Best Senior Living in St Paul, Minnesota
49 communities found
St. Paul families weighing senior living have 79 options to consider, including 48 residential communities and 31 agencies. Across 66 rated communities, the average rating is 4.2 out of 5, drawn from 1,975 reviews read.
- 78options listed
- 4.2average rating, 64 rated
- 1,923family reviews read
- 1small homes, 10 or fewer

Highland Path
St. Paul, Minnesota
4.9(27)
Assisted LivingIndependent LivingMemory Care

Caremate Home Health Care Inc
St. Paul, Minnesota
4.7(29)
Medicare home health

Gable Pines
St. Paul, Minnesota
4.6(87)
Assisted Living

Lexington Landing
St. Paul, Minnesota
5(8)
Assisted LivingIndependent LivingMemory Care

Little Sisters Of The Poor
St. Paul, Minnesota
5(7)
Skilled Nursing / Long Term Care

Willows of Ramsey Hill
St. Paul, Minnesota
4.6(22)
Assisted LivingIndependent LivingSkilled Nursing / Long Term Care

Empower Center Care
St. Paul, Minnesota
5(5)
Assisted Living

Summerhill of Maplewood
St. Paul, Minnesota
5(4)
Independent Living

Iris Park Commons Assisted Living by Episcopal Homes
St. Paul, Minnesota
4.6(13)
Assisted Living

Rakhma Joy Home
St. Paul, Minnesota
5(3)
Assisted LivingSkilled Nursing / Long Term Care

Terrace at Iris Park by Episcopal Homes
St. Paul, Minnesota
5(3)
Independent Living

West Ridge Hills & Estates
St. Paul, Minnesota
5(3)
Assisted LivingMemory Care
Best-rated senior living in St. Paul
Ranked by family rating, weighted by how many families have reviewed each one. No community pays to appear here.
- 1
4.9 (27 reviews)· Assisted Living, Independent Living, Memory Care
Highland Path offers assisted living, independent living, and skilled nursing care, and holds a 4.9 out of 5 rating from 27 Google reviewers.
- 2
4.7 (29 reviews)· Home Health, Skilled Nursing / Long Term Care
Families describe Caremate Home Health Care as communicative, professional, and caring, though one review noted disorganization and staff unpreparedness.
- 3
4.6 (87 reviews)· Assisted Living
Gable Pines holds a 4.6 out of 5 rating from 86 Google reviewers, though no specific comments explain the satisfaction behind it.
- 4
5 (8 reviews)· Assisted Living, Independent Living, Memory Care
Lexington Landing holds a perfect 5 out of 5 rating from families on Google, based on a small number of reviews.
- 5
5 (7 reviews)· Skilled Nursing / Long Term Care
Families consistently praise Little Sisters Of The Poor for the warmth and compassion the Sisters and staff show toward residents.
- 6
4.6 (22 reviews)· Assisted Living, Independent Living, Skilled Nursing / Long Term Care
Willows of Ramsey Hill holds a 4.6 out of 5 rating from 22 Google reviews, though no detailed comments describe daily life there.
- 7
5 (5 reviews)· Assisted Living· 54 units
Empower Center Care, a small 54-unit assisted living community, holds a 5.0 rating and offers 24/7 personal care and home-cooked meals.
- 8
Iris Park Commons Assisted Living by Episcopal Homes
4.6 (13 reviews)· Assisted Living
- 9
Gracewood Highland Advanced Assisted Living & Memory Care
4.4 (48 reviews)· Assisted Living, Independent Living, Memory Care
Gracewood Highland Advanced Assisted Living & Memory Care is rated 4.4 out of 5 stars based on 47 Google reviews.
- 10
The Gardens at Episcopal Homes
4.4 (9 reviews)· Skilled Nursing / Long Term Care
Reviewers describe The Gardens at Episcopal Homes as a warm, home-like skilled nursing community with attentive, compassionate staff.
What families say about senior living in St. Paul
Counted across the review summaries of 74 St. Paul communities: the share whose families mention each theme.
Reviewers most often mention caring, attentive staff, cited in 71% of 70 communities, and building and grounds, noted in 34%. The most common concerns are communication with families, raised in 59%, and cost and billing, noted in 51%.
Praised most
- Caring, attentive staff 73%
- Building and grounds 31%
- Food and dining 19%
- Activities and social life 19%
- Medical and nursing care 19%
Concerns raised
- Communication with families 59%
- Cost and billing 53%
- Staff attitude 28%
- Building and upkeep 22%
“A safe, clean, comfortable environment for my mother. She is enjoying her new friends and the security of knowing there is such a warm and caring staff to help her with her needs.”
“While I was visiting a family member today I encountered the most wonderful worker. I want to say Ms Britta was amazing. Very kind, bubbly, had the biggest smile the entire time while she helped us and all the residents during the singing event. She was just the sweetest! She is a hard worker!♥️”
“I love this place and the amazing staff. They are friendly and take time for our family and friends when the need to go to a TCU. I have use this place 3 time for my family over the last 2 years. I would not go anyway else. A BIG THANKS to the stuff for caring for my mom.”
Senior Living in St. Paul: the figures
- •Of the 12 with a known size, 1 have ten residents or fewer, 6 have 11 to 60, and 5 have more than 60.
- •16 nursing homes carry a Medicare star rating, averaging 2.9 out of 5: 5 rated four stars or better, 2 rated one star.
- •Among the 4 that publish a starting price, prices start at $1,041 a month with a median of $2,043.
- •Most common amenities: 24-hour staff (53), emergency call system (53), medication management (50), wheelchair accessible (49), housekeeping (45), gathering / activity spaces (39).
How families pay for senior living in Minnesota
Most Minnesota families start by paying privately, drawing on savings, retirement income, and often the proceeds from selling a home. Long-term care insurance, when a parent or spouse has a policy, can also help cover the monthly cost of assisted living, memory care, or independent living. Veterans and surviving spouses may qualify for VA Aid and Attendance, a benefit that adds a monthly payment on top of a regular VA pension for those who need help with daily activities. It is worth checking early, since VA claims can take time to process.
The full picture for the state: Senior Living in Minnesota. Prices by city and the programs that help: what senior living costs in Minnesota.
Senior Living near St. Paul
Cities within about 35 miles with senior living inventory, and how families rate it.
| City | Communities | RatingAverage rating | Distance |
|---|---|---|---|
| West St Paul4.1 mi | 7 | 4.5 / 5 | 4.1 mi |
| Roseville5.3 mi | 18 | 4.2 / 5 | 5.3 mi |
| Maplewood6 mi | 23 | 4.2 / 5 | 6 mi |
| St. Anthony7.8 mi | 6 | 3.7 / 5 | 7.8 mi |
| Oakdale7.9 mi | 14 | 3.7 / 5 | 7.9 mi |
| Inver Grove Heights7.9 mi | 18 | 4.3 / 5 | 7.9 mi |
| New Brighton9 mi | 5 | 3.8 / 5 | 9 mi |
| White Bear Lake9 mi | 9 | 4.2 / 5 | 9 mi |
All of Minnesota: Senior Living in Minnesota. Closer to home? Compare senior living near you, sorted by distance.
About these figures
Computed on October 14, 2026 from the 78 communities listed in St. Paul, 1,923 public family reviews on Google, Yelp and MyLivingChoice, state licensing records and, for nursing homes, CMS Care Compare. The best-rated list ranks communities by average family rating weighted by how many families have reviewed each one, so a 4.9 from three reviews does not outrank a 4.7 from two hundred. No community pays to appear in the best-rated list or in these figures; sponsored and partner listings in the directory results are marked as such. Figures refresh as listings and reviews change; the written summary was last revised September 25, 2026.
Reading on this
Guides from MyLivingChoice that families in St Paul ask about.
- Home Care in Minnesota: Agencies, Medicare Home Health Ratings, and What It Costs
- Nursing Home vs. Assisted Living: Which Level of Care Does Your Loved One Actually Need?
- Signs It Is Time to Move From Home Care to Assisted Living
Not in St Paul? Senior living near me finds communities around wherever you are.
Senior Living in St Paul: Common Questions
How many senior living communities are in St Paul, Minnesota?
MyLivingChoice lists 78 senior living communities in St Paul, Minnesota, each with photos, care details, and reviews from families.
How much does senior living cost in St Paul?
Among St Paul communities that publish pricing, senior living starts around $1,041/month, with an average published starting rate near $2,727/month. Final costs depend on care needs and apartment choice.
Which senior living communities in St Paul are rated highest?
Based on combined ratings across Google, Yelp, and MyLivingChoice reviews, top-rated options include Metro Home Health Care Corporation (5★, 14 ratings), Lexington Landing (5★, 8 ratings), Restful Living. (5★, 8 ratings).
What types of senior care are available in St Paul?
Beyond senior living, St Paul has assisted living (28 communities), home health (21 communities), skilled nursing / long term care (20 communities), independent living (14 communities), memory care (13 communities). Every option is listed with photos, reviews, and contact details.
How do families rate senior living in St Paul?
Families rate St Paul senior living communities 4.2 out of 5 on average, across 1,923 public Google reviews of local communities.
What do families praise, and complain about, in St Paul senior living communities?
Across the review summaries of 74 St Paul communities, the most common praise is caring, attentive staff (mentioned for 73%), building and grounds (mentioned for 31%), food and dining (mentioned for 19%). The most common concerns are communication with families (59%), cost and billing (53%), staff attitude (28%).
Are there small senior living homes in St Paul?
Yes. Of the 12 St Paul communities with a known size, 1 has ten residents or fewer, 6 have 11 to 60, and 5 have more than 60. Small licensed homes are listed here alongside large communities, which most directories skip.
How do St Paul nursing homes score on Medicare's star ratings?
16 Medicare-certified nursing homes in St Paul carry an overall star rating, averaging 2.9 out of 5. 5 are rated four stars or better and 2 are rated one star. Each listing shows its rating and three years of inspection history from CMS Care Compare.
Prefer to stay home?
Home care agencies serving St Paul bring help to the house: daily living, companionship, and respite for family caregivers.


