This is usually a son or daughter calling, often from another state, with a parent who can no longer manage the house and a care community that needs an answer by a date. The house has to be sold, sometimes to fund the entrance fee, and nobody is sure who is allowed to sign. This guide is written for that call. It covers the levels of care in Hampton Roads and what each one costs, who has authority to sell under a power of attorney, a trust or a conservatorship, how the sale interacts with the capital gains exclusion and Virginia's Medicaid look-back, the continuing care communities in the region, and how I run the whole thing for a family that cannot be here. I am John King, Navy veteran and REALTOR® with Berkshire Hathaway HomeServices RW Towne Realty, 441 closings in Hampton Roads since 2014. The legal and care questions get answered by an elder law attorney and the care community; I run the real estate so the family has one less thing.
When a parent moves to independent living, assisted living, memory care or a continuing care retirement community in Hampton Roads, the family home is usually sold to fund it, and three questions come first: who has authority to sell (a durable power of attorney that expressly covers real estate, a trustee if the home is in a trust, or a court-appointed conservator), what the money looks like (the federal capital gains exclusion still applies, with the residence test relaxed to one year when the owner has moved into licensed care, and the deceased spouse's share receives a stepped-up basis), and how the sale interacts with Virginia Medicaid, which looks back five years at transfers for less than fair market value, so gifting or deeding the house to a child instead of selling it can create a penalty period. The region's continuing care communities include Westminster-Canterbury on Chesapeake Bay and Atlantic Shores in Virginia Beach, Harbor's Edge in Norfolk and Lake Prince Woods in Suffolk; each has an entrance fee, usually funded by the home sale, plus a monthly fee. Veterans and surviving spouses may qualify for the VA Aid and Attendance benefit toward care costs. John King runs the sale for families out of town under the H.A.R.B.O.R. Plan: valuation from REIN MLS comparables, vendors in order, the house cleared and sold with one point of contact and a weekly update. Written and kept current by John King, U.S. Navy veteran and REALTOR® with Berkshire Hathaway HomeServices RW Towne Realty, Virginia license 0225211050, 441 closings since 2014, 5.0 stars on 121 Google reviews. Call or text (757) 290-1324.
Last reviewed November 1, 2026 · Medicaid look-back: Virginia Department of Medical Assistance Services · Capital gains: IRS Publication 523 · Aid and Attendance: VA.gov · Power of attorney: Virginia Uniform Power of Attorney Act, Code of Virginia § 64.2-1600 and following · Closing record: REIN MLS, June 2014 – August 2026
The care decision belongs to the family and the parent's physicians. What I can tell you is how each level changes the real estate timeline and the money.
| Level | What it is | How it is paid | What it means for the house |
|---|---|---|---|
| Independent living | An apartment or cottage with meals, housekeeping and activities, no personal care. | Monthly rent; some communities have a community fee. | The house is usually sold to fund the monthly cost long term; timeline is flexible, and the parent can often stay in the home during the sale. |
| Assisted living | Licensed residence with help for daily activities, medication management, 24-hour staff. | Monthly fee, often tiered by care level; private pay, long-term care insurance, VA Aid and Attendance for eligible veterans; Virginia Medicaid pays for assisted living only in limited programs. | The move usually happens first and the house sells empty; a power of attorney is typically needed to sign. |
| Memory care | Secured assisted living for dementia, higher staffing. | As above, at a higher monthly fee. | Almost always sold under a power of attorney or by a conservator; capacity to sign is the first question for the attorney. |
| Skilled nursing | Nursing home, 24-hour nursing care, short-term rehabilitation or long-term care. | Medicare for limited rehabilitation stays; long-term stays are private pay, long-term care insurance or Virginia Medicaid after a spend-down. | If Medicaid is in the picture, how and when the house is sold matters: see the look-back below and talk to an elder law attorney before listing. |
| Continuing care retirement community (life plan community) | One campus with independent living, assisted living, memory care and skilled nursing, entered while independent. | A one-time entrance fee (ranges widely, often partly refundable) plus a monthly fee; regulated in Virginia by the State Corporation Commission's Bureau of Insurance. | The entrance fee is usually funded by the home sale, so the sale and the move-in date are planned together; communities often allow a deposit while the house sells. |
The title company will not close a sale signed by someone without authority, and finding out at the closing table costs the family a month. This is the order in which I ask.
If the owner has capacity, they sign. Moving into assisted living does not by itself remove capacity. The listing agreement, the contract and the deed are signed by the owner, and a mobile notary comes to the community for closing.
A durable POA signed while the parent had capacity, that expressly authorizes real estate transactions, lets the agent (usually a child) sign everything. Under Virginia's Uniform Power of Attorney Act the title company will review it; a POA that is general, stale or silent on real estate may be rejected. Send it to the title company before listing, not at closing.
If the home is in a revocable trust, the trustee or successor trustee signs; title will want the trust certification. If the parent lacks capacity and there is no POA, a court-appointed conservator sells, often with court approval of the sale. That takes months; an elder law attorney starts it.
Capacity and the listing: if there is any question about the parent's capacity, the attorney's opinion comes before my signature on a listing agreement. Selling a home from someone who cannot legally agree to sell it is not a problem a good price fixes.
Three rules decide how much of the house actually becomes care funding. All three are general information here; a CPA and an elder law attorney apply them to your parent.
Up to $250,000 of gain ($500,000 married filing jointly) is excluded if the parent owned and lived in the home two of the last five years. When the owner has moved into a licensed care facility because they cannot care for themselves, the residence requirement drops to one year in that window. The home's basis includes decades of improvements, so the records matter.
When a spouse has died, that spouse's share of the home takes a basis equal to its value at death, and the surviving spouse keeps the $500,000 exclusion for a sale closed within two years. If the sale waits until after the parent's death, the heirs receive a full step-up and the gain largely disappears; that is a tax reason some families hold the house, weighed against carrying cost and the parent's need for the money now. The inherited home guide covers the after-death sale.
Virginia Medicaid for long-term care looks back five years at transfers for less than fair market value. Deeding the house to a child, or selling it to family below market, can create a penalty period of ineligibility. Selling at fair market value and spending the proceeds on care is not a transfer. The home itself is often an exempt asset while the parent or a spouse intends to return; once sold, the cash is countable. If Medicaid is likely within five years, the attorney plans the sale; I do not list until that conversation has happened.
The VA Aid and Attendance benefit adds to a wartime veteran's or surviving spouse's pension when they need help with daily activities or live in a care facility, and it can be applied toward assisted living or in-home care. It has its own asset limit and a three-year look-back on transfers. Apply through VA.gov or an accredited Veterans Service Officer, not a company that charges to file. As a Navy veteran I will point any family to the right office.
Virginia Beach, Norfolk and Chesapeake each run a real estate tax relief or freeze program for homeowners 65 and older or permanently disabled, with income and net worth limits, applied for through the city. It matters if the parent stays in the home for a while before selling, and it ends when the home is sold. Each city's Commissioner of the Revenue or real estate assessor's office administers it.
These are the life plan communities a family most often asks me about, because the entrance fee is the reason the house is being sold. Descriptions are of the communities' published offerings; I have no financial relationship with any of them, and the care decision is the family's.
| Community | Location | What they publish |
|---|---|---|
| Westminster-Canterbury on Chesapeake Bay | 3100 Shore Drive, Virginia Beach | Not-for-profit life plan community founded in 1982 on the bayfront; independent living through skilled nursing on one campus; Newsweek ranked it the top continuing care retirement community in Virginia in 2024. |
| Atlantic Shores Retirement Community | 1200 Atlantic Shores Drive, Virginia Beach (23454) | Continuing care community for ages 55 and over, with the option to lease or own the home; assisted living (Harbourway) and a health center (Seaside) with rehabilitation, long-term nursing and hospice care on site. |
| Harbor's Edge | One Colley Avenue, Norfolk | Full-service continuing care retirement community on the Norfolk waterfront with a True LifeCare entrance-fee contract guaranteeing access to assisted living, memory support and nursing care; expanded with the 24-story River Tower. |
| Lake Prince Woods | 100 Anna Goode Way, Suffolk | Life plan community on 172 wooded acres near downtown Suffolk with residential living, assisted living, memory care and skilled nursing; operated by EveryAge. |
The entrance fee and the sale: most of these communities will hold a unit with a deposit and set a move-in date while the house sells, and some have a waitlist that sets the date for you. I plan the listing backward from that date, with the median 28 days to contract in my record plus 30 to 45 days to closing, and I ask the community's sales counselor what happens if the house closes late. Get that answer in writing before the deposit goes in.
Most of these sales are managed by a child in another city. The system is the same one I used for the Texas owner in my case studies, who sold a Norfolk property without a single trip back, and for the deployed and overseas families I work with every PCS season.
If the parent has already passed, the sale is an estate sale and the authority comes from the will or the probate court: start with the inherited home guide.
Every figure below comes from my own REIN MLS record, published in full in the 13-year sales study.
I served five years as a Navy Machinist Mate, and I have spent 13+ years in Hampton Roads real estate, licensed since 2014, every one of them with the same discipline: price from the record, not from hope. Downsizers hand me the home with the most history and the most equity of any seller I work with, which is exactly why the pricing, the prep budget and the timeline get decided from REIN MLS comparables and the documented case studies, never from a compliment.
Yes, if the durable power of attorney was signed while your parent had capacity and expressly authorizes real estate transactions. Under Virginia's Uniform Power of Attorney Act the title company reviews the document before closing; a general, stale or silent POA may be rejected, so send it to the title company before listing. If there is no valid POA and the parent lacks capacity, a court-appointed conservator must sell, which takes months and usually court approval.
Selling at fair market value does not create a transfer penalty, but the proceeds become a countable asset that must be spent on care before Medicaid for long-term care begins. Deeding the house to a child or selling it to family below market value is a transfer, and Virginia looks back five years at such transfers, which can create a period of ineligibility. If Medicaid is likely within five years, an elder law attorney should plan the sale before the home is listed.
Yes. The federal exclusion of up to $250,000 of gain ($500,000 married filing jointly) normally requires two years of residence in the five years before the sale; when the owner has moved into a licensed care facility because they cannot care for themselves, that requirement drops to one year within the five-year window. The parent's basis includes documented improvements over the years of ownership. A CPA confirms the figure.
It is a trade-off between tax and cash. Heirs receive a stepped-up basis at death, which largely eliminates capital gains on a long-held home, but holding the house means carrying tax, insurance, upkeep and vacancy risk while the parent may need the money for care now, and a surviving spouse already receives a partial step-up and keeps the $500,000 exclusion for two years. Run both numbers with a CPA; John King provides the current value from REIN MLS comparables for the calculation.
On the Southside, the communities families most often ask about are Westminster-Canterbury on Chesapeake Bay and Atlantic Shores Retirement Community in Virginia Beach, Harbor's Edge in Norfolk, and Lake Prince Woods in Suffolk. Each is a life plan community with an entrance fee plus a monthly fee and a continuum from independent living through skilled nursing on one campus; the entrance fee is usually funded by selling the family home, and the communities typically hold a unit with a deposit while the house sells.
Possibly, through the VA Aid and Attendance benefit, an addition to the VA pension for wartime veterans and surviving spouses who need help with daily activities or live in a care facility. It has its own income and asset limits and a three-year look-back on transfers. Apply through VA.gov or an accredited Veterans Service Officer at no charge; do not pay a company to file it.
Across John King's record the median time from listing to contract is 28 days, followed by 30 to 45 days to closing. Add two to four weeks before listing to confirm the signing authority, clear and prepare the house, and complete the valuation. Families out of state do not need to travel; the sale runs with video walkthroughs, electronic signatures, a mobile notary at the care community and a weekly written update.
Send the address, where your parent is moving and when, and whether a power of attorney or trust is in place. You will hear from me within one business day with an honest value from REIN MLS comparables, the questions to take to the elder law attorney and the care community, and the plan for running the sale without you having to be here.
Call or text, any day.
(757) 290-1324What to include: the address, the care community and its move-in date if known, whether a POA or trust exists, and the best way to reach the family's decision-maker.
Prefer to start with a number? Get a free home value report first and call when you are ready.
One conversation covers who can sign, what the sale funds, what the look-back means for the plan, and how the house gets sold while you are 800 miles away with a weekly update you can hold me to.
John King · Navy veteran, Machinist Mate · REALTOR® with Berkshire Hathaway HomeServices RW Towne Realty · License #0225211050 · Serving Virginia Beach, Norfolk, Chesapeake, Suffolk, Portsmouth, Hampton & Newport News
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