Legacy Design Strategies
Omaha, NE, Minot, ND and Iowa Fall, IA Estate Planning and Elder Law Firm
Estate Planning and Elder Law Blog

Trust paperwork has a way of raising questions it never answers. A family signs, takes the binder home, and then months later an accountant or a bank mentions offhand that the trust is a “grantor trust.” Nobody explains it, and now there is a worry where there wasn't one before.
Here is the reassuring part: on its own, this label almost never means anything is wrong. But it does sit next to two questions that matter a great deal: whether a trust helps with nursing home costs, and what it may cost the children later.
So, what is a grantor trust? It simply means the IRS still treats the person who set up the trust as the owner of what's inside it, for income tax purposes.
If the trust earns interest, dividends, or rent, that income goes on that person's regular tax return, the same as it did before the trust existed. There is no separate trust tax, and nothing is taxed twice. For most people, tax season looks exactly the same as it always has. That really is the whole idea.
Few people realize this describes their own estate plan. A standard revocable living trust falls into this category automatically, because the person who created it can change it or cancel it whenever they like. It usually runs under their own Social Security number.
That flexibility is exactly why the trust is useful. It is also why the label gets mistaken for something it isn't. The same control that lets someone rewrite the trust on a Tuesday afternoon is the control that keeps everything inside it within reach, both theirs and anyone else's who might be counting it.
This is the assumption that causes real harm, so it is worth being direct.
Putting the house and the savings into a revocable living trust does not remove them from consideration when someone applies for help with long-term care. Because the trust can be undone at any time, those assets are generally still treated as available to pay for care. Moving the deed into the trust changes who holds title. It does not change the math.
An irrevocable trust is a different animal, and this is where real guidance matters more than a blog post. Some trusts built for long-term care planning are set up so the person still reports the income on their own return, while what's inside may fall outside of what gets counted. The word may is carrying weight in that sentence. There is a five-year look at transfers made before someone applies, and moving property into a trust during that window can delay eligibility rather than help it.
Whether a particular trust helps or hurts depends on how it was written and when it was funded, and that is not something anyone can judge from the outside. The firm's Medicaid planning attorneys read the actual document, which is the only way to know.
This one catches people who thought their planning was finished.
When someone inherits property, its value is usually treated as reset to whatever it is worth on the date of death. Decades of growth simply drop away, and the children can sell without a large tax bill. In 2023, the IRS confirmed that this reset generally does not apply to property held in certain irrevocable trusts.
Picture a quarter section bought in the 1970s, or a house that cost $40,000 and is worth far more today. If that property sits in the wrong kind of trust, the children may inherit it carrying its original value, and a sale could mean a sizeable capital gains bill they never saw coming.
Some trusts are written to keep that reset intact; others are not. Two documents can look nearly identical and land in different places, so anyone weighing whether to move a home into a trust should have an attorney address this question directly.
Nebraska has no state estate tax, but Nebraska counties still collect an inheritance tax, and that is true in 2026. How much a person pays depends on how closely related they were to the person who died — a spouse or child is treated very differently than a niece or a family friend.
Worth knowing: a trust can keep an estate out of probate in Nebraska and still not step around that inheritance tax. Many people assume one takes care of the other.
Cross a state line and the picture changes again. Iowa stopped collecting inheritance tax for deaths on or after January 1, 2025, and North Dakota does not collect one at all. A family with a home near Omaha, ground in Iowa, and a rental up by Minot is dealing with three sets of rules at once.
No. It only determines whose tax return the trust's income appears on. For a typical living trust, that is the same return they have always filed.
Not on its own, and no attorney can promise a particular result. A revocable trust generally leaves the house counted. Certain irrevocable trusts may do more, but that depends on the wording, the timing, and the five-year look at past transfers.
Possibly, possibly not. That depends entirely on what the document says. Plenty of trusts are in good shape and the label was simply never explained. Others turn up a gap worth addressing. Reviewing the trust with an attorney is how to tell the difference.
Almost everyone in this position asked a reasonable question and got a term instead of an answer. The elder law and estate planning attorneys at Legacy Design Strategies sit down with families across Nebraska, Iowa, and North Dakota to go through what a trust really does — how it is taxed, whether it helps if care is needed, and what it leaves the next generation to sort out.
The short answer to what is a grantor trust is straightforward. The answer that matters in a specific case is in the paperwork, and an attorney can read it and explain it in plain English. Initial consultations are offered on a no-obligation basis. Request a consultation to learn more.
References: Internal Revenue Service, Internal Revenue Bulletin 2023-16 (Rev. Rul. 2023-2) · Nebraska Legislature, Neb. Rev. Stat. §§ 77-2001 to 77-2040, Inheritance Tax · Nebraska Department of Revenue, 2026 Nebraska Legislative Changes · Centers for Medicare & Medicaid Services, Transfer of Assets in the Medicaid Program

Get Started Today
Book your Free Estate Planning Consultation Now
Stay Up-To Date
Subscribe to Our eNewsletter
Estate Planning Law Firm in Iowa Falls, IA
320 North Oak Street, PO Box 295,
Iowa Falls, IA 50126

9859 South 168th Avenue,
Omaha, NE 68136
7 Third Street SE, Suite 202,
Minot, ND 58701
320 North Oak Street, PO Box 295,
Iowa Falls, IA 50126
