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It depends on what you mean by second home. In the past, if Mom owns two homes, the non-primary house wouldn't be her primary residence, thus there would be higher capital gain taxes since she would be unable to take $250,00 deduction allowed on primary residences.

As Glad had mentioned above, you need to check with a CPA or Accountant to see what are current rules.
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Talk to your accountant. And consulting with an elder law attorney that knows about trusts and Medicaid regulations would be a good idea. Managing elder's assets has to be done very carefully and in compliance with law.
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