Having dementia doesn’t mean that one is incompetent.  However, if your husband is not an only child, transferring the house solely to him is highly questionable.  Whether you change the deed or use a trust, either will avoid probate.  We usually do not recommend that our clients add family members directly to their deeds.  Please see yesterday’s post as to one of the reasons why.  Be wary of creating a disqualification period for her for Medicaid.  It sounds as if she may not make it through the five year look back period with her health.