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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.

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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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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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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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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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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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Reply to MicheleDL
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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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If you need occasional help why not move into AL now rather than have to move again?
Or find a community that has Independent, Assisted, Memory Care and Skilled Nursing all in the same community.
If you "expect to go on dialysis within a year" you may need more help than you realize. (or want to admit)
I moved 13 years ago and the thought of packing up and moving again is out of the question. As I have told anyone that asks my next move will be when they put a tag on my toe and wheel me out feet first. I can't imagine selling my house, packing everything up and moving to a place just to move again in a year or two.
Look for a Continuing Care Community and enjoy the amenities that are available.
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Reply to Grandma1954
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You say that you "are still able to live independently, but need help." Guess what? That means you're really not independent anymore, so perhaps now looking for a nice assisted living facility with a memory unit attached for when your husband gets worse in his dementia, as he will, and you having someone to look after you while you do your dialysis may just be the ticket for now and later down the road.
And having to move your husband with dementia more then just once is never recommended as people with dementia do MUCH better with routine and do not like their routine disrupted.
So I think it best that you now think long term and what's going to be best for the both of you, and my opinion is an assisted living would not only suit you both now but will also in the future.
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