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Choosing Between Two Communities

The questions that break a tie once the tours all start blurring together.

HomeComparisonsChoosing Between Two Communities
Short answer

When two communities both seem workable, compare the all-in cost at your parent's actual care level, the three-year rate increase history, overnight staffing (not daytime), both facilities' state inspection records, and whether either holds a Medicaid waiver provider agreement your family might eventually need.

This decision comes up often enough that we cover it in full, with a step-by-step comparison process, on its own page in our situations section rather than repeating it here.

See the full comparison walkthrough →

What to ask on a tour. Ask to see the state inspection report, the memory-care disclosure/certification if marketed, the all-in cost at your parent's care level, the three-year rate increase history, and the overnight staffing ratio. Read the full explanation →

Questions families ask

Will assisted living facilities in Minnesota be renamed or reclassified soon?

No reclassification is coming, but a new consumer-protection rule takes effect January 1, 2027: the term 'assisted living' becomes legally protected under Minn. Stat. 144G.10, subd. 5, meaning a community can only advertise or describe itself as 'assisted living' if it actually holds an MDH assisted living license under Chapter 144G.

Does an assisted living facility in Minnesota need a separate food service license?

No. Under Minn. Stat. 144G.10, subd. 3, facilities licensed as assisted living under Chapter 144G are not separately required to hold a boarding-establishment, food-and-beverage, hotel/motel, or restaurant license under Minnesota's general lodging and food code, Chapter 157. MDH's assisted living survey process covers that ground instead.

Who regulates home care agencies that send caregivers into a senior's home in the Twin Cities?

Home care providers in Minnesota are licensed and regulated by MDH, and complaints against a licensed home care agency go to the same Office of Health Facility Complaints line as facility complaints: 651-201-4200 (metro) or 1-800-369-7994 (greater Minnesota). No separate, dedicated home-care-only complaint hotline exists.

What is the Elderly Waiver and what does it cover?

The Elderly Waiver (EW) is Minnesota's Medicaid home- and community-based services waiver for seniors 65+ who are Medical Assistance eligible and assessed via MnCHOICES as needing a nursing-facility level of care. It covers personal care assistance, homemaker services, home health aide, case management, adult day services, respite care, home-delivered meals, and — inside licensed assisted living — 'customized living' or '24-hour customized living' service packages, but it never pays room and board.

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