Minnesota is a wonderful place for an active senior to retire, with plentiful golf courses and some of the countries best bike trails (including 95 that are accessible to wheelchairs). While retirement income is taxed, there are tax exemptions available for the elderly in this state. There are many people that choose to retire here, and it’s projected that 1 in 5 of all Minnesotans will be over age 65 by the year 2030.

Directory of Assisted Living Facilities in Minnesota

While you’re researching assisted living facility options in Minnesota, you’ll want to note information about available amenities, room sizes, services, prices and more. See our comprehensive directory below to view detailed information about assisted living facilities in the state of Minnesota.

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Paying For Assisted Living in Minnesota

The Cost of Assisted Living in Minnesota

The monthly median cost of assisted living in Minnesota is $4,000 which is the same as the national average. According to Genworth’s 2018 Cost of Care Survey, the average cost of assisted living in Minnesota is slightly more expensive than other states in the region other than Wisconsin and Illinois. North and South Dakota have the lowest average cost for assisted living in this region.

Assisted living costs vary somewhat across the state, but all areas hover around the state and national average of $4,000. Most areas of Minnesota are slightly less than the national average, but in Duluth and the Mankato and Minneapolis areas costs are higher.

In Minnesota, assisted living is the least expensive option of residential care at an average of $4,000. In-home care is much more costly at an average of $5,529, but nursing home costs more than twice as much, at $9,125 a month on average for a semi-private room.

Financial Assistance for Assisted Living in Minnesota

In Minnesota, assisted living facilities are called housing with services establishments, or just establishments. While Minnesota’s Medical Assistance (MA) program, commonly called Medicaid in other states, doesn’t pay room and board, it does provide payment waivers for assisted living services received while living in a housing with services establishment.

Elderly Medicaid Waiver

Residents of Minnesota that need financial assistance for long-term care services received at housing with services establishments may qualify for the Elderly Waiver (EW) if they are low-income and in need of nursing-home level carer.

Who is Eligible?

To qualify for long-term care coverage through the Medical Assistance program, applicants need to require assistance with at least four activities of daily living (ADLs).

Applicants also need to qualify based on age and income:

  • All applicants need to be at least 65 years old, or disabled.
  • Applicants must be citizens of the US and residents of Minnesota.
  • Monthly income limits are generally set at 100% of the Federal Poverty Guidelines (FPG) a month for each individual, $1,012 in 2018 or $1,372 for a couple
  • Total assets cannot exceed $3,000, or $6,000 for a couple. If one spouse remains in the community, they may be transferred assets up to $123,600. Other assets are commonly excluded, like a personal vehicle and burial expenses
  • Some applicants may be able to “spend down” their income to qualify; if they participate in this program, their income limit changes to 80% of the FPG, or $810.

Alternative Care Program

Residents of Minnesota that need financial assistance for long-term care services but do not financially qualify for Medical Assistance (MA) may apply for Alternative Care (AC). Applicants with assets over the income limit (such as a house worth more than $500,000) must contribute a portion of their assets to pay for the costs of assisted living in a spend-down process. The AC program provides the same services as the Elderly Waiver, as well as services provided at home like a relative caregiver waiver and nutrition counseling. Applicants may receive up to 60 days of care while the application is processing.

Who is Eligible?

To qualify for Alternative Care (AC), applicants must be above the age of 65 and not qualified for Minnesota Medical Assistance (MA) program, despite the need for nursing home care. The applying senior may have more resources than traditionally allowed, but not more than what would fund 135 days of care in a nursing home.

The AC program is designed to help those elders who do not qualify for income-based programs, and are in the process of running out of money to fund their aging services. To qualify financially, an elder must have limited assets or a low monthly income. Assets can be no greater than $3,000 or the elder’s income must be less than $1,234 a month.

Those with incomes above $1,518 will still qualify for services, as long as their assets stay below $10,000- there will be a service fee, however, which amounts to 5-30% of the cost of AC services. Additionally, any elder who is currently barred from federal aging assistance services due to the transfer of a large sum of money within the previous five years will not qualify for this, or any federal medical assistance program for aging.

Housing Support Program

Low-income elders may qualify for the Housing Support program, previously the Group Housing Program, which helps pay for room and board in assisted living facilities. Payment amounts increase yearly; in 2017 up to $904 may be provided for room and board in a month. Participants of this program who aren’t eligible for the Elderly Waiver may also be able to receive supplementary payments up to $482.84 a month for extra care services they need. There is sometimes a waitlist for this program.

Who is Eligible?

Participants of the housing support program must be 65 or older and are bound to the same asset standards as Medicaid recipients, as listed above. Income cannot exceed $750 a month, or $1,125 if a married couple. The person applying must also need help with at least two health or supervisory services to qualify for a supplementary payment.

How to Apply

To apply, you’ll first need to request a long-term care consultation (LTCC). Find your local county health care office using the table below to contact and apply for medical assistance or housing support.

County Health Care Office Address Phone Number

White Earth Human Services

2531 310th Avenue
Naytahwaush, MN 56566

(218) 935-5554

Aitkin County Health and Human Services

204 First St. NW
Aitkin, MN 56431-1291

(218) 927-7200 or

(800) 328-3744

Anoka County Government Center

2100 Third Ave., Suite 600
Anoka, MN 55303

(763) 324-1200

Becker County Human Services

712 Minnesota Ave.
Detroit Lakes, MN 56501

(218) 847-5628

Beltrami County Human Services

616 America Ave. NW, Suite 100
Bemidji, MN 56601

(218) 333-4223

Benton County Human Services

531 Dewey St.
Foley, MN 56329

(320) 968-5087 or

(800) 530-6254

Big Stone County Aging Services

340 Second St. NW
Ortonville, MN 56278

(320) 839-2555

Blue Earth County Human Services

410 S. Fifth St.
Mankato, MN 56002

(507) 304-4335

Brown County Adult Services

1117 Center St.
New Ulm, MN 56073

(507) 233-6820 or

(800) 450-8246

Carlton County Human Services

14 N 11th Street, Suite 200
Cloquet, MN 55720

(218) 879-4583 or

(800) 642-9082

Carver County Adult Services

600 E. Fourth St.
Chaska, MN 55318

(952) 361-1999

Cass County Human Services

400 Michigan Ave. W.
Walker, MN 56484

(218) 547-1340

Chippewa County Family Services

719 N. Seventh St., Suite 200

Montevideo, MN 56265

(320) 269-6401 or
(800) 450-6401

Chisago County Human Services

313 North Main Street, Rm 239
Center City, MN 55012

(651) 213-5640 or

(888) 234-1246

Clay County Social Services

715 N. 11th St., Suite 303
Moorhead, MN 56560

(218) 299-5220 or

(877) 282-2435

Clearwater County Dept of Human Services

216 Park Ave. NW
Bagley, MN 56621

(218) 694-6164 or

(800) 245-6064

Crow Wing County Human Services

204 Laurel St., Suite 22
Brainerd, MN 56401

(218) 824-1140

Cook County Adult Services

411 W. Second St.
Grand Marais, MN 55604

(218) 387-3620 or

(800) 663-6771

Des Moine Valley Health & human Services

11 Fourth St.
Windom, MN 56101

(507) 831-1891

Des Moine Valley Jackson Office

407 Fifth Street
Jackson, MN 56143

(507) 847-4000 or

(800) 622-5207

Dakota County Community Services

1 Mendota Road W., Ste 100
W St. Paul, MN 55118

(651) 554-5611

Dodge County Department of Human Services

22 6th St. East, Dept. 401
Mantorville, MN 55955

(507) 923-2900 or

(507) 635-6150

Waseca County Public Health

299 Johnson Ave. SE, Ste. 160
Waseca, MN 56093

(507) 835-0685

Douglas County Adult Services

809 Elm St., Suite 1186
Alexandria, MN 56308

(320) 762-2302

Faribault County Human Services Center

412 N. Nicollet St.
Blue Earth, MN 56013

(507) 526-3265

Fillmore County Social Services

902 Houston St. NW, Suite 1
Preston, MN 55965

(507) 765-2175

Freeborn County Dept of Human Services

203 W. Clark St.
Albert Lea, MN 56007

(507) 377-5401

Goodhue County Health and Human Services

426 West Ave.
Red Wing, MN 55066

(651) 385-3200

Grant County Social Services Department

28 Central Ave. S.
Elbow Lake, MN 56531

(218) 685-8200

Hennepin County Human Services & Public Health Department

1001 Plymouth Avenue North
Minneapolis, MN 55411

(612) 596-1300 or

(844) 803-8466

Houston County Human Services

304 S. Marshall St.
Caledonia, MN 55921

(507) 725-5811

Hubbard County Social Service Center

205 Court Ave.
Park Rapids, MN 56470

(218) 732-1451 or

(877) 450-1451

Isanti County Family Services

1700 E. Rum River Dr. S., Ste. A
Cambridge, MN 55008

(763) 689-1711 or

(763) 689-9877

Itasca County Health and Human Services

1209 Second Ave. SE
Grand Rapids, MN 55744

(218) 327-2941 or

(800) 422-0312

Kanabec County Family Service Department

905 Forest Ave. E., Suite 150
Mora, MN 55051

(320) 679-6350

Kandiyohi County Family Services

2200 23rd St. NE, Suite 1020
Willmar, MN 56201

(320) 231-7800 or

(877) 464-7800

Kittson County Social Services

410 S. Fifth St., Suite 100
Hallock, MN 56728

(218) 843-2689 or

(800) 672-8026

Koochiching County Human Services

1000 Fifth St.
International Falls, MN 56649

(218) 283-7000 or

(800) 950-4630

Lac Qui Parle County Family Service Center

930 First Ave. N.
Madison, MN 56256

(320) 598-7594

Lake County Human Services

616 Third Ave.
Two Harbors, MN 55616

(218) 834-8400

Lake of the Woods Social Service Department

206 Eighth Ave. SE, Suite 200
Baudette, MN 56623

(218) 634-2642

Le Sueur County Dept of Human Services

88 S. Park Ave.
Le Center, MN 56057

(507) 357-8288

Lincoln County SW Health and Human Services

319 N. Rebecca St.
Ivanhoe, MN 56142

(507) 694-1452 or

(800) 657-3781

Lyon County SW Health and Human Services

607 W. Main St., Suite 100
Marshall, MN 56258

(507) 537-6747 or

(800) 657-3760

Mahnomen County Human Services

311 N. Main St.
Mahnomen, MN 56557

(218) 935-2568

Marshall County Social Services

208 E. Colvin Ave., Suite 14
Warren, MN 56762

(218) 745-5124 or

(800) 642-5444

Martin County Human Services Center

115 W. First St.
Fairmont, MN 56031

(507) 238-4757

McLeod County Social Service Center

1805 Ford Ave. N., Suite 100
Glencoe, MN 55336

(320) 864-3144 or

(800) 247-1756

Meeker County Social Services

114 N. Holcombe Ave., Suite 180
Litchfield, MN 55355

(320) 693-5300 or

(877) 915-5300

Mille Lacs County Elderly Services

525 Second St. SE
Milaca, MN 56353

(320) 983-8208 or

(888) 270-8208

Morrison County Social Services

213 SE First Ave.
Little Falls, MN 56345

(320) 632-2951 or

(800) 269-1464

Mower County Health and Human Services

201 First St. NE, Suite 18
Austin, MN 55912

(507) 437-9701

Murray County SW Human Services

3001 Maple Road, Suite 100
Slayton, MN 56172

(507) 836-6144 or

(800) 657-3811

Nicollet County Human Services

622 South Front Street
St. Peter, MN 56082

(507) 934-8559

Nobles County Family Service Agency

318 Ninth St.
Worthington, MN 56187

(507) 295-5213

Norman County Social Service Center

15 Second Ave. E., Room 108
Ada, MN 56510

(218) 784-5400 or

(833) 543-1964

Olmsted County Community Services

2117 Campus Drive SE, Suite 200
Rochester, MN 55904

(507) 328-6500

Otter Tail County Dept of Human Services

535 Fir Ave. W.
Fergus Falls, MN 56537

(218) 998-8230

Pennington County Human Services

318 N. Knight Ave.
Thief River Falls, MN 56701

(218) 681-2880 or

(888) 681-2880

Pine County Health and Human Services

315 Main St. South, Suite 200
Pine City, MN 55063

(800) 450-7463 ext. 1570

Pipestone County Family Service Agency

1091 N. Hiawatha Ave.
Pipestone, MN 56164

(507) 825-6720 or

(888) 632-4325

Polk County Social Services

Crookston Branch

612 N. Broadway, Room 302
Crookston, MN 56716

(218) 281-3127 or

(877) 281-3127

Polk County Social Service Center

East Grand Forks Branch

1424 Central Ave. NE
East Grand Forks, MN 56721

(218) 773-2431 or

(877) 281-3127

Polk County Social Service Center

McIntosh Branch

250 SW Cleveland Ave.
McIntosh, MN 56556

(218) 435-1585 or

(877) 281-3127

Pope County Human Services

211 E. Minnesota Ave. #200
Glenwood, MN 56334

(320) 634-7755

Ramsey County Human Services Department

160 E. Kellogg Blvd.
St. Paul, MN 55101

(651) 266-4444

Red Lake County Social Services

125 Edward Ave. SW
Red Lake Falls, MN 56750

(218) 253-4131 or

(877) 294-0846

Redwood County Human Services

266 E. Bridge Street
Redwood Falls, MN 56283

(507) 637-4041 or

(888) 234-1292

Renville County Human Services

105 S. Fifth St., Suite 203H
Olivia, MN 56277

(320) 523-2202

Rice County Social Services

320 Third St. NW, #2
Faribault, MN 55021

(507) 332-6115

Rock County Family Service Agency

2 Roundwind Road
Luverne, MN 56156

(507) 283-5070

Roseau County Social Services

208 Sixth St. SW
Roseau, MN 56751

(218) 463-2411 or

(866) 255-2932

St. Louis County Social Service Department

320 W. Second St.
Duluth, MN 55802

(218) 726-2101 or

(800) 450-9777

St. Louis County Northland Branch Office

307 S. First St.
Virginia, MN 55792

(218) 749-7137

Scott County Human Services

200 4th Avenue W.
Shakopee, MN 55379

(952) 496-8686

Sherburne County Social Services

13880 Business Center Drive, Ste. 100
Elk River, MN 55330

(763) 765-4000 or

(800) 433-5239

Sibley County Human Services

111 Eighth St.
Gaylord, MN 55334

(507) 237-4000 or

(866) 396-9963

Stearns County Adult and Senior Services

705 Courthouse Square
St. Cloud, MN 56302

(320) 656-6000 or

(800) 450-3663

Steele County Human Services

630 Florence Ave.
Owatonna, MN 55060

(507) 431-5600

Stevens County Human Services Department

400 Colorado Avenue, Suite 104
Morris, MN 56267

(320) 208-6600 or

(800) 950-4429

Swift County Human Services

410 21st Street S,
Benson, MN 56215

(320) 843‑3160

Todd County Social Services

212 Second Ave. S.
Long Prairie, MN 56347

(320) 732-4500 or

(888) 838-4066

Traverse County Social Services Department

202 Eighth St. N.
Wheaton, MN 56296

(320) 422-7777 or

(855) 735-8916

Wabasha County Department of Social Services

411 Hiawatha Drive E.
Wabasha, MN 55981

(651) 565-3351 or

(888) 315-8815

Wadena County Social Services

124 First St. SE
Wadena, MN 56482

(218) 631-7605 or

(888) 662-2737

Waseca County Department of Human Services

299 Johnson Ave. SW, Suite 160
Waseca, MN 56093

(507) 837-6600

Washington County Community Services

14949 62nd St. N.
Stillwater, MN 55082

(651) 430-6455

Watonwan County Human Services

715 Second Ave. S.
St. James, MN 56081

(507) 375-3294 or

(888) 299-5941

Wilkin County Public Health

227 6th Street North
Breckenridge, MN 56520

(218) 643-7161

Winona County Department of Human Services

202 West Third Street
Winona, MN 55987

(507) 457-6500

Wright County Human Services

1004 Commercial Drive
Buffalo, MN 55313

(763) 682-7414 or

(800) 362-3667

Yellow Medicine County Family Service Center

415 9th Avenue, Suite 202
Granite Falls, MN 56241

(320) 564-2211

More Ways to Finance Assisted Living

Some additional ways to finance assisted living costs include:

  • Veterans Benefits: Veterans can take advantage of several different pension programs to help cover the cost of assisted living. For more information, see the article on benefits.va.gov.
  • Life Insurance Policies: Even if a spouse or loved one hasn’t died, certain types of life insurance policies can be used to pay for assisted living. More information is available at longtermcare.acl.gov
  • Long-Term Care Insurance: Long-term care insurance is a type of insurance policy that pays for long-term care when it becomes necessary, including the cost of assisted living. For more information on the benefits and drawbacks of this financing method, visit longtermcare.acl.gov.
  • Reverse Mortgages: Reverse mortgages allow seniors to access the equity from a home that they own, and these funds can be used to pay for assisted living. The U.S. Department of Housing and Urban Development offers a federally insured reverse mortgage program.

Free Assisted Living Resources in Minnesota

Minnesota Senior Citizens Education Program

In Minnesota, residents who are over the age of 62 (or 60 for railroad retirees) qualify for free college education. There is no income limit or limit on the amount of education a resident may receive under this program. Colleges may only charge administrative costs, which is $10 per credit at University of Minnesota. To apply, reach out to the Minnesota college of your interest.

Senior Health Insurance Program (SHIP)

A team of volunteers managed by the Board of Aging helps Medicare-eligible senior citizens make informed choices about their health insurance. The SHIP program provides counseling, education, and assistance on topics like:

  • Medicare, supplemental insurance programs, and public programs
  • Long-term care insurance
  • Billing, claims, and policy issues
  • Understanding and tracking medical forms and bills

To reach a SHIP counselor, call the Senior LinkAge Line at 1-800-333-2433.

Long-Term Care Ombudsman Program

Elders residing in an assisted living facility, their loved ones, and anyone seeking more information about long-term care in Minnesota can reach out to the Long-Term Care Ombudsman (LTCO) for free services such as:

  • Information about resident rights and long-term care regulations
  • Referrals to senior services
  • Investigation and help with resolving complaints

You can reach the Office of the Long-Term Care Ombudsman toll-free at 1-800-657-3591 or locally at (651) 431-2555, where you’ll be automatically connected to your area LTCO Ombudsman.

Minnesota Area Agency on Aging

The area agency on aging is a great resource for seniors looking for help with assisted living. These agencies provide information about long-term care facilities and can help to apply for medical and financial assistance.

Area Agency on Aging Address Phone Number

Arrowhead Area Agency on Aging

221 W 1st St
Duluth, MN 55802

(218) 722-5545

Central Minnesota Council on Aging

250 Riverside Avenue North, Suite 300
Sartell, MN 56377

(320) 253-9349

Land of the Dancing Sky AAA

109 South Minnesota Street
Warren MN 56762-1428

(218) 745-6733

Metropolitan Area Agency on Aging

2365 North McKnight Rd., Ste 3
St. Paul MN 55109

(651) 641-8612

Minnesota Indian AAA

15542 State Hwy 371 NW
Cass Lake, MN 56633

(218) 335-8585 or

(888) 903-8543

Minnesota River Area Agency on Aging

201 N Broad Street, Suite 102
Mankato MN 56001

(507) 387-1256

Southeastern Minnesota AAA

2720 NW Superior Dr., Suite 102
Rochester MN 55901

(507) 288-6944

Chippewa Tribe Elder Services

15542 State Hwy. 371 NW
Cass Lake, MN 56633

(218) 335-8586

Veterans Benefits

As in most states, Minnesota has many Veterans Affairs offices to help vets in the state. Veterans and their families can call or visit a vet center to access benefits, medical assistance, and counseling services.

VA Office Address Phone Number

Clay County Veterans Services Office

715 11th St N # 103

Moorhead, MN 56560

(218) 299-5041

Crow Wing County Veterans Services

204 Laurel St # 14

Brainerd, MN 56401

(218) 824-1058

Stearns County Veterans Services Office

3301 Co Rd 138

Waite Park, MN 56387

(320) 656-6176

Brown County Veterans Services Office

14 S State St,

New Ulm, MN 56073

(507) 233-6636

Blue Earth County Veterans

410 S 5th St,

Mankato, MN 56001

(507) 304-4246

Olmsted County Veterans Services

2100 Campus Dr. SE # 200

Rochester, MN 55904

(507) 328-6355

Rice County Veterans Officer

320 3rd St NW

Faribault, MN 55021

(507) 332-6117

Dakota County Veterans Services

1 Mendota Rd West

St Paul, MN 55118


Ramsey County Veterans Services

90 Plato Blvd W #210

St Paul, MN 55107

(651) 266-2545

Veterans Affairs

20 E 12th St # 2

St Paul, MN 55155

(651) 296-2562

VA St. Paul Regional Office

1 Federal Dr

St Paul, MN 55111

(800) 827-1000

Minneapolis VA Health Care System

1 Veterans Dr

Minneapolis, MN 55417

(612) 725-2000

Sherburne County Veterans Services

13880 Business Cntr Dr. NW

Elk River, MN 55330

(763) 765-3100

Mille Lacs County Veterans Services

525 2nd St SE

Milaca, MN 56353

(320) 983-8208

Pine County Veterans Services

130 Oriole St E

Sandstone, MN 55072

(320) 216-4250 or

(800) 450-7463 ext. 4250

Duluth Vet Center

4402 Haines Rd #3

Duluth, MN 55811

(218) 722-8654

Veterans Affairs Department

320 Miners Dr. E

Ely, MN 55731

(218) 365-8203

Dakota County Western Service Center

14955 Galaxie Avenue

Apple Valley, MN 55124


Social Security Offices

The Social Security Administration might have resources available for elders, based on income, work history, and disability. To find out about benefits you and your loved ones could qualify for, call 1-800-772-1213 or visit the website.

Minnesota Senior Centers

Senior centers are social hubs for active retirees. You can find group meals, exercise programs, art classes, and games at your local senior center. See the table below for centers that have websites with information and activity calendars.

Senior Center Address Phone Number

Edina Senior Center

5280 Grandview Square #101

Edina, MN 55436

(952) 833-9570

Minnetonka Senior Citizens Center

14600 Minnetonka Blvd

Minnetonka, MN 55345

(952) 939-8393

Delano Senior Center

234 2nd St N,

Delano, MN 55328

(763) 972-0574

Mary Ann Young Senior Center

9150 Central Ave NE

Blaine, MN 55434

(763) 786-9375

Apple Valley Senior Center

14601 Hayes Rd,

Apple Valley, MN 55124

(952) 953-2345

Coon Rapids Senior Center

11155 Robinson Dr

Coon Rapids, MN 55433

(763) 767-6473

Whitney Senior Center

1527 Northway Dr,

St Cloud, MN 56303

(320) 255-7245

Crow River Senior Center

11800 Town Center Dr #200

St Michael, MN 55376

(763) 497-8900

Eden Prairie Senior Center

8950 Eden Prairie Rd.

Eden Prairie, MN 55347

(952) 279-8050

Linwood Senior Center

22817 Typo Creek Dr NE

Stacy, MN 55079

(651) 462-5565

Community Thread Bayport Senior Center

2300 Orleans St. W.,

Stillwater, MN 55082

(651) 439-7434

White Bear Area Senior Program

2484 County Rd F East

White Bear Lake, MN 55110

(651) 653-3121

Forest Lake Senior Community Center

767 4th St SW

Forest Lake, MN 55025

(651) 464-5833

Burnsville Senior Center

200 Burnsville Pkwy # 102

Burnsville, MN 55337

(952) 707-4120

Pebmoob Senior Center

899 Payne Ave

St Paul, MN 55130

(651) 489-8567

Senior Community Services

10201 Wayzata Blvd., Suite 335

Minnetonka, MN 55305

(952) 541-1019

Hopkins Activity Center

33 14th Ave N,

Hopkins, MN 55343

(952) 939-1333

125 Live

125 Elton Hills Dr. NW

Rochester, MN 55901

(507) 287-1404

Lakeville Heritage Center

20110 Holyoke Ave,

Lakeville, MN 55044

(952) 985-4620

Hutchinson Event Center

1005 MN-15

Hutchinson, MN 55350

(320) 234-5656

Alexandria Senior Community Center

414 Hawthorne St

Alexandria, MN 56308

(320) 762-2087

Dayton Senior Center and Fire Station 1

18461 Dayton St,

Dayton, MN 55327

(763) 428-4692

Cook County Senior Center

10 Broadway

Grand Marais, MN 55604

(218) 387-2660

Evergreen Senior Center

5830 Grand Ave

Duluth, MN 55807

(218) 723-3663

Faribault Area Senior Citizens

19 Division St W

Faribault, MN 55021

(507) 332-7357

Blackduck Senior Citizens Center

24 1st St SE

Blackduck, MN 56630

(218) 835-7728

ROCORI Senior Center

527 Main St

Cold Spring, MN 56320

(320) 685-4935

East Grand Forks Senior Center

538 Rhinehart Dr. SE

East Grand Forks, MN 56721

(218) 773-0821

Golden Link Senior Center

324 N Main St

Crookston, MN 56716

(218) 281-3072

Buffalo Community Center

206 Central Ave

Buffalo, MN 55313

(763) 682-6036

Cambridge Senior Activity Center

140 Buchanan St N Suite 164

Cambridge, MN 55008

(763) 689-6555

Columbus Senior Center

16321 Kettle River Blvd

Cedar, MN 55011

(651) 464-8463

Gillespie Center

2590 Commerce Blvd

Mound, MN 55364

(952) 472-6501

Rush City Community Center

720 West 14th Street

Rush City, MN 55069

(320) 358-3611

Moorhead Senior Citizens Center

202 1st Ave N

Moorhead, MN 56560

(218) 299-5514

Breckenridge Senior Citizens Center

225 5th St S

Breckenridge, MN 56520

(218) 643-5730

Assisted Living Laws and Regulations in Minnesota

Assisted Living Admission Requirements

Assisted living services may only be provided in a housing with services establishment. To be a resident of an establishment, a person needs to require help with at least one activity of daily living (ADL) and one personal care service, or two ADLs.

Residents will need an assessment with an RN to complete their residency agreements, and a follow-up assessment every year to ensure their needs are always met.

Assisted Living Scope of Care

To qualify as a housing with services establishment, homes must provide each resident with either assistance with two (ADLs), or one ADL and one personal care service. ADLs are defined as:

  • Bathing, grooming, and dressing
  • Continence care
  • Eating
  • Positioning, transferring, walking, and using a wheelchair

Personal care services include:

  • Instrumental ADLs, or IADLs, which include services that help a person plan and go about activities like shopping, bill paying, and medical appointments
  • Observation and redirection of behavior as specified by their care plans
  • Health-related tasks such as medication assistance, tracheostomy services, and management of seizure disorders

Assisted Living Medicaid Policy

Assisted living costs like medical services and supportive services qualify for payment from Minnesota’s Medicaid program, called Medical Assistance (MA). There is also the Housing Support program available for low-income seniors to help with rent, and services if they don’t qualify for the elderly waiver. The MA program waivers do not pay directly for room and board but do cover services such as:

  • Assistance with activities of daily living (ADL) or instrumental ADLs
  • Observation and redirection of challenging behaviors such as aggression
  • Assistance with health-related tasks like taking medication or tracheotomy care

To qualify for Medical Assistance for long-term care, you or your loved one needs to require help with at least four ADLs daily.

Assisted Living Community Requirements

Housing with services establishments are tasked with providing housing and regularly scheduled personal care services to adults, 80% of which in the establishment must be age 55 or older. To be licensed as a housing with services establishment, the residency needs to provide for:

  • Services in at least three of the ADL categories; bathing, dressing, grooming, eating, transferring, continence care, and toileting
  • Establishments must provide at least two meals daily and access to food 24-hours
  • As well as weekly laundry and housekeeping services.
  • Transportation to medical and social services appointments
  • Opportunities for recreation and socialization
  • Assistance with finding social services programs such as MA or senior centers
  • Easy access to the Residents Bill of Rights, as well as any scenarios specific to that resident that might infringe upon any rights, such as a medical situation that is identified in the resident’s care plan

Assisted Living Service Agreements

In order to admit any resident into a housing facility, the facility must complete a housing with services contract, also called a service plan, with that resident. The plan outlines:

  • Names and address of the housing establishment and anyone who provides services for, manages, or owns the establishment, as well as at least one person who can be served legal papers
  • A statement of the license and registration status of the establishment
  • Terms of the contract, including descriptions of all services that will be provided and what can be provided, the prices of those services, as well as the base rent
  • The contact information for the local Long-Term Care Ombudsman, and the process to file a complaint against the establishment
  • Billing and payment procedures
  • Residency requirements and the eviction process, as well as the referral process for when a contract is terminated
  • A statement detailing other services the establishment could provide, third-party services the resident could use if they become needed, and public programs that he or she could use to pay for those services, as well as contact info to receive a long-term care consultation through the state
  • Information about resident rights, like 24-hour access to food and the ability to furnish your own room

Elderly Waiver recipients must also create a co-ordinated service and support plan. This plan, which is due within 10 days of admission, outlines:

  • Service needs
  • Short and long-term goals to improve the resident’s health
  • Costs and frequency of all services that are proposed in the plan

Medication Management Regulations

Establishments must provide 24-hour access to a registered nurse to provide medication assistance to every resident. If a resident is currently capable of managing their own medication, then they can, but everyone must have the option to request help from an RN at any time if they need it.

Minnesota Assisted Living Staffing Requirements

Establishments must have at least one caregiver awake at all times, and the staff must always have access to an on-call registered nurse. The establishment does not have to provide any services that it does not feel prepared to provide but must provide access to service providers that can meet those needs for residents. The establishment manager is responsible for ensuring that there is always enough staff to provide the establishment’s services to all residents 24 hours a day.

Assisted Living Staff Training Requirements

The manager of the establishment needs to have at least 30 hours of continued education every two years year, in topics relevant to the care of the residents. The manager is responsible for ensuring that all staff are trained in the care of the residents, and to perform competency exams on direct care staff.

Some establishments may offer special units for residents with Alzheimer’s disease and other forms of dementia. In these establishments, managers must receive at least eight hours of dementia training initially and two more each year. Care staff who assist those with dementia must complete eight hours of dementia-specific training before working alone, and two hours of continued education a year. All other staff, such as maintenance, must receive at least four hours of training at orientation and two hours of continued education a year.

Background Checks for Assisted Living

Background checks are required for all direct-care staff in an establishment. Fingerprinting may be considered if a person hasn’t lived in Minnesota long enough to establish a record.

Requirements for Reporting Abuse

When a resident has a complaint against an assisted living establishment, they can contact the long-term care facility complaint line at (651) 201-4201 or 1-800- 369-7994, or click here to visit their website.

You can also call your local Long-Term Care Ombudsman at (651) 431-2555 or 1-800-657-3591, who will help the resident coordinate a solution with the facility and any outside agency that needs to be pulled in to mediate.

Healthcare workers are mandatory reporters and must file a complaint against any suspected or witnessed elder abuse. If you witness or suspect elder abuse, you can reach out to the Minnesota Department of Health Office of Health Facility Complaints by phone at 844-880-1574 or click here to file a report online.