Who actually lives on the farm? The Medicaid rules with respect to real estate are very different depending on whether it’s a home or an investment property. There are in fact special rules for transfers of homes between siblings but not for transfers of investment property. Also, if you plan on selling the farm, remember that the effect of that sale will be different depending on whether it is during the life of the nursing home resident or after her death. These are complicated issues, and we recommend that you immediately consult with Legally Remote, PLLC.