As inh many places on the internet, there is a great deal of information that is erronous when it goes to anything related to the VA and especially the Non-Service Connected Pension; so, here is the straight story regarding why some (and I stress some) residents of Holiday communities fail to receive their Pension or an amount less that what they expected.
First of all, this issue has nothing whatsoever to do with Holiday or the services they provide. Holiday provides instrumental activities of daily living, noteably Transportation to medical appointments, meal preparation, housekeeping and laundry. They do not provide basic ADLs. The issue is federal regulations and how the directives are being followed by the Pension Management Centers.
All the applicable regulations state is found in 38 C.F.R. 3.272(g), i.e. un-reimbursed medical expenses are deductible from gross income for Pension eligbility purposes. The actual directives on what this means is found in the Compensation and Pension Manual (Rewrite) at V.iii.1.G.43. d.,h.,and m.
The VA has a necessarily broad and liberal definition of what constitutes medical services and its subset, nursing services. In V.iii.1.G.43.h., it clearly says that if a claimant or beneficiary is rated in need of the (continued)