Real Estate Law
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Unfortunately, you don't have a lien right against her property UNLESS you have a written contract with your mother to repay you for the improvements made to the property. An oral contract regarding real estate is not valid, and if the contract takes more than 1 year to be fulfilled, it must also be in writing under the statute of frauds.
Thus, there are no lien rights you can legally assert....and you have no guarantee that she'll transfer you the house (even if her will or trust refers to this, as long as she's living, those documents can be changed....and you could be left out in the cold).
As for medicare, that's not a relevant issue because that's a program she has paid into over her working life.....but if she were to receive MEDICAID, that's need based, and if she were to own the property and enter a nursing home, the property could be seized and sold / or the gov't could require her to sell the house and use the money up before it will cover her costs.
Thus, you've got a precarious situation....and you're not in a very good position right now to guarantee the recovery of the money you've invested.
If you could get your mom to deed the property to you and reserve a life estate for herself, that would go ahead and transfer title to you....which would put you in the driver's seat.
Also, if your mother does receive medicaid, there's a 5 year lookback period, which means that you'd have to own the property for 5 years BEFORE she applied for medicaid in order to avoid the gov't getting involved in the transaction and requiring the property to be sold before she could receive benefits.