The spouse at home can keep the house, everything in it, and the nicest car. Of the remaining assets, she can keep half or about $113,000, whichever is less. With careful planning, her family can keep a lot of that wealth. The spouse at home can keep all of her income; you only have to use the income of the nursing home patient on his care. Medicaid can also let the spouse keep a Community Spouse Resource Allowance, which retains more of the income and wealth.