
Can a Nursing Home Put a Lien on Your House?
Navigating the Complexities of Nursing Home Liens
Yes, a nursing home can put a lien on your house under certain circumstances. This typically occurs when a resident receives long-term care and cannot pay for it, leading the facility to seek reimbursement through the resident’s assets, including real estate. Understanding the legal framework surrounding this process is crucial for homeowners, especially those considering nursing home care for themselves or loved ones. In many states, nursing homes can file a lien against a property to secure payment for services rendered. This means that if the resident passes away or sells the home, the nursing home may claim the amount owed from the sale proceeds. However, laws vary significantly by state, and there are often exemptions and protections available to homeowners. This article will delve into how nursing home liens work, the legalities involved, and steps you can take to protect your property.
Understanding Nursing Home Liens
A nursing home lien is a legal claim against a property to secure payment for services provided to a resident. When an individual enters a nursing facility and cannot afford the care, the facility may seek to recover costs by placing a lien on the resident's home. This process varies by state, so it’s essential to understand the specific laws applicable to your situation.
How Nursing Home Liens Work
When a nursing home provides care, they often require payment through various means, including private pay, Medicaid, or Medicare. If a resident exhausts their resources and is unable to pay, the facility may pursue a lien against their property. Here’s how this typically unfolds:
- The nursing home provides care and accumulates unpaid bills.
- If the bills remain unpaid, the nursing home may file a lien against the homeowner's property.
- Upon the homeowner's death or sale of the property, the lien must be satisfied before any proceeds are distributed.
State-Specific Laws
Each state has different regulations regarding nursing home liens. For example, in some states, a lien can only be placed if the resident is not married or if the spouse has also received care. Additionally, certain exemptions may protect the home from being sold to satisfy the lien, especially if it is the primary residence of a spouse or dependent.
Steps to Protect Your Property
To safeguard your home from potential liens, consider the following steps:
- Consult an Attorney: Speak with a legal expert who specializes in elder law to understand your rights and options.
- Explore Medicaid Planning: Engage in proactive planning to protect assets before entering a nursing home.
- Review State Laws: Familiarize yourself with your state’s laws regarding nursing home liens and exemptions.
Real-World Example
For instance, in California, if an individual receives Medi-Cal benefits (California's Medicaid program), the state may place a lien on their property to recover costs after their death. However, if the property is jointly owned with a spouse, the lien may not be enforced against the surviving spouse's interest.
Comparison Table of State Laws on Nursing Home Liens
State | Lien Allowed | Exemptions |
---|---|---|
California | Yes | Spouse, dependent |
New York | Yes | Primary residence |
Texas | Yes | Homestead exemption |
Key Takeaways
- Nursing homes can place liens on properties for unpaid care costs.
- Laws regarding liens vary by state, affecting enforcement and exemptions.
- Consulting an attorney can provide clarity and protection strategies.
- Proactive asset protection planning is crucial for homeowners considering nursing home care.
Quick Facts
FAQs
- Can a nursing home take my house? Yes, if you owe them money for unpaid care, they can place a lien on your property.
- What happens to the lien after I die? The lien must be paid before any assets are distributed from your estate.
- Are there protections for my spouse? Yes, many states have protections for the spouse and dependents living in the home.

Jaden Bohman is a researcher led writer and editor focused on productivity, technology, and evidence based workflows. Jaden blends academic rigor with real world testing to deliver clear, actionable advice readers can trust.
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