Currently, my 86 yo mother is in a nursing home, and doing quite well. We are private paying until her assets run out. We will have to sell her home next year, and then spend down that money before she is eligible for Medicaid. Her home needs a lot of work. It's also worth a lot more money if the work is done. Obviously, we plan to use her money to get her home ready to sell. To what degree will Medicaid scrutinize the work we have done on her house? We will keep all estimates and bills that we pay for with her money, but is Medicaid concerned with the choices we make in getting it ready to sell -- removing popcorn ceilings, re-tiling the bathroom, etc.?