovative ways to share the law firm’s message.

ATTORNEY

Russell A. Fracassa (Rusty)

Attorney Russell A. Fracassa

When asked what he wants to do, his reply was “I just want to sit at the kitchen table and work directly with people.” Rusty enjoys working with clients providing experienced advocacy and supporting them through their unfamiliar and overwhelming situations. Due to all the challenges faced by seniors, it is essential to work with an experienced elder law attorney who has expertise in the law, issues, and concerns affecting seniors and their families.

Rusty brings more than 30 years legal experience and expertise working for seniors and their families as an elder law attorney in Kansas City and surrounding. Prior to law school, Rusty was an accountant and his first couple years practicing law was as a tax attorney. This provides invaluable experience in his current practice of law. Rusty’s focus is helping protect seniors’ assets from taxes and long-term care costs, benefit qualification, and navigating more complex family scenarios in their estate planning.

Rusty has personally experienced the loss every parent fears, caring for a spouse suffering with cancer and the treatment, and working with aging parents through all stages of their lives.  He intimately understands the challenges faced by individuals and their caretakers when capacity or health declines, how to prepare for it, and the legal matters while in the midst of it.  He may not be able to eliminate his client’s grief, but he strives to provide clients with peace of mind.

In 2010, Rusty’s faith and love led him and part of his family to China as Christian missionaries. He and his wife, went permanently, but ended up dedicating 3 years to that ministry. They returned to Missouri to help with grandchildren after a family tragedy and later began anew with Paths Elder Law. The goal is providing compassionate care through legal advocacy.

Rusty has multiple degrees and advanced study spanning his Bachelor’s of Arts in Business Administration – Accounting at Rockhurst College (now Rockhurst University), Masters of Arts in Accounting and in Intercultural Studies, as well as his Juris Doctorate from the University of Missouri at Kansas City School of Law.

When Rusty is not practicing law, he enjoys spending time with his family, grandchildren, and excessive eating at local restaurants.

Practice Areas

  • Wills and Trusts
  • Estate Planning
  • Asset Protection
  • Medicaid Benefits
  • VA Benefits
  • Probate
  • Guardianship and Conservatorships
  • Education

 

BSBA and Master’s in Accounting, Master’s in Inter-Cultural Studies, and Doctorate in Juris Prudence

  • Rockhurst University
  • Liberty University
  • University of Missouri – Kansas City


Admissions to Practice

  • Missouri


Professional Memberships and Affiliations

  • State Bar of Missouri
  • National Academy of Elder Law Attorneys (long-time Member)
  • Elder Counsel (Charter and Ongoing Member)
  • Missouri Association of Trial Attorneys (Past Member)
  • Kansas City Metropolitan Bar Association
  • Missouri State Bar Committees – Elder Law, Estate Planning, Probate