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Best Nursing Homes in St. Paul, MN

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 11 homes in St Paul, MN

Sources: CMS Centers for Medicare and Medicaid Services, and Minnesota Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Nursing Homes facilities in St Paul, Minnesota.

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Compare Nursing Homes around St Paul

The information below is reported by the Minnesota Department of Health, Health Regulation Division.

8 facilities compared · CMS & MN Dept. of Health data

Click column headers to sort
Cerenity Humboldt
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

St Paul (Concord-Robert)
115
Facility 115
MN AVG 75
Rank #90 / 536
85.0%
Facility 85.0%
MN AVG 79.7%
Rank #106 / 328
+7%
4.21
Facility 4.21
MN AVG 4.77
Rank #57 / 85
+14%-12%
$105.8k
Facility $105.8k
MN AVG $47.9k
Rank #80 / 86
45
Facility 45
MN AVG 23.2
Rank #73 / 86
5.0
Facility 5.0
MN AVG 3.8
Rank #63 / 86
6
Facility 6
MN AVG 1.2
79A+
73
Facility 73
MN AVG 48
Rank #90 / 633
Fairview Bethesda Hospital
$13.6M
Facility $13.6M
MN AVG $9.9M
Rank #41 / 85
$7.5M
Facility $7.5M
MN AVG $4.9M
Rank #40 / 85
55.1%
Facility 55.1%
MN AVG 50.7%
Rank #51 / 85
245255
Walker Methodist – Westwood Ridge
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

West St Paul (West Saint Paul)
140
Facility 140
MN AVG 75
Rank #45 / 536
82.9%
Facility 82.9%
MN AVG 79.7%
Rank #133 / 328
+4%
6.74
Facility 6.74
MN AVG 4.77
Rank #4 / 85
-3%+41%
$24.1k
Facility $24.1k
MN AVG $47.9k
Rank #58 / 86
30
Facility 30
MN AVG 23.2
Rank #53 / 86
5.0
Facility 5.0
MN AVG 3.8
Rank #63 / 86
1
Facility 1
MN AVG 1.2
116-
63
Facility 63
MN AVG 48
Rank #145 / 633
Walker Methodist
$12.3M
Facility $12.3M
MN AVG $9.9M
Rank #44 / 85
$7.1M
Facility $7.1M
MN AVG $4.9M
Rank #42 / 85
57.6%
Facility 57.6%
MN AVG 50.7%
Rank #43 / 85
245618
Shirley Chapman Sholom Home East
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

St Paul (West Seventh - Fort Road)
118
Facility 118
MN AVG 75
Rank #82 / 536
77.7%
Facility 77.7%
MN AVG 79.7%
Rank #176 / 328
-3%
5.55
Facility 5.55
MN AVG 4.77
Rank #11 / 85
+11%+16%
$13.0k
Facility $13.0k
MN AVG $47.9k
Rank #49 / 86
26
Facility 26
MN AVG 23.2
Rank #44 / 86
6.5
Facility 6.5
MN AVG 3.8
Rank #81 / 86
1
Facility 1
MN AVG 1.2
86-
73
Facility 73
MN AVG 48
Rank #90 / 633
Lisa Edstrom
$23.1M
Facility $23.1M
MN AVG $9.9M
Rank #17 / 85
$13.3M
Facility $13.3M
MN AVG $4.9M
Rank #12 / 85
57.6%
Facility 57.6%
MN AVG 50.7%
Rank #43 / 85
245411
Katy‘s Cottage Memory Care
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

St Paul (Union Park)
60
Facility 60
MN AVG 75
Rank #232 / 536
95.8%
Facility 95.8%
MN AVG 79.7%
Rank #42 / 328
+20%
-
Facility -
MN AVG 4.77
- -22%-
$0
Facility $0
MN AVG $47.9k
Rank #1 / 86
29
Facility 29
MN AVG 23.2
Rank #51 / 86
4.1
Facility 4.1
MN AVG 3.8
Rank #50 / 86
1
Facility 1
MN AVG 1.2
56-
85
Facility 85
MN AVG 48
Rank #21 / 633
Episcopal Homes On University Avenue, LLC
$8.0M
Facility $8.0M
MN AVG $9.9M
Rank #65 / 85
$4.6M
Facility $4.6M
MN AVG $4.9M
Rank #61 / 85
57.3%
Facility 57.3%
MN AVG 50.7%
Rank #45 / 85
245625
St Anthony Park Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

St Paul (Saint Anthony Park)
84
Facility 84
MN AVG 75
Rank #169 / 536
88.4%
Facility 88.4%
MN AVG 79.7%
Rank #88 / 328
+11%
5.04
Facility 5.04
MN AVG 4.77
Rank #27 / 85
-12%+6%
$13.6k
Facility $13.6k
MN AVG $47.9k
Rank #50 / 86
41
Facility 41
MN AVG 23.2
Rank #69 / 86
10.3
Facility 10.3
MN AVG 3.8
Rank #85 / 86
1
Facility 1
MN AVG 1.2
70-
80
Facility 80
MN AVG 48
Rank #47 / 633
Alan Markowitz
$14.0M
Facility $14.0M
MN AVG $9.9M
Rank #38 / 85
$7.5M
Facility $7.5M
MN AVG $4.9M
Rank #39 / 85
53.4%
Facility 53.4%
MN AVG 50.7%
Rank #56 / 85
245063
Southview Acres
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

West St Paul (Oakdale Avenue)
231
Facility 231
MN AVG 75
Rank #8 / 536
72.4%
Facility 72.4%
MN AVG 79.7%
Rank #215 / 328
-9%
4.64
Facility 4.64
MN AVG 4.77
Rank #48 / 85
-24%-3%
$41.6k
Facility $41.6k
MN AVG $47.9k
Rank #66 / 86
46
Facility 46
MN AVG 23.2
Rank #74 / 86
3.5
Facility 3.5
MN AVG 3.8
Rank #34 / 86
2
Facility 2
MN AVG 1.2
166-
40
Facility 40
MN AVG 48
Rank #337 / 633
Bogey Holdings, LLC
$23.9M
Facility $23.9M
MN AVG $9.9M
Rank #15 / 85
$15.4M
Facility $15.4M
MN AVG $4.9M
Rank #7 / 85
64.4%
Facility 64.4%
MN AVG 50.7%
Rank #20 / 85
245189
Highland Chateau Health + Rehabilitation Clinic-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

St Paul (Highland Park)
64
Facility 64
MN AVG 75
Rank #222 / 536
84.4%
Facility 84.4%
MN AVG 79.7%
Rank #120 / 328
+6%
4.15
Facility 4.15
MN AVG 4.77
Rank #57 / 85
---+74%-13%
$101.2k
Facility $101.2k
MN AVG $47.9k
Rank #79 / 86
113
Facility 113
MN AVG 23.2
Rank #85 / 86
7.1
Facility 7.1
MN AVG 3.8
Rank #83 / 86
6
Facility 6
MN AVG 1.2
51A+
59
Facility 59
MN AVG 48
Rank #185 / 633
Marcus Parence
$10.6M
Facility $10.6M
MN AVG $9.9M
Rank #53 / 85
$4.9M
Facility $4.9M
MN AVG $4.9M
Rank #59 / 85
46.4%
Facility 46.4%
MN AVG 50.7%
Rank #70 / 85
245028
Little Sisters of the Poor Holy Family Residence
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

St. Paul (West Seventh - Fort Road)
73
Facility 73
MN AVG 75
Rank #196 / 536
58.3%
Facility 58.3%
MN AVG 79.7%
Rank #267 / 328
-27%
6.74
Facility 6.74
MN AVG 4.77
Rank #4 / 85
+34%+41%
$17.6k
Facility $17.6k
MN AVG $47.9k
Rank #54 / 86
33
Facility 33
MN AVG 23.2
Rank #57 / 86
5.5
Facility 5.5
MN AVG 3.8
Rank #70 / 86
1
Facility 1
MN AVG 1.2
31A+
77
Facility 77
MN AVG 48
Rank #63 / 633
Claire Mccanless
$4.3M
Facility $4.3M
MN AVG $9.9M
Rank #81 / 85
$3.7M
Facility $3.7M
MN AVG $4.9M
Rank #71 / 85
87.6%
Facility 87.6%
MN AVG 50.7%
Rank #1 / 85
245524
Overview of Cerenity Humboldt

As the name suggests, Cerenity Humboldt houses assisted living, memory care, skilled nursing, rehabilitation living options in St. Paul, MN. All living options are provided with personalized care where each resident is able to   receive assistance and care that is based on their needs. The services and programs they provide are fitting to the holistic wellness of each resident who needs assistance with mental and physical aspects; their wellness programs and enriching activities allow for an innovative approach to a healthy mental, physical, and emotional aspects of their bodies to be nurtured. Cerenity Humboldt celebrates individuality which is where residents are encouraged to still live freely within the community with the help of the staff who are assured to provide care and service with compassion and respect. 
Residency at Cerenity Humboldt is a good place to spend your golden years, especially because there’s a lot of features that the community has to offer– 117 affordable apartments for seniors who want to live independently yet still prefer having additional support with everyday living. All residents receive essential services such as concierge, scheduled transportation, housekeeping and linen services, housekeeping; while every resident that is outside of independent living care receives most ADLs (i.e. medication management, bathing, grooming, eating, walking). 

Contact Cerenity Humboldt

Overview of Walker Methodist – Westwood Ridge

Residents enjoy an ultimately relaxing stay at Walker Methodist – Westwood Ridge, nestled in the serene neighborhood of West St. Paul, MN, where independent living, assisted living, and memory care come together in harmony. Here, seniors can select from a variety of accommodations, including cozy studios and spacious one- and two-bedroom apartments, all within a community known for its exceptional care services and consistently high ratings.

This community offers a fulfilling lifestyle, where comfort and convenience blend seamlessly with a wealth of amenities. The friendly, well-trained team ensures each resident enjoys a healthy, active life, with a vibrant schedule of social, educational, and entertaining activities. Here, seniors thrive in an enriching community that fosters connections and enhances quality of life. Choose Walker Methodist – Westwood Ridge for an active and rewarding lifestyle today.

Contact Walker Methodist – Westwood Ridge

Overview of Shirley Chapman Sholom Home East

Shirley Chapman Sholom East is one of St. Paul’s trusted nursing homes offering a home-like atmosphere. Specializing in short-term rehabilitation and long-term nursing care, the results-driven community is focused on providing a relaxing and rejuvenating recovery journey for its seniors. Its patient-friendly staff delivers quality services to offer the best care possible for its residents.
A Shirley Chapman lifestyle follows the philosophy of a caring, compassionate community that welcomes everyone. Community accommodations are designed to cater to the unique needs of its residents. Featured medical services include therapy (speech, occupational, physical), an on-site x-ray lab and therapy center, orthotic, optometry, podiatry, and audiology services. Amenities include a rooftop, a Chapel, a library, and a salon.

Contact Shirley Chapman Sholom Home East

Overview of Katy‘s Cottage Memory Care

Trying to provide the best possible care for a loved one with dementia or Alzheimer’s is no simple task, nor is home care always the most ideal option. That’s why memory care centers like Katy’s Cottage in St. Paul, Minnesota, offer compassionate, expert services to those suffering from memory impairment conditions, ensuring that your near and dear are cared for in the most professional way. They understand that support must be given in a way that maintains the dignity and independence of residents, while enriching their experiences.

With improving quality of life their top priority, Katy’s Cottage provides a peaceful, comforting environment, and structured routines for peaceful days in this memory care location. On top of medical and daily living activities assistance, supervision during engaging tasks help stimulate the minds of residents while bolstering a sense of achievement.

Contact Katy‘s Cottage Memory Care

Overview of Leo and Doris Hodroff Pavilion for Memory Care

Tucked in St. Louis Park, Minnesota, Leo and Doris Hodroff Pavilion for Memory Care is a warm community, offering carefully designed studio apartments to enhance residents’ daily living experiences. Boasting a total of 24 meticulously curated units, the dedicated staff ensures the seamless operation of the facility, prioritizing the well-being of its residents. Controlled access adds layer of security, fostering a safe and comfortable environment.

Further enhancing the living experience, residents have access to onsite amenities, including a beauty and barber shop, a guest services desk, and various community areas. The facility also offers a whirlpool spa and a secured patio for residents to unwind. With services encompassing daily housekeeping, laundry, bedmaking, and trash removal, residents enjoy a hassle-free environment. Transportation services facilitate outings, and comprehensive on-campus support includes access to physical, occupational, and speech therapy, along with ancillary services, creating a supportive and enriching living community.

Contact Leo and Doris Hodroff Pavilion for Memory Care

Overview of Sholom Home West

Sholom Home West, situated in the heart of Minnesota, emerges as a sanctuary dedicated to providing seniors with comfort, care, and a vibrant sense of community. Rooted in a rich legacy of compassion, this 179-bed senior care community offers various services, from short-term rehabilitation to long-term care. Meticulously tailored by an interdisciplinary team of professionals, individualized care plans address the distinctive needs of each resident, whether recovering from an accident, surgery, illness or simply seeking a supportive environment. Sholom Home West, where compassion seamlessly intertwines with community, welcomes seniors to thrive within its nurturing environment.
Sholom Home West goes beyond the ordinary, providing on-site medical services, including X-ray, lab services, podiatry, optometry, orthotics, audiology, and dental care to enhance overall well-being. The community prioritizes a holistic approach, incorporating therapy clinics for physical, occupational, and speech therapies, along with recreational, music, and pet therapies that significantly enrich the lives of residents. Amidst its walls, Sholom Home West creates an atmosphere of solace and companionship. Essential services such as daily housekeeping, linen, and personal laundry ensure a standard of comfort and cleanliness. Community rooms serve as inviting spaces for resident and family gatherings. Kosher meals and snacks are savored, complemented by the safety net of 24/7 admissions, registered nurses, and dedicated care specialists offering round-the-clock support. Lastly, the outdoor courtyard stands as a tranquil oasis for reflection, while the chapel, library, gift shop, and onsite beauty/barbershop nurture the mind, body, and spirit.

Contact Sholom Home West

Overview of Jay and Rose Phillips Center for Memory Care

The Jay and Rose Phillips Center for Memory Care emerges as a dedicated haven tailored exclusively for seniors grappling with dementia and memory loss. Nestled within its serene walls are meticulously crafted studio apartments, each designed to meet the unique needs of its residents, placing dignity and individuality at the forefront. This senior living community in St. Paul, Minnesota, embodies the belief that life can be lived fully and purposefully. It is a beacon of care and community for those seeking compassion and expertise. Specialized services and thoughtful amenities converge within this supportive environment to create a nurturing space. Families find solace in the knowledge that their loved ones receive expert care and are valued members of a community that cherishes each resident.

Services at the center extend beyond primary care, emphasizing community and individuality. Residents savor three kosher meals and snacks daily, prepared with care. Weekly housekeeping and laundry services maintain a comfortable living environment. Personalized care addresses individual needs, while wellness clinics prioritize holistic well-being. Licensed nursing personnel provide daily and on-call support, ensuring round-the-clock care. Structured memory care activities cater to physical, mental, spiritual, and social needs. Transportation for outings enriches residents’ experiences beyond the center, and all utilities are included. The center’s commitment extends beyond mere assistance; it fosters a sense of community that embraces every resident. With 18 private studio apartments, residents enjoy a personal haven with spacious bathrooms and controlled access for enhanced security. Comfortable common areas, including a family-style living room, sunroom, kitchen, and dining room, encourage social interaction. The secured rooftop garden and whirlpool spa provide tranquility, while an on-site beauty/barber shop ensures residents can maintain their grooming routines. Lastly, access to Shaller Family Campus amenities further connects them to a broader community.

Contact Jay and Rose Phillips Center for Memory Care

Overview of St Anthony Park Home

St Anthony Park Home, located in St Paul, MN, is an 83-bed skilled nursing facility. This community provides exemplary short-term, long-term, and memory care services. Their patient-centered care is well coordinated with the residents and their professional team of registered and licensed nurses, CNAs, therapists, social workers, activities team members, and dietitians. As part of their care services, each resident is provided 24/7 skilled nursing care and assistance with daily living activities as needed.
Additionally, residents are provided meals regularly, which are carefully prepared to meet their dietary needs. Housekeeping and laundry services ensure the cleanliness of the facility, an added safety measure to protect residents from infections or diseases, as well as accidents. Daily activities such as art, music, and social gatherings are also scheduled to provide entertainment as well as opportunities to stay physically active, engaged, and mentally stimulated.

St Anthony Park Home is a VA-certified facility.

Contact St Anthony Park Home

Overview of Southview Acres

Southview Acres, located in West St. Paul, MN is a 220-bed healthcare facility that offers transitional care services, long-term care, and memory care services. At Southview Acres, residents and patients are provided with personalized care programs in a comfortable and quiet environment. Their care program includes skilled nursing care, oversight, medication management, and wound and pain management if needed.

Additionally, the community offers therapy services and therapeutic programs designed to foster social, intellectual, spiritual, physical, creative, and musical interests. Meals are also provided to residents through family-style dining. The facility also offers social services, spiritual services, and end-of-life care.

Southview Acres is a VA-certified facility. 

Contact Southview Acres

Overview of Highland Chateau Health + Rehabilitation Clinic

Highland Chateau Health + Rehabilitation Clinic is a private 64-bed skilled nursing facility located in St Paul, MN. This premier community offers both short-term and long-term care. Additionally, each resident is provided private accommodation where they can relax and feel at home, without having to worry about housekeeping or laundry.

The staff at Highland Chateau provides each resident with 24/7 care, rehabilitation therapies, as well as meal provisions. A barber and beauty salon is also available on-site for beauty and grooming services. Furthermore, the residents are offered wound and pain management services, in case they need specialized care after a surgery or major operation.

Contact Highland Chateau Health + Rehabilitation Clinic

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in St. Paul, MN

What's the difference between assisted living and a nursing home in Minnesota?

Assisted living in Minnesota is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Minnesota Medicaid cover nursing home care?

Yes — Minnesota Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 11 nursing homes in St. Paul, MN. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in St. Paul, MN?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in St. Paul, MN, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in St. Paul, MN?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.