I'm on a fixed income; how will I make ends meet if my spouse goes to the nursing home?

It is not the government's intent to impoverish the spouse who remains at home.  In general, the "community spouse" gets to keep all of their income.  In addition, if the community spouse has a low level of income they will get some or all of the "nursing home" spouse's income up to about $2,500 per month.  As an example, assume the husband is in the nursing home and the wife's (community spouse) only income is $600 of social security.  She would be eligible to take $1,900 of the husband's income.