Sunny Ridge

Sunny Ridge is an Independent Living Home in Idaho

Sunny Ridge is an Independent Living Home in Idaho

Sunny Ridge

2609 Sunnybrook Dr, Nampa, ID 83686 View Map

Sunny Ridge is an Independent Living Home in Idaho

Sunny Ridge is an Independent Living Home in Idaho

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Overview of Sunny Ridge

Sunny Ridge is an exquisitely designed community located in Nampa, Idaho, offering a wide array of services, including assisted living, independent living, skilled nursing, and rehabilitation. With an emphasis on independent living, Sunny Ridge caters to the unique needs of its residents, ensuring personalized care and attention. With round-the-clock care and an impressive range of therapy services, including physical, occupational, and speech therapy, Sunny Ridge prioritizes the well-being and comfort of each resident.

The home also offers many recreational events and social activities tailored to the interests of its residents. Sunny Ridge fosters a sense of belonging and camaraderie among its residents, from church services to entertainment groups to salon services and more. The community’s dedication to providing hospice care further highlights its commitment to ensuring the utmost comfort and support during every stage of life. The community accepts various insurances, including Medicare, Medicaid, and PacificSource, providing convenience and peace of mind to residents and their families.

(208) 467-7298

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 5.50/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 62

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Idaho average
Occupancy rate 71.1%
Residents per day (avg) 40
Occupancy rate
71.1%
Residents per day (avg)
40

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

26% of new residents, usually for short-term rehab.

Typical stay 11 days

Private pay

57% of new residents, often for short stays.

Typical stay 9 - 10 months

Medicaid

16% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Finances and operations

Proprietary home
Corporation
Home revenue
$6.5M
Loss
-$531.7K
Proprietary home Corporation
Home revenue
$6,508,483.00
Loss
$-531,677.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
46.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
Total costs $7.0M
Bed community size
62-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
4 years in operation
An established community with some operational experience and growing routines.
Walk Score
Walk Score: 71 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

Services

Alzheimers / Dementia
Developmentally Disabled
Mental Illness
Physically Disabled

About this community

License Status
Active
License Date
January 1, 2022

Additional licensing details

License number: RC-1260

Ownership & operating entity

Sunny Ridge is legally operated by Cascades at Sunny Ridge, LLC, and administrated by Ellis Victoria.

Owner: Cascades at Sunny Ridge, LLC

Type Of Units

Secured Beds
22 units
Total beds
62 units

Contact Information

Fax: 208-463-0901

What does this home offer?

Housing options icon
Check icon

Housing Options: Suite

Building type icon
Check icon

Building Type: Single-story

Types of Care at Sunny Ridge

Assisted Living Respite Care Hospice Care Nursing Home

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Payment & Funding Options

Medicaid

Inspection History

In Idaho, the Department of Health and Welfare, Bureau of Facility Standards is the state agency tasked with inspecting and licensing assisted living and nursing home facilities.

4 visits/inspections

Breakdown by inspection type
  • 1 initial inspection
  • 1 licensing inspection
  • 2 fire/life safety inspections

Results

3 with issues

1 without issues

Idaho average: 5 inspections

Latest inspection

Date:November 18, 2024

Inspection history

11/18/2024 fire life safety and sanitation licensure
no issues found
07/03/2024 health care licensure and follow-up
Non-core issues found
11/08/2022 fire life safety and sanitation licensure
Non-core issues found
10/07/2022 health care initial licensure Initial
Non-core issues found

Comparison Chart

The information below is reported by the Idaho Department of Health and Welfare, Bureau of Facility Standards.
Compare Assisted Living around Nampa
Sunny Ridge
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Hospice Care

SNF

Nursing Homes 24/7 care needed

RC

Respite Care

Nampa
166
No
-
71
Cascades at Sunny Ridge, LLC
71.1%
$6,047,011.00
$3,022,353.00
50%
39.90
1/5
5.4951
1/5
4/5
4/5
1
Suite
Karcher Estates
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Nampa
66
Yes
-
59
Providence Group NH, LLC
79.6%
$9,672,913.00
$4,250,091.00
43.9%
53.30
1/5
4.5957
1/5
3/5
4/5
3
Suite
Foxtail Senior Living
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Eagle
-
Yes
A+
22
-
-
-
-
-
-
-
-
-
-
-
-
Suite
Grace Assisted Living – Nampa
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Nampa
-
Yes
A+
42
-
-
-
-
-
-
-
-
-
-
-
-
Suite
Heron Place
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Nampa
-
Yes
-
40
-
-
-
-
-
-
-
-
-
-
-
-
Suite

Places of interest near Sunny Ridge

Address 3.3 miles from city center

Address 2609 Sunnybrook Dr, Nampa, ID 83686

Calculate Travel Distance to Sunny Ridge

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

162
Total Staff
81
Employees
81
Contractors
24,680
Total Hours (Quarter)
36
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse238 Yes
Licensed Practical Nurse177.5 Yes
Certified Nursing Assistant707.5 Yes
Staff by Category
Administration
3 staff
7.5hs shift avg
Nursing Staff
136 staff
7.7hs shift avg
Physicians & Practitioners
4 staff
6.9hs shift avg
Therapy Services
12 staff
5.8hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
4.6hs shift avg
Dietary Services
3 staff
6.9hs shift avg
Other Services
2 staff
8.1hs shift avg
Contractor Analysis
13.3%
of total hours from contractors
3,277 contractor hours this quarter
Certified Nursing Assistant: 40 Registered Nurse: 18 Licensed Practical Nurse: 7 Physical Therapy Assistant: 2 Speech Language Pathologist: 4 Respiratory Therapy Technician: 2 Occupational Therapy Aide: 1 Mental Health Service Worker: 1 Qualified Social Worker: 2 Medical Director: 1 Physical Therapy Aide: 2 Clinical Nurse Specialist: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant3040707,90691100%7.5
Medication Aide/Technician230237,07891100%7.9
Licensed Practical Nurse107172,51991100%7.5
Registered Nurse518231,79291100%8
Other Dietary Services Staff3031,0287481%6.9
Administrator2028645459%8
Clinical Nurse Specialist3145586167%6.9
Mental Health Service Worker1125376369%8.1
Speech Language Pathologist0445336571%5.5
Physical Therapy Assistant0224636571%7.1
RN Director of Nursing1014104549%9.1
Occupational Therapy Aide1124025257%7.3
Qualified Social Worker0222385257%4.6
Respiratory Therapy Technician0221564651%3.3
Nurse Aide in Training2021311921%6.9
Medical Director011361213%3
Physical Therapy Aide022311112%2.8

Health Inspection History

Source: CMS Health Citations (Feb 2023 – Jan 2025)

3
Inspections
30
Total Citations
0
Critical (J-L)
2
Serious (G-I)
10
Citations/Inspection
Jan 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
28
Serious (G-I)
2
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Resident Rights
7
23% of total
Quality of Life & Care
6
20% of total
Infection Control
3
10% of total
Pharmacy Services
3
10% of total
Abuse, Neglect & Exploitation
1
3% of total
Citation Sources
Standard Inspections 29
Complaint Investigations 30
State Comparison (ID)
Citations
30
Idaho average: 25.2
Critical Citations
0
Idaho average: 0.2
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Jan 10, 2025 D Infection ControlF0880 Corrected
Jan 10, 2025 D Infection ControlF0883 Corrected
Jan 10, 2025 E Nursing ServicesF0725 Corrected
Jan 10, 2025 E NutritionF0812 Corrected
Jan 10, 2025 D PharmacyF0756 Corrected
Jan 10, 2025 E PharmacyF0760 Corrected
Jan 10, 2025 G Quality of CareF0689 Corrected
Jan 10, 2025 D Care PlanningF0641 Corrected
Jan 10, 2025 D Care PlanningF0658 Corrected
Jan 10, 2025 E Resident RightsF0550 Corrected
Jan 10, 2025 D Resident RightsF0552 Corrected
Jan 10, 2025 D Resident RightsF0623 Corrected
Jan 10, 2025 D Resident RightsF0625 Corrected
Feb 23, 2024 E Infection ControlF0880 Corrected
Feb 23, 2024 D NutritionF0806 Corrected
Feb 23, 2024 D NutritionF0812 Corrected
Feb 23, 2024 D NutritionF0814 Corrected
Feb 23, 2024 D PharmacyF0760 Corrected
Feb 23, 2024 D Quality of CareF0689 Corrected
Feb 23, 2024 E Quality of CareF0697 Corrected
Feb 23, 2024 D Care PlanningF0656 Corrected
Feb 23, 2024 D Care PlanningF0657 Corrected
Feb 23, 2024 D Resident RightsF0622 Corrected
Feb 10, 2023 G Abuse/NeglectF0600 Corrected
Feb 10, 2023 F NutritionF0809 Corrected
Feb 10, 2023 D Quality of CareF0679 Corrected
Feb 10, 2023 D Quality of CareF0684 Corrected
Feb 10, 2023 D Quality of CareF0687 Corrected
Feb 10, 2023 D Resident RightsF0578 Corrected
Feb 10, 2023 D Resident RightsF0623 Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit Corporation
Part of: Cascades Healthcare
Resident Census by Payment Source
41 Total Residents
Medicare 7 (17.1%)
Medicaid 29 (70.7%)
Private Pay/Other 5 (12.2%)
Programs & Services
Residents' Group
CCRC
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
11.1 Score
15% worse than avg Idaho avg: 9.6

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
22.6 Score
16% worse than avg Idaho avg: 19.6

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
17.7%
Lost Too Much Weight
11.1%
Urinary Tract Infection
2.9%
Depressive Symptoms
3.7%
Falls with Major Injury
0.7%
Pneumococcal Vaccine
96.5%
Antipsychotic Use
9.5%
Walking Ability Worsened
22.2%
Influenza Vaccine
95.1%
High Risk Residents with Pressure Ulcers
3.6%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
28.0%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
79.7% 11% worse than avg Idaho: 89.7%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.8% 50% better than avg Idaho: 1.5%
Influenza Vaccine
78.6% 9% worse than avg Idaho: 86.5%

Penalties & Fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total Fines $17K Idaho avg: $38K 55% better than avg
Number of Fines 1 Idaho avg: 1.8
Compared to Idaho Average Facility: $17K | Idaho Avg: $38K
Penalty History

Showing all 1 penalties (Feb 2023 - Feb 2023)

Feb 10, 2023 Civil Money Penalty
$17K

Guides for Better Senior Living

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Claim What’s Yours: Financial Aid for Idaho Seniors

Program
State Program Name
Eligibility
Benefits
Aged and Disabled Waiver
Idaho Medicaid A&D Waiver
  • General: Age 65+ or 18+ with disability, Idaho resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple) (excludes home, car).
  • ID Specifics: Rural areas prioritized; waitlists possible.
  • Services: Personal care (5-7 hours/day, e.g., bathing, dressing), respite care (up to 240 hours/year), adult day care ($55/day), home modifications ($1,000 avg.).
Idaho Senior Solutions
Idaho Senior Solutions (via AAA)
  • General: Age 60+, Idaho resident, or caregiver of senior.
  • Income Limits: No strict limit; prioritizes low-income.
  • Asset Limits: Not applicable.
  • ID Specifics: Limited funding; focus on rural access.
  • Services: In-home respite (4-6 hours/day), adult day care (~$55/day), transportation (~5 trips/month).
Personal Care Services Program (PCSP)
Idaho Medicaid State Plan PCS
  • General: Age 65+ or disabled, Idaho resident, Medicaid-eligible, needs help with ADLs (e.g., bathing, eating).
  • Income Limits (2025): ~$1,020/month (individual), ~$1,470/month (couple).
  • Asset Limits: $2,000 (individual), $3,000 (couple) (excludes home, car).
  • ID Specifics: Less stringent than A&D Waiver; no nursing home-level care requirement.
  • Services: Personal care (~4-6 hours/day, e.g., dressing, meal prep), light housekeeping, medication management.
Medicare Medicaid Coordinated Plan (MMCP)
  • General: Age 65+ or disabled, Idaho resident, dual-eligible (Medicare A/B/D + Medicaid), health needs requiring coordination.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • ID Specifics: Available in select counties (e.g., Ada, Canyon); not statewide.
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($55/day), medical care, home health.
Idaho Home Choice (Money Follows the Person)
  • General: Age 65+ or disabled, Idaho resident, Medicaid-eligible, institutionalized 90+ days, intent to return to community.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • sset Limits: $2,000 (individual), $3,000 (couple).
  • ID Specifics: Focus on rural transitions; capped enrollment.
  • Services: Transition services (e.g., moving costs, deposits), personal care (4-6 hours/day), home mods ($1,000), respite (~5 days/year).
Medicare Savings Program (MSP)
Idaho Medicare Savings Program
Official government program page
  • General: Age 65+ or disabled, Idaho resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • ID Specifics: No waitlist; three tiers based on income.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
National Family Caregiver Support Program (NFCSP) Respite
Idaho NFCSP Respite Care
Official government program page
  • General: Caregivers of 60+ needing care or 55+ caregivers of others; Idaho resident; functional needs (2+ ADLs).
  • Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
  • Asset Limits: Not assessed; need-based.
  • ID Specifics: Six AAAs; prioritizes rural, low-income caregivers.
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($55/day), caregiver training.
Senior Community Service Employment Program (SCSEP)
  • General: Age 55+, unemployed, low-income, Idaho resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified; income-focused.
  • ID Specifics: Priority for veterans, rural residents.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Idaho VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, Idaho resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth limit).
  • ID Specifics: High veteran demand in rural areas.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).

Claim What’s Yours Financial Aid for Idaho Seniors

Idaho Medicaid A&D Waiver

Aged and Disabled Waiver

Requirements:
  • General:
    Age 65+ or 18+ with disability, Idaho resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple) (excludes home, car).
  • ID Specifics:
    Rural areas prioritized; waitlists possible.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day, e.g., bathing, dressing), respite care (up to 240 hours/year), adult day care ($55/day), home modifications ($1,000 avg.).
Idaho Senior Solutions (via AAA)

Idaho Senior Solutions

Requirements:
  • General:
    Age 60+, Idaho resident, or caregiver of senior.
  • Income Limits:
    No strict limit; prioritizes low-income.
  • Asset Limits:
    Not applicable.
  • ID Specifics:
    Limited funding; focus on rural access.
Benefits without Contact:
  • Services: In-home respite (4-6 hours/day), adult day care (~$55/day), transportation (~5 trips/month).
Idaho Medicaid State Plan PCS

Personal Care Services Program (PCSP)

Requirements:
  • General:
    Age 65+ or disabled, Idaho resident, Medicaid-eligible, needs help with ADLs (e.g., bathing, eating).
  • Income Limits (2025):
    ~$1,020/month (individual), ~$1,470/month (couple).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple) (excludes home, car).
  • ID Specifics:
    Less stringent than A&D Waiver; no nursing home-level care requirement.
Benefits without Contact:
  • Services: Personal care (~4-6 hours/day, e.g., dressing, meal prep), light housekeeping, medication management.
Idaho MMCP

Medicare Medicaid Coordinated Plan (MMCP)

Requirements:
  • General:
    Age 65+ or disabled, Idaho resident, dual-eligible (Medicare A/B/D + Medicaid), health needs requiring coordination.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • ID Specifics:
    Available in select counties (e.g., Ada, Canyon); not statewide.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($55/day), medical care, home health.
Idaho Home Choice

Idaho Home Choice (Money Follows the Person)

Requirements:
  • General:
    Age 65+ or disabled, Idaho resident, Medicaid-eligible, institutionalized 90+ days, intent to return to community.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • sset Limits:
    $2,000 (individual), $3,000 (couple).
  • ID Specifics:
    Focus on rural transitions; capped enrollment.
Benefits without Contact:
  • Services: Transition services (e.g., moving costs, deposits), personal care (4-6 hours/day), home mods ($1,000), respite (~5 days/year).
Idaho Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, Idaho resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • ID Specifics:
    No waitlist; three tiers based on income.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Idaho NFCSP Respite Care

National Family Caregiver Support Program (NFCSP) Respite

Requirements:
  • General:
    Caregivers of 60+ needing care or 55+ caregivers of others; Idaho resident; functional needs (2+ ADLs).
  • Income Limits (2025):
    Prioritizes ~$24,980/year (individual); no strict cap.
  • Asset Limits:
    Not assessed; need-based.
  • ID Specifics:
    Six AAAs; prioritizes rural, low-income caregivers.
Benefits without Contact:
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($55/day), caregiver training.
Idaho SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, Idaho resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified; income-focused.
  • ID Specifics:
    Priority for veterans, rural residents.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Idaho VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, Idaho resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth limit).
  • ID Specifics:
    High veteran demand in rural areas.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
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