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Senior care in St. Paul

Free help comparing assisted living, memory care, nursing and in-home care in St. Paul and the surrounding Ramsey County area.

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5 verified communities
Ramsey County
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Quick answer

St. Paul is in Ramsey County. Assisted living here is licensed by the Minnesota Department of Health under Chapter 144G.

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HomeCitiesSt. Paul

Minnesota's capital and Ramsey County seat, anchored by Regions Hospital and United Hospital, with senior communities often housed in converted Victorian-era buildings along the Green Line corridor.

Short answer

St. Paul is in Ramsey County. Senior care here is regulated by the Minnesota Department of Health. We list 5 verified communities in St. Paul, and an advisor can cover the surrounding area at no cost to your family.

Verified communities in St. Paul

Every community below was confirmed against the operator's own published information. We do not list bed counts or license numbers we could not verify, and we do not publish pricing we cannot source.

CommunityCare typeAddressCounty
Cerenity Senior Care – MarianAssisted Living225 Frank Street
St. Paul, MN 55106
Ramsey
Episcopal Church HomeNursing Home490 East Lynnhurst Ave
St. Paul, MN 55104
Ramsey
Shirley Chapman Sholom Home EastNursing Home740 Kay Ave
St. Paul, MN 55102
Ramsey
Our Lady of PeaceHospice2076 St. Anthony Ave
St. Paul, MN 55104
Ramsey
Home Instead – St. Paul, MNHome Health & Home Care2480 White Bear Ave
St. Paul, MN 55109
Ramsey
How Minnesota licenses assisted living. Minnesota licenses assisted living under a single law, Chapter 144G, with two categories: assisted living facility, and assisted living facility with dementia care. Read the full explanation →
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 →

Care options in St. Paul

Questions families ask

How do I apply for Medical Assistance long-term care or a waiver in the Twin Cities?

Start by contacting your county human services agency (Hennepin, Ramsey, Dakota, Anoka, or Washington County) or calling the Senior LinkAge Line at 1-800-333-2433 to request a MnCHOICES long-term-care needs assessment, which determines functional eligibility, alongside a separate financial application for Medical Assistance.

Does Medicaid pay for the full cost of assisted living in Minnesota?

No. Medical Assistance, through the Elderly Waiver, pays only for the care-services portion delivered inside a licensed assisted living facility, never the room-and-board charge. Minnesota does not have a broad state subsidy that covers private-pay room and board, though very-low-income residents in certain licensed settings may qualify for a separate, narrower Housing Support benefit to help offset it.

What are Minnesota's income and asset limits for nursing home Medical Assistance in 2026?

Minnesota is a '209(b) medically needy' state with no fixed income cap — income above the Medically Needy Income Limit (commonly cited around $1,305/month for an individual in 2026) must be spent down on medical or care costs each budget period. Countable assets are generally limited to around $3,000 for a single applicant and $6,000 for a couple both applying, though these specific dollar figures are third-party sourced and should be reconfirmed against DHS's Eligibility Policy Manual before relying on them for a specific case.

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