Veterans Alliance is privately owned and operated to serve veterans. We are not affiliated with the Department of Veterans Affairs.

Veterans Alliance — Veterans Alliance
← All Iowa benefits
housingstate

State Veterans Home — No Out-of-Pocket Cost at a 70% Rating With Nursing Need

The state runs a veterans home at Marshalltown offering residential and nursing care. What a resident pays is set on their own income and assets up to the full daily rate — and the home states that a veteran rated 70% or higher who needs nursing care has no out-of-pocket expense.

Verified August 22, 2026

What this benefit is

The state runs a veterans home at Marshalltown offering residential and nursing care. What a resident pays is set on their own income and assets up to the full daily rate — and the home states that a veteran rated 70% or higher who needs nursing care has no out-of-pocket expense.

What it's worth: Long-term care charged on your own income and assets — nothing out of pocket at 70%+ with a nursing need

  • No dollar figure is claimed here because the home publishes none: the charge is set individually from income and assets, up to a full daily rate it does not print.
  • The weight reflects what long-term care costs privately, which is the alternative a resident is being spared, not a figure the state publishes.

Who is entitled to it

  • You served.
  • A spouse or surviving spouse of an honorably discharged veteran may be admitted.
  • You are in this state.

Not sure whether that describes you?

Answer a few questions about this benefit specifically — we only ask what this one actually depends on, and we stop as soon as we know.

How to claim it

  1. 1You must meet the state residency requirement on the date of admission, and you must need either residential or nursing care — the home is not open to a veteran who needs neither.
  2. 2A spouse applying on a living veteran’s service must have been married to the veteran for at least a year before applying. Gold Star parents are named as eligible.
  3. 3Get the physical examination, including lab work and x-rays, verified by a local physician or a VA medical centre doctor. A committee then sets the level of care.
  4. 4Expect to disclose everything financial and to keep disclosing it: incomes, assets, medical, long-term care and life insurance. The home is a Medicaid facility and applies Medicaid rules when working out what you contribute.
  5. 5You will be required to apply for any benefit you might be eligible for — Social Security, VA pension, private pension, Medicare Parts B and D, Medicaid.
Form
Application for admission, with a physical examination
File with
Iowa Veterans Home admissions, 1301 Summit Street, Marshalltown
Documents you will need
dd214 · va benefit summary letter
Annual recertification
The office asks you to confirm each year.
CorrectionThe no-cost statement has two conditions, not one. The admissions page ties it to a veteran rated 70% or higher AND in need of NURSING care. Residential care at the same rating is not described that way, and the cost page — which is where the charge is actually explained — does not repeat the 70% rule at all.
Worth knowingClinical services delivered by home staff or contracted professionals — medical, nursing, dental, social work, psychological, pharmacy, podiatry, optometry, audiology — carry no additional out-of-pocket charge on top of whatever the resident contributes.
Known gapThe home computes charges "up to our calculated full daily rate" and does not publish that rate. Nobody can work out their own contribution from the published pages; the admissions office has to run it.

Sources

This finder provides an informational match, not a government eligibility determination. The responsible agency decides your application.