For the costs of assisted living to be deductible as an itemized medical expense, the resident must be chronically ill. This means the resident is (1) unable to perform at least two of the six activities of daily living (eating, dressing, bathing, transferring, toileting, and continence), or (2) requires supervision due to a cognitive impairment, such as Alzheimer’s disease. The care afforded in an assisted living facility must be provided by a licensed medical professional under a written plan of care. Then most of the costs of assisted living can be viewed as deductible medical expenses.
Shifting income to a later year, such as where you defer taxable interest to the following year by purchasing a T-bill or savings certificate maturing after the end of the current year. Investments in qualified retirement plans provide tax deferral.