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Is there a tax deduction for cooking and cleaning for the disabled?

Back pain caused my wife to have back surgery that only increased the pain. She is no longer able to cook or clean the house, and I too have been disabled since the year 2000. We have a person clean the house twice per month, and another contracted through a third party agency to come twice a week to help us prepare meals for the day and for several days after. Are these expenses includible as tax deductions when we file our taxes as a couple? My wife also suffers from deep depression/anxiety and has been hospitalized for that in the last year although she is now home.
Status: Open    Oct 16, 2014 - 08:04 AM


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Nov 05, 2015 - 01:00 PM

Generally medical expenses are deductible if they exceed a percent of your income. Homemaker services are not usually tax deductible The deductibility on your state return would be governed by state statute.

If you are a veteran and can or do qualifiy for VA Aid & Attendance pension, the tax-free income could be used for any purpose, including cooking and cleaning.

Nov 07, 2015 - 03:12 PM

Check with a local attorney for specifics. My understanding is that personal home health services are not countable under the medical tax deduction. Only those services that are medical in nature or are part of the deduction. So, if you have a nurse (or similar) that helps with "nursing services" like medications, dressing changes, grooming, etc. then you can deduct that portion. If that service, unfortunately, is homemaking, it wouldn't count. The IRS gives the example of:

If the attendant also provides personal and household services, amounts paid to the attendant must be divided between the time spent performing household and personal services and the time spent for nursing services. For example, because of your medical condition you pay a visiting nurse $300 per week for medical and household services. She spends 10% of her time doing household services such as washing dishes and laundry. You can include only $270 per week as medical expenses. The $30 (10% × $300) allocated to household services cannot be included.

Long term care facilities operate under a different set of regulations in regards to medical tax deductions. The Fremont Senior Living (and most communities) send an itemized list of appropriate deductions in January for tax purposes.
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