What kind of nursing home or assisted living facility is available for a man who has Medicare and Healthfirst as coverage, social security and a small pension?

When my Mom was in rehab everything was paid through Medicare or Medicaid. When she moved to long care facility I applied for Mass Health and whatever her Social security didn't cover Mass Health picked up the rest. They did all the work for me from the admissions office. The social worker was a great help too. Best of luck!

My Mom was on what we call Mass Health and Medicare. I don't think it matters except for some of these luxury facilities. They will help you with all the details. That was one thing I was very happy about that I didn't have to do alot of paperwork.

Visit your local Agency on Aging to see what help they can provide. If the help is insufficient you may need to call a state elder care social worker to help find placement in a NH covered by Medicaid. You are going to need to work with a Medicaid caseworker and the social worker to get him approved for LTC Medicaid and leave you enough to live on for yourself. Assisted living facilities are likely not a good option for him based on both his needs (he may be need more care than what they provide) and financial situation (they are private pay, and are quite expensive). First visit the AoA, they should be able to help you, and if things become too dire at home before you can get any help call APS and request immediate assistance.

Do what AlvaDeer advised. Once you know prices for his area, then you can consult with a Medicaid Planner or elder law/estate planning attorney.

Depending on how advanced his dementia is, he may be assessed for Memory Care. You will need to have this discussion with any facility you consider. Make sure the facility accepts Medicaid (not all do). Medicaid mostly pays for only LTC but in some states will cover AL and MC. There is such a thing called an Elder Waiver Program that may help cover the cost of AL or MC. You should ask a social worker for your county about this and also have your man assessed to see if he qualifies for some free in-home services. Social services for his county can be found online usually under the Dept of Health and Human Services, or you can search it.

Also contact your local area's Agency on Aging (it usually has a .gov web address) for more local resources and information. I wish you success in getting the help you both need.

Are you married to this gentleman?
It is important to know that most who get only SS and a very small pension cannot afford Assisted Living. It is really on every person seeking placement to check the costs in your area. Gather what the monthly assets are. Often a pension puts someone over the limit in qualifying for medicaid. If this gentleman is married then there needs to be a division of assets to protect the wife.
Quite honestly it will take an elder care attorney in your area to let you know your rights and how all this works. If you are simple curious about what is available then sign up with a service such as A Place For Mom or like service that will discuss assets of the gentleman versus costs.
Wishing you luck.