turbotax icon
cancel
Showing results for 
Search instead for 
Did you mean: 
Announcements
Close icon
Do you have a TurboTax Online account?

We'll help you get started or pick up where you left off.

Spouse In Nursing Home

Spouse is in nursing home and covered under Medicaid.  All income received from Social Security  and pensions are payable to the nursing home.  Do I still need to file a tax return for her?  Thank you.

x
Do you have an Intuit account?

Do you have an Intuit account?

You'll need to sign in or create an account to connect with an expert.

13 Replies
MarilynG1
Expert Alumni

Spouse In Nursing Home

If you don't receive any of your nursing home spouse's income, you could file as Married Filing Separately for yourself.

 

You could then prepare a Married Filling Separately tax return for your spouse, reporting her income and reporting an equal amount of Medical Expenses.  

 

You still can also can file as Married Filing Jointly, reporting her Medical Expenses as an itemized deduction on your joint return. 

 

You may want to try both options to see which is more beneficial to you. 

 

Be sure to have Federal Tax deducted from her pensions, as only Medical Expenses over 7.5% of income are deductible, so she may still owe some tax.

 

Click this link for more info on How to Claim Nursing Home Expenses as a Medical Deduction.

 

 

 

 

 

 

 

 

**Say "Thanks" by clicking the thumb icon in a post
**Mark the post that answers your question by clicking on "Mark as Best Answer"
DJS
Alumni
Alumni

Spouse In Nursing Home

You have to file a tax return if your taxable income is higher than the standard deduction, regardless of how the income is used. The standard deduction for married filing jointly rises to $24,800 for tax year 2020, up $400 from the prior year. For single taxpayers and married individuals filing separately, the standard deduction rises to $12,400 in for 2020, up $200, and for heads of households, the standard deduction will be $18,650 for tax year 2020, up $300. If you're over 65 the standard deduction is increased by $1300. 

It might still be best if you file a joint tax return rather that a separate tax return for your spouse. 

 

 

Answers are correct to the best of my ability but do not constitute legal or tax advice.
**If this post is helpful please click on "thumbs up"**

Spouse In Nursing Home

Your spouse's pension is still taxable income, even though it is being used to pay nursing home expenses.  You may be able to deduct part or all of the nursing home expenses as a medical expense itemized deduction.  The social security may or may not be taxable depending on your other facts and circumstances.

 

It will almost always result in less tax owed if you file as married filing jointly, this is still allowed even though she is in a nursing home.

Spouse In Nursing Home


@MarilynG1 wrote:

If you don't receive any of your nursing home spouse's income, you could file as Married Filing Separately for yourself.

 

You could then prepare a Married Filling Separately tax return for your spouse, reporting her income and reporting an equal amount of Medical Expenses.  

 

You still can also can file as Married Filing Jointly, reporting her Medical Expenses as an itemized deduction on your joint return. 

Filing MFS in this case will automatically make 85% of the spouse's social security income taxable, even though it might not be taxable on a joint return, depending on the total pension income of both spouses.

Spouse In Nursing Home

Hi! Thank you for this question!  

 

@MarilynG1 This is helpful information.  My follow up question is …. 
My spouse didn’t have a pension but he has social security disability. It was being paid to the nursing home and I would get a dependent allowance every month. 

Since I was getting a portion of his social security disability do I file married - jointly? If so do how do I claim that income? 

Thank you! 

Hal_Al
Level 15

Spouse In Nursing Home

Even though the SSDI money is going to the nursing home, he will still get an SSA-1099 for the payments. You file jointly and report the income based on the form SSA-1099.   You enter what went to nursing home as medical expenses.  TurboTax will determine if you still take the standard deduction or itemize deductions (because of the additional medical expenses)

Spouse In Nursing Home

If  you live separately all of last year you could try filing separately to see if that helps you.  On the other hand, filing jointly and claiming all the nursing care expenses on a Sch A may also be advantageous.  Try every option before filing. 

Spouse In Nursing Home

@JenniferEdward 

The income is still in your spouse‘s name, and if it were taxable, it would be taxable in their name, not yours.  SSDI is generally not taxable if it is a person‘s only income, it may be taxable when added to other income. As long as you are married, you are allowed to file jointly, even if one spouse has disability income or is in a nursing home. Joint filing almost always results in the lowest overall tax. But the only way to be sure is to test filing separately or filing jointly and see which works best in your situation.

Spouse In Nursing Home

Thank you so much! 

so here is my situation - my husband has been in a nursing home since 2012 and I never knew I was supposed to file married. We were married in 12/31/2011 and he was in the nursing home by March of 2012. His only income SSDI. I never received anything from the nursing and I never received the SSA1099.

 

 I always assumed (always gets me trouble) the nursing was taking care of his taxes.  I also didn’t realize I should have been filing married. I always filed single/head of household. Never received any kick back from the IRS and the nursing home did not forward his 1099 to me to file. 

Fast forward to today - unfortunately my husband passed away on August 6th 2021. After doing some research I found out I’m supposed to claim married for last year and then widowed the next two years.  This is what prompted to me ask .. should I have been filing married all these years? I did my taxes as married this year and my refund was doubled.  

So I’m thinking I need to go back and amend all these years from single to married. But I’m thinking my first step is to find out if the nursing home filed taxes on his behalf, right? And if so do I go back and change it to married filing separately? 

Thank you for all this information! It’s definitely helpful! 

Spouse In Nursing Home

@JenniferEdward 

I recommend that you talk to a professional tax accountant, preferably a “enrolled agent“; this is an accountant who especially admitted to handle IRS matters.  I will try to run over some of the basics for you, but your situation is too complicated to fully handle in an Internet discussion forum.

 

If you are legally married, you were required to file as married – either married filing separately or married filing jointly. As mentioned, joint filing is always allowed and it is usually preferable.  If you were permanently separated, and you provided care in your home for a qualifying dependent, you may be able to file as head of household. The IRS usually considers medical separations to be temporary and don’t qualify you to file as head of household, however, it might be reasonable to treat the separation as permanent if you knew that your spouse‘s medical condition would never allow you to live together again. That would be a matter for expert review. 

 

If you filed single, that is not allowed. If you filed head of household, that might be allowed if you provided care in your home for a qualifying person.

 

However, now we turn to your spouse. Because your spouse was married, your spouse must file as married, either jointly or separately. If you filed single or head of household, your spouse would have been required to file as married filing separately.  Then, your spouse‘s SSDI would have been taxable income. SSDI may or may not be taxable on a joint return depending on the amount of the other spouse‘s income. But when filing as married filing separately, SSDI is automatically taxable.  Over the period of time you were talking about, the standard deduction started at around $6000 and was raised to $12,000 for persons married filing separately. That means that if the SSDI was more than $6000 per year, it would have been partly taxable because your spouse should have filed as married filing separately. Likely the IRS does not know that your spouse was ever married, and since SSDI was their only income, the IRS assumed that the income was non-taxable, a tax return was not required, so they never sent an inquiry.

 

Lastly, let me talk about the statute of limitations. The IRS can audit you for three years in the case of simple errors, and they can audit you for up to six years in the case of an error that resulted in an underpayment of tax of more than 25%.  The clock on the statute of limitations only starts when a tax return is  actually filed. For someone who never filed a tax return, the statute of limitations never started to run so it has not run out, In the IRS can I did that person indefinitely.


If you filed as head of household for the past years, and if you were legally qualified to do so (because you provided care in your home for a qualifying dependent and because your medical separation from your spouse was not considered “temporary”) then your returns were technically correct.  And,  as long as you never signed a joint return with your spouse, you are not responsible for your spouse‘s failure to file or pay taxes, if any were owed. You would simply move forward by filing as married filing separately for 2022 and single from then on, or as head of household if you are still providing care in your home for a qualifying person.  (“Widow“ is not a tax filing status. There is a status called “qualifying widow or widower“ which gives you some tax advantages for the first two years, but only if you are still providing care in your home for a qualifying dependent under age of 19. If you don’t have a qualifying dependent, you would file as single next year.)

 

If you do not have a qualifying person for HOH and have been filing single, then your tax returns have been incorrect for those years.  The IRS could potentially go back up to six years and audit  you.  You would fix this by filing amended tax returns using married filing jointly and including your spouse‘s information, or by filing amended returns as married filing separately.  If you file amended returns as married filing separately, you would probably owe some additional tax payments, and maybe penalties and interest (although you can apply for a waiver of the penalties).  If you filed amended returns as married filing jointly, you might be entitled to an additional refund on the most recent three years of amended returns. However as I alluded to before, if you file a joint return, you are taking joint responsibility for your spouse‘s taxes and finances, so there might be a legal advantage to filing your amended returns as a married filing separately.  

 

If you do need to file amended tax returns, I would probably not go back more than three years, because you are probably protected by the statute of limitations.  However, my comment should only be taken to inform you of the generalities of the situation, and I suggest that you seek out the services of an enrolled agent.

 

 

Spouse In Nursing Home

@JenniferEdward 

After writing my very long answer, I re-read your comment and found that your spouse passed away in 2021.  In that case, for 2022, you will file as single, unless you are providing care in your home for a qualifying dependent under age 19, in which case you can file as a qualifying widow/widower.  

 

You may need to amend your 2021 and earlier tax returns as I discussed in my longer answer.

Spouse In Nursing Home

He passed away in August of 2022

Spouse In Nursing Home

Then in the year of passing you can file a joint return or you each file separately.

message box icon

Get more help

Ask questions and learn more about your taxes and finances.

Post your Question