My dad is currently living with my brother, but my brother's bathroom has a shower/tub combo which is extremely difficult for my dad who has very limited mobility. My brother would like to be able to install an ADA toilet and a walk-in shower for my dad. It is very probable that my dad will end up in a nursing home at some point. Right now, he makes just above the amount to be considered for Medicaid. In an effort to "spend down" could he pay for the bathroom remodel or would that somehow disqualify him from Medicaid?