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Purchase of Nursing Home Care


The term “Purchase of Nursing Home Care” in the context of VA benefits refers to the financial support provided by the Department of Veterans Affairs (VA) to eligible veterans for long-term care in nursing homes. This assistance covers costs for medical care, nursing care, and other essentials to ensure the well-being of the veteran. Eligibility for this benefit is determined by factors such as the veteran’s disability, income, and available resources.

Key Takeaways

  1. Purchase of Nursing Home Care refers to the VA (Department of Veterans Affairs) program that helps eligible veterans cover the expenses of long-term nursing home care, either partially or completely.
  2. Eligibility for this benefit considers factors such as service-connected disabilities, income level, and personal needs assessments, which vary according to individual circumstances.
  3. There are different types of nursing home care covered under VA benefits, including VA-operated Community Living Centers, contracted Community Nursing Homes, and State Veterans Homes, each with its own admission process and care offerings suited to meet veterans’ specific needs.


The term “Purchase of Nursing Home Care” in the context of VA benefits is important because it highlights the support and assistance that the Department of Veterans Affairs (VA) provides to eligible veterans who require long-term care or rehabilitation services.

This benefit covers the cost of nursing home care in either VA-owned facilities or community nursing homes on a contracted basis.

Ensuring that the veterans have access to quality care tailored to their individual needs, VA benefits aim to alleviate the financial burden on veterans and their families, while honoring the service and sacrifices made by these individuals for their country.


The primary purpose of the Purchase of Nursing Home Care benefit provided by the Department of Veterans Affairs (VA) is to offer support to veterans who are no longer capable of living independently and require constant care and assistance. This benefit aims to ensure that these individuals receive quality, compassionate care in an appropriate setting, such as a community nursing home, VA-contracted community residential care facility, or a state veterans home.

Through this benefit, the VA seeks to enhance the well-being and quality of life of veterans in need, while also easing the financial burden associated with long-term care for both the veterans and their families. The Purchase of Nursing Home Care benefit is used to cover a wide range of services, including medical care, physical therapy, occupational therapy, and various recreational activities that contribute to overall mental and physical health.

This comprehensive approach is tailored to meet the unique needs of each veteran, taking into account the specific nature of their illness, injury, or age-related decline. Furthermore, the VA continually evaluates and monitors the services offered through nursing home care providers to ensure that all veterans are treated with dignity, respect, and professionalism.

Overall, this essential benefit is designed to provide veterans with the best possible long-term care, contributing to their overall well-being and enabling them to live with as much independence and comfort as possible.

Examples of Purchase of Nursing Home Care

Veteran Assisted Living Facilities: The VA benefits can be utilized to cover the cost of a nursing home care facility for eligible veterans. For example, the State Veterans Home Program, provided by the U.S Department of Veterans Affairs, consists of nursing homes or long-term care facilities specifically designed for veterans. They offer care, including skilled nursing and rehabilitation services, to veterans who require full-time assistance with daily activities.

VA Community Living Centers: The Community Living Centers are nursing home care facilities run by the VA for eligible veterans needing short-term rehabilitation or long-term nursing care. Veterans with chronic stable conditions like dementia, those requiring assistance with daily activities, and seniors with a life-limiting illness can take advantage of these facilities. One such example is the VA Community Living Center in Alexandria, Louisiana, which provides medical, mental health, and palliative care to veterans with nursing home care needs.

Home-based Primary Care: The VA also offers an alternative to nursing home care through its Home-based Primary Care (HBPC) program. This program is for veterans with complex health needs who cannot regularly travel to medical facilities. Through HBPC, eligible veterans can receive comprehensive assessments, treatment, and assistance in their homes. An example of this service is the Orlando VA Medical Center’s Home-Based Primary Care program, which provides care for veterans in their homes in Orange, Osceola, and Seminole counties.

FAQ Section: Purchase of Nursing Home Care

What is VA’s Purchase of Nursing Home Care?

VA’s Purchase of Nursing Home Care is a program that offers eligible veterans with long-term care services in nursing homes that are either contracted or have entered into an agreement with the VA. The program covers the costs of nursing home care for qualified veterans in these facilities, ensuring they receive the appropriate level of care in a safe and supportive environment.

Who is eligible for the Purchase of Nursing Home Care program?

Veterans eligible for the Purchase of Nursing Home Care program are those who have a service-connected disability rating of 70% or higher, or veterans who require nursing home care for a service-connected disability, regardless of their disability rating. Additional eligibility criteria may also apply, such as a demonstrated need for long-term nursing home care or a lack of suitable alternatives.

How do I apply for the Purchase of Nursing Home Care program?

To apply for the Purchase of Nursing Home Care program, you can start by contacting your local VA medical center or VA social worker. They can assist you in determining your eligibility and help guide you through the application process. You may also need to complete the appropriate VA application forms and provide any necessary documentation, such as medical records and proof of service-connected disabilities.

What types of services are provided under this program?

The Purchase of Nursing Home Care program covers various services within contracted nursing homes, including skilled nursing care, rehabilitation services, assistance with activities of daily living, and social and recreational activities. Eligible veterans in these facilities receive individualized care plans tailored to meet their specific needs and promote overall wellbeing.

Will I have a choice in selecting a nursing home facility?

Yes, eligible veterans may have a choice in selecting a nursing home facility, provided that the facility has a contract or an agreement with the VA and meets the necessary requirements. However, availability at preferred facilities may vary, and the final decision may be based on factors such as the veteran’s specific needs, location, and the facility’s capacity to provide the necessary care.

Are there any out-of-pocket costs associated with the Purchase of Nursing Home Care program?

For eligible veterans, the VA covers the cost of their nursing home care in contracted facilities. However, there may be some additional expenses not covered under the program, such as personal items and certain elective services. It’s essential to clarify any potential out-of-pocket costs with the nursing home and VA representatives before enrolling in the program.

Related VA Benefit Terms

  • Long-term care services
  • Skilled nursing facility care
  • Community nursing homes
  • State Veterans Homes
  • Geriatric evaluation and management

Sources for More Information