Assisted Living
Memory Care
Independent Living
Senior Living
Sign in

A Guide to VA Nursing Homes: Types, Eligibility Requirements, and Costs

12 minute readLast updated January 23, 2025
Written by Kara Lewis
fact checkedby
Ashley Huntsberry-Lett
Reviewed by Niki Gewirtz, senior living expertNiki Gewirtz is a senior new hire support specialist with A Place for Mom and has advised families for more than 20 years.
More info

The three types of VA nursing homes, VA Community Living Centers, State Veterans Homes, and Community Nursing Homes, provide housing for veterans who have a medical need for nursing home services. VA nursing homes provide help with activities of daily living and skilled nursing care. Based on a veteran’s level of disability, income, and service history, copays can range from $0 to $97 a day. To be eligible for a VA nursing home, veterans must already be signed up for VA health care.

Is a nursing home the right fit?

Let our free assessment guide you to the best senior care options, tailored to your needs.

Take our free care quiz

Key Takeaways

  1. There are three types of VA nursing homes: VA Community Living Centers (CLCs), State Veterans Homes, and Community Nursing Homes.
  2. Your loved one must currently receive VA health benefits to live in a VA nursing home. If they’re not currently enrolled, they can apply now.
  3. Copays may be up to $97 per day, depending on the veteran’s priority group and financial status.
  4. Veterans must require a high level of care to be admitted to a VA nursing home. Alternative care options include assisted living or memory care.

Does the VA pay for nursing home care?

Yes, the U.S. Department of Veterans Affairs (VA) has a variety of programs and benefits that help provide long-term care to veterans and eligible military-connected individuals.

The VA provides nursing home care through three types of facilities: VA Community Living Centers (CLCs), State Veterans Homes, and Community Nursing Homes. Each type of facility serves different needs:

  • VA Community Living Centers. These are VA-operated facilities that offer long-term care, rehabilitation, and hospice services in a home-like setting.[01]
  • State Veterans Homes. These are owned and managed by individual states with VA support and offer nursing home care, adult day health care, home care, or some mix of these three services.[02]
  • Community Nursing Homes. These are private facilities the VA contracts with to offer care for veterans when other options aren’t available.

What services do VA nursing homes provide?

Most VA nursing homes offer round-the-clock supervision, help with activities of daily living (e.g., bathing, eating), and skilled nursing services like medication administration, rehabilitative therapies, and wound care. Additional services may include mental health counseling, adult day care programs, and hospice care. These facilities aim to support both the physical and emotional well-being of veterans.

Like in most other senior living settings, residents in VA Community Living Centers can expect a wide range of group activities — games, movie nights, and social hours — as well as nutritious communal meals. A VA nursing home can also minimize both senior and caregiver stress by providing consistent housekeeping, laundry, and maintenance services.

How to qualify for VA nursing home care

To qualify for VA nursing home care, the following basic criteria must be met:

  • The veteran must be signed up for VA health care.
  • A physician certifies the veteran requires nursing home services.
  • A nearby VA nursing home facility has availability.

For the VA to determine that a patient requires VA nursing home services, health care professionals must identify a medical need. The VA defines this as “a care or a service that’s necessary to preserve, restore, or promote a veteran’s health.”[03]

Additionally, a veteran’s service-connected status, disability rating, insurance coverage, and income may affect eligibility for nursing home care and how much they are required to pay.

While the basic criteria above apply to all three types of VA nursing homes, there are additional eligibility requirements that differ slightly for each type. For example, some State Veterans Homes only admit veterans, while others may also admit nonveteran spouses and Gold Star parents.[02] Additionally, keep in mind that admission criteria for individual facilities may vary.

Is a nursing home the right fit?

Let our free assessment guide you to the best senior care options, tailored to your needs.

Do veterans get free nursing home care?

Yes, some veterans may be eligible for free nursing home care, depending on their priority group and financial status. The VA assigns each veteran who enrolls in VA health care a priority group based on factors like their level of disability, household income, and service history.

Some veterans must also disclose additional information about their assets, income, deductible expenses, and dependents when applying for extended care services like nursing home care. All of this information is used to determine whether a veteran will need to pay copays and, if so, their amount. Extended care copays are unique in that they’re adjusted based on a veteran’s financial status. The maximum daily copay for nursing home care is $97 per day.[04]

While no veteran will pay for their first 21 days of nursing home care in any 12-month period, some veterans may be responsible for daily copays starting on day 22. Contributions from Medicare, Medicaid, or a senior’s private health insurance may help reduce these costs. Keep in mind a veteran’s copay responsibility is likely to change if their priority level or financial situation changes significantly.

Do spouses of veterans receive nursing home benefits?

The VA doesn’t cover nursing home care for nonveteran spouses, and Community Living Centers don’t admit spouses of veterans or surviving spouses. However, spouses of veterans may be eligible for admission to some State Veterans Homes, depending on availability and the veteran’s eligibility status.

Fortunately, the VA offers other benefits that may help cover nursing home costs for spouses, such as:

  • VA Survivors Pension: Financial support for eligible low-income surviving spouses and unmarried dependent children.[05]
  • Aid and Attendance Pension: An additional benefit available to Survivors Pension recipients who need help with daily activities.[06]
  • Dependency and Indemnity Compensation: Financial support for surviving spouses, parents, or children of veterans who died in the line of duty or from service-connected injuries or illness.[07]

Some senior living communities may also offer military discounts, which usually extend to spouses of veterans and surviving spouses.

How to get into a veterans nursing home

In order to get into a veterans nursing home, follow these steps:

  • Get organized. Gather all necessary documents, such as discharge papers, medical records, and proof of income and assets.
  • Apply for VA health care if needed. As mentioned, in order to get into a VA nursing home, one must be enrolled in VA health care.
  • Talk with a VA social worker. Consult a VA social worker or case manager to explore care options, learn about local nursing home facilities, and discuss next steps.
  • Apply for admission to a VA nursing home. The forms and application process may vary, depending on the type of nursing home.
  • Complete VA Form 10-10EC. If applicable, submit VA Form 10-10EC along with any necessary supporting documents to determine the copay amount.

The process of applying for a VA nursing home can be complicated, but a trustworthy expert can help. Call the VA at 800-698-2411, visit a local VA facility, or contact your state’s Department of Veterans Affairs for assistance.

Expert advice for affordable senior living

Tell us your care needs to receive options tailored to your budget.

Is a nursing home for veterans the right fit for my loved one?

Generally, nursing home residents have serious and chronic mental or physical illnesses that demand a high level of care. Before submitting an application for a VA nursing home, consider whether the level of care offered by a nursing home best fits your loved one’s unique needs.

Though “nursing home” is often used as a catchall term, there are actually many different types of senior living. Older adults and their families should explore all available care options to find the right fit. Other options include assisted living, memory care, independent living, home care, and residential care homes.

In fact, A Place for Mom surveyed 100 families who contacted us seeking nursing homes for their relatives. After consulting with our Senior Living Advisors, 89 of those families determined that a nursing home wasn’t the right choice for their aging family member.

A Place for Mom’s Senior Living Advisors can answer your questions about senior living and help you decide what type of care is best for your loved one. They can also connect you with veteran-friendly senior care providers and schedule tours, all at no cost to your family.

Families also ask

No, VA nursing homes do not take all your money. However, some veterans may have to pay a copayment based on their priority rating and financial status.

The VA covers most of the cost of a VA nursing home for qualifying veterans. Even with the maximum copayment of $97 per day, it’s significantly less than the national median nursing home costs of $285 for a semi-private room and $320 for a private room.

Services include skilled nursing care, assistance with activities of daily living, physical therapy, medication management, wound care, mental health support, and specialized care for conditions like dementia.

Yes. Waiting lists are especially common for State Veterans Homes, but availability depends on location and the type of VA nursing home you choose.

Veterans and families can express preferences when choosing a nursing home, but where your loved one eventually ends up depends on various factors, including eligibility, availability, and care needs.

Yes, some VA nursing homes do offer memory care for veterans who have dementia. Availability may be more limited, however.

As with other senior living or health care settings, the VA nursing home will regularly assess residents’ needs and adjust their care plans.

SHARE THE ARTICLE

  1. U.S. Department of Veterans Affairs. (2024, May 21). Community living centers (VA nursing homes).

  2. U.S. Department of Veterans Affairs. (2024, February 27). State veterans homes.

  3. U.S. Department of Veterans Affairs. (2015, June 22). Health benefits glossary.

  4. U.S. Department of Veterans Affairs. (2024, December 20). Current VA health care copay rates.

  5. U.S. Department of Veterans Affairs. (2024, November 15). Survivors pension.

  6. U.S. Department of Veterans Affairs. (2024, July 18). VA aid and attendance benefits and housebound allowance.

  7. U.S. Department of Veterans Affairs. (2024, November 15). About VA DIC for spouses, dependents, and parents.

Written by
Kara Lewis
Kara Lewis is a former UX copywriter at A Place for Mom, where she wrote dozens of articles related to senior living, with a special focus on veterans, mental health, and how to pay for care. Before covering senior living, she worked in journalism, media, and editing at publications. She has a bachelor’s degree from the University of Missouri-Kansas City.
Read more
Ashley Huntsberry-Lett is the Manager of Content Strategy at A Place for Mom. She has over a decade of experience writing, editing, and planning content for family caregivers on topics like senior health conditions, burnout, long-term care options and costs, estate planning, VA benefits, and Medicaid eligibility. Ashley has also moderated AgingCare.com’s popular Caregiver Forum since 2018. She holds a bachelor's degree in English and a master's degree in mass communication from the University of Florida.
Read more
Niki Gewirtz is a senior new hire support specialist with A Place for Mom and has advised families for more than 20 years.
Read more
Learn more about our Editorial Guidelines

The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.

Find care that fits your needs and budget