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The State Veterans Home — Assisted Living and Skilled Nursing, and Dependents Are Admitted Too

The home outside Buffalo runs two levels of care: assisted living, the original domiciliary, and skilled nursing in three single-room cottages on the same grounds, opened in October 2022. For the assisted living side the admission test is economic — being unable to earn a living, or having no adequate means of support. Dependents of qualified veterans are admitted, and non-veterans may be admitted when the home is under 90% full. Fees are set on ability to pay.

Verified August 27, 2026

What this benefit is

The home outside Buffalo runs two levels of care: assisted living, the original domiciliary, and skilled nursing in three single-room cottages on the same grounds, opened in October 2022. For the assisted living side the admission test is economic — being unable to earn a living, or having no adequate means of support. Dependents of qualified veterans are admitted, and non-veterans may be admitted when the home is under 90% full. Fees are set on ability to pay.

What it's worth: Assisted living or skilled nursing, with room, meals, laundry, nursing, social services, activities and weekday transport in one monthly maintenance fee set on ability to pay

  • The home operates two communities: assisted living, which is the original domiciliary, and skilled nursing.
  • The skilled nursing facility is three single-room cottages built on the Greenhouse model, on the Veterans' Home grounds at 700 Veterans' Lane, Buffalo. It opened in October 2022.
  • Fees are stated as based on an individual's ability to pay rather than as a published rate.
  • The list of what the maintenance fee covers is given as an inclusive list, not an exhaustive one.
  • Admission runs through a pre-admission packet with the DD-214, a history and physical, income verification and Medicare A, B and D, followed by a trial stay.

Who is entitled to it

  • Your discharge supports an application.
  • 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. 1Ring the home and ask for the pre-admission packet. Return it with the DD-214, a recent history and physical, income verification and proof of Medicare A, B or D.
  2. 2Read the admission test carefully, because it is not a medical one: you must be unable to earn a living by reason of wounds, disease, old age or other infirmities, or have no adequate means of support, or already be domiciled here.
  3. 3Residency is satisfied by valid in-state residence at the time of application, or by an intent to reside here permanently if you have been here less than a year. Being in transit, or here seasonally, does not count.
  4. 4A dependent of a qualified veteran may be admitted where admission is deemed proper. Veterans are preferred first and their accompanying dependents second.
  5. 5Expect a trial visit before any decision. That step exists for both sides, and the facility can then admit, ask for more, or decline.
  6. 6Ask what your monthly maintenance fee would be — it is set on ability to pay, so there is no rate to look up.
Form
Pre-admission packet
File with
The state veterans home, outside Buffalo
Documents you will need
dd214 · va benefit summary letter
No renewal
Once granted it does not need renewing.
CorrectionThis record used to say the home is a domiciliary and that a veteran needing nursing care is not the applicant it is built around. That was true of the 2021 handbook and is not true now: a skilled nursing facility opened on the grounds in October 2022, and the home runs both levels of care.
Worth knowingFor the assisted living side the admission test is economic before it is medical — unable to earn a living, or no adequate means of support. The skilled nursing side is a different question and worth asking about separately.
Worth knowingNon-veterans can be admitted: where less than 90% of capacity is occupied and no veteran dependant application is pending, someone who is neither a veteran nor a veteran's dependant may be taken in, subject to the same inability-to-earn test. Preference always runs to veterans first, dependants second.

Sources

Why only one source type: The veterans commission's own handbook is the only source that could be read: the health department host that operates the home returns 403 to every request, in a browser as well as a fetch.

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