Best Nursing Homes in St. Paul, MN

Why trust this guide? Our editorial team analyzed 8 nursing homes in St Paul, MN using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MN
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Last updated
We analyzed These are the facilities in St Paul, MN our team has analyzed — not a count of every nursing home provider in St Paul, MN.
8 homes
Other senior care options in St Paul:
Avg Overall CMS Rating: 2.3/ 5The average Overall CMS Rating for all CMS-certified nursing homes in St Paul, MN. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 4.3/ 5The average Staffing Rating across all CMS-certified nursing homes in St Paul, MN. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in St Paul, MN. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around St Paul

Info below is compiled from CMS reports & the MN Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Minnesota average is: 70.4% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Shirley Chapman Sholom Home East
NH
SNF
St Paul
118 77.7% -
5.65
Facility 5.65
MN AVG 4.77
Rank #9 / 66
+11%+19%
$0
Facility $0
MN AVG $47.9k
Rank #1 / 66
26
Facility 26
MN AVG 23.2
Rank #31 / 66
6.5
Facility 6.5
MN AVG 3.8
Rank #61 / 66
192- 73 Lisa Edstrom
$15.1MFiscal year ending 09/2023
Facility $15.1MFiscal year ending 09/2023
MN AVG $11.0M
Rank #15 / 62
$11.5MFiscal year ending 09/2023
Facility $11.5MFiscal year ending 09/2023
MN AVG $7.2M
Rank #10 / 62
76%Fiscal year ending 09/2023
Facility 76%Fiscal year ending 09/2023
MN AVG 70.4%
Rank #13 / 62
245411
Walker Methodist – Westwood Ridge
NH
AL
IL
MC
RC
SNF
West St Paul (West Saint Paul)
140 82.9% -
6.20
Facility 6.20
MN AVG 4.77
Rank #5 / 66
-3%+30%
$15.6k
Facility $15.6k
MN AVG $47.9k
Rank #41 / 66
30
Facility 30
MN AVG 23.2
Rank #38 / 66
5.0
Facility 5.0
MN AVG 3.8
Rank #45 / 66
1116- 63 Walker Methodist
$9.0MFiscal year ending 12/2023
Facility $9.0MFiscal year ending 12/2023
MN AVG $11.0M
Rank #33 / 62
$6.5MFiscal year ending 12/2023
Facility $6.5MFiscal year ending 12/2023
MN AVG $7.2M
Rank #29 / 62
72%Fiscal year ending 12/2023
Facility 72%Fiscal year ending 12/2023
MN AVG 70.4%
Rank #16 / 62
245618
Southview Acres
NH
HOS
MC
RC
SNF
West St Paul
210 82.5% -
5.06
Facility 5.06
MN AVG 4.77
Rank #24 / 66
-24%+6%
$41.6k
Facility $41.6k
MN AVG $47.9k
Rank #48 / 66
46
Facility 46
MN AVG 23.2
Rank #56 / 66
3.5
Facility 3.5
MN AVG 3.8
Rank #22 / 66
2173- 40 Bogey Holdings, LLC
$21.3MFiscal year ending 12/2023
Facility $21.3MFiscal year ending 12/2023
MN AVG $11.0M
Rank #6 / 62
$11.4MFiscal year ending 12/2023
Facility $11.4MFiscal year ending 12/2023
MN AVG $7.2M
Rank #11 / 62
53.6%Fiscal year ending 12/2023
Facility 53.6%Fiscal year ending 12/2023
MN AVG 70.4%
Rank #43 / 62
245189
St Anthony Park Home
NH
HOS
PC
RC
SNF
St Paul (Saint Anthony Park)
84 89.2% -
5.28
Facility 5.28
MN AVG 4.77
Rank #16 / 66
-12%+11%
$8.8k
Facility $8.8k
MN AVG $47.9k
Rank #37 / 66
41
Facility 41
MN AVG 23.2
Rank #53 / 66
10.3
Facility 10.3
MN AVG 3.8
Rank #65 / 66
175- 80 Alan Markowitz
$10.0MFiscal year ending 09/2023
Facility $10.0MFiscal year ending 09/2023
MN AVG $11.0M
Rank #29 / 62
$5.0MFiscal year ending 09/2023
Facility $5.0MFiscal year ending 09/2023
MN AVG $7.2M
Rank #37 / 62
50.3%Fiscal year ending 09/2023
Facility 50.3%Fiscal year ending 09/2023
MN AVG 70.4%
Rank #52 / 62
245063
Little Sisters of the Poor Holy Family Residence
NH
AL
St. Paul
73 52.1% -
6.58
Facility 6.58
MN AVG 4.77
Rank #3 / 66
+34%+38%
$13.3k
Facility $13.3k
MN AVG $47.9k
Rank #40 / 66
33
Facility 33
MN AVG 23.2
Rank #41 / 66
5.5
Facility 5.5
MN AVG 3.8
Rank #52 / 66
138- 77 Claire Mccanless$4.2M*Fiscal year ending 2013These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$3.6M*Fiscal year ending 2013These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.86.7%*Fiscal year ending 2013These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.245524
Cerenity Humboldt
NH
AL
HOS
MC
RC
SNF
St Paul (Concord-Robert)
115--
4.37
Facility 4.37
MN AVG 4.77
Rank #42 / 66
+14%-8%
$96.7k
Facility $96.7k
MN AVG $47.9k
Rank #57 / 66
45
Facility 45
MN AVG 23.2
Rank #55 / 66
5.0
Facility 5.0
MN AVG 3.8
Rank #45 / 66
680- 73 Fairview Bethesda Hospital
$11.9MFiscal year ending 06/2024
Facility $11.9MFiscal year ending 06/2024
MN AVG $11.0M
Rank #24 / 62
$5.8MFiscal year ending 06/2024
Facility $5.8MFiscal year ending 06/2024
MN AVG $7.2M
Rank #31 / 62
48.6%Fiscal year ending 06/2024
Facility 48.6%Fiscal year ending 06/2024
MN AVG 70.4%
Rank #57 / 62
245255
Highland Chateau Health + Rehabilitation Clinic-
NH
HOS
MC
RC
SNF
St Paul (Highland Park)
64 84.4% -
5.18
Facility 5.18
MN AVG 4.77
Rank #20 / 66
---+74%+9%
$84.5k
Facility $84.5k
MN AVG $47.9k
Rank #55 / 66
113
Facility 113
MN AVG 23.2
Rank #65 / 66
7.1
Facility 7.1
MN AVG 3.8
Rank #63 / 66
654A+ 59 Marcus Parence
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
MN AVG $11.0M
Rank #40 / 62
$4.1MFiscal year ending 12/2023
Facility $4.1MFiscal year ending 12/2023
MN AVG $7.2M
Rank #47 / 62
58.4%Fiscal year ending 12/2023
Facility 58.4%Fiscal year ending 12/2023
MN AVG 70.4%
Rank #35 / 62
245028

Rank badges are statewide: each community is ranked against every MN community we track that reports that metric, not just the 8 analyzed for St Paul.

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 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 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 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 Little Sisters of the Poor Holy Family Residence

Little Sisters of the Poor Holy Family Residence is located at 330 Exchange St S in the West Seventh-Fort Road neighborhood of St. Paul. It is about 1.2 miles from the city center. It has 73 beds and functions as both a nursing home and an assisted living community. They have been around since 1883, which is a surprisingly long time for a facility like this in Minnesota. The area also has a Walk Score of 77. This is great because it means you can easily visit family or run errands without needing a car.

Right now, they have 32 residents living there. Nursing coverage works out to 6 hours and 45 minutes for each resident every day. That total includes 42 minutes from registered nurses and 3 hours and 3 minutes from nurse aides.

What really sets this place apart is how they handle governance. They have an active resident council and an active family council that meet regularly. It gives residents and their families a real way to share their thoughts on the care, rules, and daily life at the home. They also have a residents group and a family member group to help with that process. Because they accept Medicare and Medicaid, it is a solid option for people who rely on federal coverage.

If you are looking for a place that offers steady clinical care and takes family feedback seriously, this residence is a strong contender. Between their location near downtown St. Paul and their very long history, they offer something unique in the local market.

Contact Little Sisters of the Poor Holy Family Residence

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 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

Overview of River of Life Residential Living

River of Life Residential Living is a compassionate community in Saint Paul, MN, that offers personal care, skilled nursing, and long-term stay. Committed to residents’ welfare, the community provides individualized care for their healthcare needs. The community also employs a faith-based approach to care, ensuring residents feel at ease during their stay.

Prioritizing residents’ holistic wellness, pastoral services, physical, and occupational therapy are provided. Hospice care is also available to ease residents’ pain and discomfort in their end-of-life journey. With Bluestone Physician Services, residents do not have to worry about their medical needs. Here, residents are guaranteed to have the finest retirement experience, accompanied by the community’s comprehensive services and nurturing environment.

Contact River of Life Residential Living

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
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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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 8 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.