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We are about to sell our home; we expect to realize gains of about $400,000. I am 84 and will go on dialysis within the year. My husband is 82 and has begun cognitive decline. We are still able to live independently, but need help. I don't think we need assisted living quite yet.


My question is whether we should rent or buy our next living space. I think renting would make transitioning to assisted living much easier when needed. We have no other major assets and no heirs.

Rent
kind of a no-brainer
Let somebody else deal with all the hassles of upkeep and get a little place all on one floor
you’ll be glad you did
you will be independent longer
at least that’s the way it seems to me
I wish you well
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Reply to lynn1992
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The concept of a community with all levels of care is great but money is an issue for many. $400,000 does not go very far for two persons, with monthly rent and extra add on expenses, so careful planning must occur. A care plan manager might be a good idea. Of course if they need nursing home by time money runs out they can apply for medicaid to assist.
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Reply to KXD3633
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I agree with your assessment that renting makes more sense for you now, especially if you have no heirs to take over your property when you die. You don't want to wait until you become incapacitated and try to sell another home!

You might consider assisted living options now. They run the gamut in levels of independent living, and leave you very little to worry about taking care of.
In my community, there is an assisted living complex which includes a half dozen detached houses, complete with garage, yard and patios.

As your needs change, the cares provided by the Assisted living can be adapted to meet your needs; you don't have to move again later, when you feel you are ready for more help.

If you want downsized independent living, but you need help, a nice AL is the way to go! Don't wait until you have further declined to start searching for a new living arrangement and make a move again! You may not be up to the task later.
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Reply to CaringWifeAZ
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Discuss with an elder care (trust) attorney.
Get an executor you trust (could be the / an attorney).
I, too, would think renting would be an easier transition however there may be some areas to consider that you may not think of that an attorney could help you process - think through.

Someone wrote this a while ago:

"We hired an elder lawyer and they said we had to create a Miller Trust.
All of moms income gets put into the Miller Trust except for $52 dollars. The $52 is used for haircuts, and clothing. Then Medicaid pays the difference in the $8500 mon bill to the memory care facility.

This may help you down the road.

Gena / Touch Matters
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Reply to TouchMatters
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Rent because of yours and husbands’ serious health conditions to make transition to assisted living easier. Many people on dialysis may not live very long.

Also, it’s unadvisable to take on responsibilities and hidden expenses:,property taxes, fire insurance and maintenance that homeownership carries. This is not age discrimination but dangerous conditions to commit to ownership.
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Reply to Patathome01
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Update. I am grateful for all of the comments and advice. We have been working on the plan since 2012 when my husband retired and we spent 6 months touring the country and looking at all kinds of facilities. Where we live the continuum of care facilities do not exist; assisted living starts at about $10,000/mo for a single; we had designed our home to allow for live in help, but the city rules/zoning do not yet permit the plan. There are smaller, 'family style' care homes that are cheaper but they would not be a good fit at this time. I think you have confirmed for me that renting an apt/condo is probably our best next step.
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Reply to Pawsabit
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Llamalover47 Apr 19, 2025
Pawsabit: Thank you for your update.
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Pawsabit: Perhaps you should consider managed care facility living.
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Reply to Llamalover47
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HI,
Yes, Rent please..so much easier to deal with at this stage.
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Reply to NewOnAnOldRoad
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I would suggest you look into an " age in place" facility. Our parents live in a community that has Independent... Assisted Living and Memory Care all on the same grounds....66 acres. Their community has everything they need...a pharmacy( CVS), a bank, a library, indoor pool, physical therapy, PAC unit. One spouse can even live in assisted living and the other in memory care if you so choose. I suggest you look into what is best for you now and in the future with the least amount of long distance moves.
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Reply to Tina2010
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MDLNYC Apr 18, 2025
Perfect answer!!!
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In your situation I’d rent and then transition into AL when you know you are no longer able to live independently.
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Reply to Hothouseflower
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The upside to renting in a nice complex is that the maintenance staff will take over things like repairs and replacing appliances as well as exterior and landscaping maintenance. I am 82 and still living in a house and those responsibilities are a big burden and expense. My similarly aged sister has rented inepependently all her life and is thrilled to rely on maintenance for repairs and upkeep. She wouldn't trade it for the world. My appreciation of her situation is growing every year.
It sound like you would be able to afford a nice apartment complex if not Assisted Living, so at least do some visiting and give it consideration.
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Reply to RedVanAnnie
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Unless you can buy a home with a suite in it and hire someone to live in and take care of you, I would rent
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Reply to joanhaluzan1
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Iam in a similar position and have decided when the time comes I week definitely rent fire several reasons. Flexibility is one, as you point out. Home maintenance is another, so be careful about the reliability of the owner. A fairly new, bottom floor apt might be nice. Good luck with your house hunting.
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Reply to hmyers
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This isn't what you want to hear, but no bank should provide a mortgage to an 82 year old in cognitive decline - this is likely against the law (no attorney here, but it just makes sense for it to be illegal). If you plan to pay cash, do you really want the headache of ongoing maintenance of a house? Like most others have already suggested, renting in an assisted living community with a memory care unit sounds like the best option.
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Isthisrealyreal Apr 18, 2025
Lapolis, I had friends that were 75 and 82 and got a 30 year mortgage on a new house. I was gobsmacked.
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My two cents: I think you should speak with an eldercare attorney or financial planner. There is usually a tax deduction if you roll the gain to a new home and you will miss out on that and might pay capital gains taxes on the entire gain. But putting that aside--I am a renter by choice my whole life and I live in a building in a city with a number of elderly people. One couple in their late 80s with myriad health issues--they have two aides and round the clock care. They are both not able to manage their affairs very well because of dementia but they do have some nieces and nephews who live far away but still help them keep things on track with the agencies and doctors. Even with all the in home care they receive their expenses are probably lower than assisted living because their rent is not much. I would say you should crunch the numbers and realistically assess what kind of professional help is available to you. I think you are right to ask which is the wiser choice because $400k sounds like a lot but I am sure you worry it will be eaten up in no time if one or both of you needs long term care.
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Reply to Jennyjenjen
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Isthisrealyreal Apr 18, 2025
Jenny, you have to gain more then 500k per couple before you pay capital gains on the sale of your house that you lived in.
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Pawsabit, I would encourage you to look at your reality. Needing help means you are not independent.

Assisted living means just that, you pay for the help you need assistance with and do the rest yourself.

Please check into Assisted living. They are not all created equal and some are lovely facilities with great food and activities. You would be able to do as you please and have assistance available when needed.

Dialysis takes the wind out of your sails. I have a 32 year old friend that gets it 3/4 times a week and his life is getting Dialysis and recovering from Dialysis with a couple hours in between to maybe do something else. Your life will change dramatically when you start Dialysis.

Best of luck and Prayers that you find a place that is a good fit.
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Reply to Isthisrealyreal
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I really think you need to speak to a
Financial Advisor/Financial planner or eldercare attorney to understand implications related to selling your current home, potential proceeds, and long-term financial planning.

Questions- how long would you intend to rent- Would rental place have facilities in the home you need/ proximity to dr/ healthcare
I think k you shd speak to a specialist and get all of your options and don’t need rushed into any decisions from them - then you can de use what’s best
best wishes
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Reply to Jenny10
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I don't know where you are, but I have found, in my search for a place for my mom, there are some nice independent living facilities that also have assisted living and memory care that only take clients that are currently independent. Then they are able to transition from there wen needed. Some are pricier than others.
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Reply to BruceW1
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Rent if you expect to live independently for only a few years. Otherwise, buy since you will may develop some equity before you need some form of permanent residential facility. You will then have more financial resources in that case.
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Reply to Taarna
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If you rent, rent an apartment in a complex and not a house.

If you rent from a complex it will have better management than renting a house from a homeowner.
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Reply to brandee
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I'm not sure of the financial impact but my boyfriend and I really liked renting when we moved out for 6 months to remodel our home.

We rented in a place that had people of all ages. Young families to seniors lived there.

We could walk to the grocery, the beauty salon and the UPS store.

Our rental felt like a house has no one was above us and it was pretty spacious.

We never had anything break down but you can't beat the convenience of the maintenance guys hand trucking in a new stove if the stove breaks down.
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Reply to brandee
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First of all, make sure that each of you have a Power of Attorney documents for your respective Health and Finances. If your husband has the beginning of mental decline you probably should designate a family relative or lawyer for the POAs. Many Senior Residential places have Independent Living and Assisted Living facilities only. Some of them may also have attached Memory Care and Nursing Home facilities. The later are usually Continuing Care Retirement Communities (CCRC.) After living in some of these places they may also accept Medicaid if the “existing” resident runs out of money. As described above, you should start exploring your housing options now. Home Ownership probably not a prudent idea and Renting could just delay and reduce your assets to pay for the Senior Living Options you probably need later. Good Luck to both of you.
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Reply to Ricky6
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swmckeown76 Apr 7, 2025
You could also buy a condo and have money left over to save/invest for long-term care. There are condo fees, but they usually cover things like lawn care, snow removal, and water, and *exterior* maintenance. Occasionally, they might cover Internet/basic cable. If your condo needs a new roof or exterior paint, the condo fees cover that. If you need new appliances, flooring, interior painting, windows, window coverings, toilet(s), sink(s), shower stall(s), and bathtub(s), that's on you. Sort of the best of both worlds. When my late husband and I sold our home (it was paid for) and moved into a smaller condo, we had about $85K that we could use towards his long-term care. And I didn't have to worry about mowing a 1/2 acre lot, shoveling a long wide driveway that led to a two-car garage. I sold his car to our neighbors, who were looking for a car for their son who had just gotten his driver's license, so a one-car garage for my car at the condo was fine (some units here have two-car garages, but we didn't need that). You could find an adult day care center for your husband on the days you have dialysis.
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I too think you may be better off in a community. Some with Independent living do have an option to pay for help that maybe needed. Assisted living is just that, they assist. Its not a nursing home, its a residence. With going on dyalisis, I think you will need AL.
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Reply to JoAnn29
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JanPeck123 Apr 10, 2025
I totally agree. When one spouse is medically involved, and one is beginning to be cognitively involved, that is what assisted living is for. Most people feel they will wait until the last moment to move into AL. But by then it is more involved and complicated. Best for them to enjoy the perks of AL while they can.
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Don’t buy a house .
You don’t need the responsibilities of homeownership any longer .
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Reply to waytomisery
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Why do you think there will be some Calvary of help arriving? I had my bubble burst as I dealt with my 92 year old dad’s stroke and passing at age 94 . There is a series of decisions and disappointments and responsibilities and a sad realization that life is never the same. Family only does so much, if you’re lucky. They have their own battles. You are on the conveyor belt. My dear dad had everything in order as much as possible. Still, it almost killed me stepping into his shoes and assuming everything. And keeping my own life going. I’m still bobbing to keep my head above water. I wish there was a service to call, to handle it all . I would surely have called. I didn’t find it. It takes work, heart, determination, and love, and luck. My dad saved the money. Many don’t have that luxury. As much as I loved and talked to him, I never understood how much he planned ahead and what thought he put into when he could not be in control and what thought he put into our future. Life gets harder until it gets easier, I’m learning.
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Reply to Beethoven13
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Look at CCRCs (Continuing Care Retirement Communities). Or any community that has Independent Living, Assisted Living, and Memory Care. Some CCRCs have skilled nursing/rehab units so that after a surgery or major injury the resident can stay in the same community and go home after recuperation. Also consider what you would prefer to do if one of you needs to go to a higher level of care that the other. In some places you would be in different rooms or apartments while others have two-bedroom suites so you could stay together.
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Reply to MG8522
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Lizhappens Apr 11, 2025
My sister said there are places like that. Where they have 3 levels of living - IL, AL, MC - and as one declines they just move over to that section. That seems the least stressful to me.
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I know people who have moved to retirement communities with continuum of care. Step one was their own villa on the grounds, garage, 2 or 3 bedrooms, screened porch, and within walking distance of the main buildings where they had 3 meals a day if wanted. They owned the villa or could rent one. This included laundry and cleaning service as well as handyman provided. Independent living, caregiver help available.

Step two is downsize to a main building, studio, 1 or 2 bedrooms. Assisted or independent living. Step three might be memory care if they need it. Step four could be rehab or nursing care home, right there onsite. Gym, game nights, parties, transportation.

In your situation, that's what I'd do. You'd have transportation to dialysis and other doctor appointments. Husband could advance to memory care any time without a big push to find something on short notice.

Two of my friends had a villa, then he died. She was able to stay in that home until she had a stroke. It was easier for her to live in a 2 bedroom apartment after that, with rehab around the corner and dining hall down the hall. She's still there, grateful for the choice they made many years ago. At times of crisis, they didn't have to create a plan because they already had one. That's a blessing.
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Reply to Fawnby
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Dialysis!!! …begun cognitive decline!!! …don't think we need assisted living quite yet!!!   

No, but I think we can heard the faint albeit very distinct distant thunder of a stampede coming.

Ma'am,
It would be very wise to start visiting places that offer different levels of senior living. Comparison shop. 

You can start familiarizing yourself with places that include independent living and progressive needs. You may want to talk with someone in the senior counseling industry such as a senior care manager, (aka: geriatric care managers, elder care specialists, aging life care professionals, or professional care manager).

I'm not a spring chicken myself.  Did you ever Google…Senior vs Ederly? Senior are those who are between 55 and 65 years old. Older than that…we be elderly.
Don't wait for something to hit the fan. It couldn't hurt to start looking around while YOU can make a choice. Your husband is depending on you.

I have friends, Katie and Max, who are in an almost similar situation as you and your husband. In their case Max is 84 and has a touch of dementia. Katie is 81 and tiny. (If Max fell the best Katie could do is vacuum him). They are adorable and always have a glint of mischief in their eyes. Their adult children lived 4 hours away from them. 

Thank goodness, seeing the writing on the wall so to speak, three months ago their kids convinced their parents to move closer to them just in case something should happen, and into a 3 tiered; independent, assisted, and progressive care, senior living apartment complex.

They moved before something happened not when it happened.

In no time Katie and Max familiarized themselves with their new building, the grounds, the staff, and they started making new friends. Although the husband needed a little cueing he became a whiz at finding the dining room, the rehab building, how to manage the community's private little bus that got folks around on "campus" and all the fun places. And best of all they loved not having to cook or clean.  

I'm here to tell you they moved to their new place in the nick of time. 
Six weeks after they move it seemed as though a giant hand flicked a switch.  

She needed to go for a week's stay in the campus' rehab quarters luckily in the same complex as their apartment which enabled her husband to visit her everyday. He had an assigned helper to make sure he got up in the morning, prepare himself, never miss a meal, and checked on him for bedtime. And on his own he visited his wife thanks to the little campus bus. Assistance was always close by. Katie was not worried for the little while she and Max were apart, and their still-in-their-working-life sons and daughter weren't scrambling and having heart attacks about their beloved mom and dad.  

Katie and Max are back in their new apartment and they look forward to getting involved with interesting people, seeing their family more often, not worrying about each other. They're staying curious, and discovering new things. 

Please forgive me but it doesn’t hurt to start looking right now.
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Fawnby Apr 5, 2025
I love Katie and Max! It's wonderful to learn of folks who make good decisions and don't expect their adult children to do everything for them as they begin to decline. Reading on here sometimes, I think the elders who cause their kids so much anguish as they age must be the most selfish people in the world. Plus there are so many of them, so we are doomed.

Katie and Max, may you have a statue erected in your honor in the Elder Magnificence Hall of Fame.
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I agree with considering a continuum of care community where their AL has multiple level of care options. Find a vibrant community with a great reputation, and one that accepts Medicaid.

Make sure you have an assigned PoA now for both you and your husband... DO NOT be each other's PoA.

Renting may be a headache if you lose your ability to rent in that location. My good friend, 74, just sold her 100-yr old farmhouse because she was tired of the repair and maintenance. After considering purchasing another home for a nanosecond, she found an awesome rental that she just loves, but there's no guarantee it'll always be available to her, or the rent may skyrocket, or be converted to condos, and is not ADA compliant.

I wish you all the best as you plan for the worst and hope for the best.
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Reply to Geaton777
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Lizhappens Apr 11, 2025
Good advice not to be each others POA
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I would seek the advice of a Licensed Financial Advisor.
You are not going to want a hefty mortgage just at the time you need transport to three times weekly dialysis and are exhausted both before and after treatments. You will not be up to cleaning. I don't know what your monthly income is, but it's no time to be playing in stocks, and if hubby will need Memory care (sounds like?) when you can't care for him, the 400,000 will be gone very quickly between the two of you.

I would get expert help on this. That certainly wouldn't be ME.
I am assuming you have fully explored whether or not you want dialysis. In 80s I personally long ago ruled that out. As an RN I found people lived a good deal longer than predicted without it, and it isn't a difficult death with Hospice on Board. But then I am a bit of a "death junkie". I don't mean to try to hang on as the quality of life deteriorates.

This is a difficult decision for certain and I hope you get a lot of help with the options. I would begin, if I were you, drastically downsizing, choosing a rental with good w/c access, good safety cars, and etc.

There are so many components at play here in this choice ongoing and I couldn't more wish you the very best of luck.
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Reply to AlvaDeer
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ElizabethAR37 Apr 5, 2025
Fellow bit of a "death junkie" here. I have NO desire to continue existing once I can no longer do basic self-care/ADLs. This would also apply if I started losing my marbles at a faster rate than I have so far (88 Y/O).
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