What is Assisted Living in Minnesota?


As the owner of Holt Law, I’ve had the privilege of working with healthcare professionals, medical spas, and licensed healthcare facilities across the state. One area that often comes up in my practice is the complex world of assisted living. Minnesota has a unique set of laws and regulations surrounding assisted living, and it’s crucial for my clients to stay up-to-date and compliant.


What is Assisted Living in Minnesota?

Assisted living in Minnesota provides on-site services to residents, including 24/7 staff availability, daily “I’m okay” checks, and assistance with activities of daily living (ADLs) such as bathing, dressing, grooming, toileting, and eating. Assisted living facilities must be licensed by the Minnesota Department of Health (MDH) and may offer additional services like meal preparation, housekeeping, and medication management. Assisted living is intended for older adults and people with disabilities who need help with daily tasks but do not require the level of skilled nursing provided in nursing homes.


Licensing and Disclosure Requirements

Facilities must be licensed by the MDH and provide a “uniform disclosure of information” document outlining the services offered, costs, and accepted public programs. This document helps prospective residents make informed decisions.


Specialized Assisted Living for Memory Care

Facilities offering services for residents with Alzheimer’s disease, dementia, or other memory impairments must hold a specialized “assisted living with dementia care” license. These facilities must have trained staff, secure spaces, and tailored policies to support residents with cognitive impairments.


Core Assisted Living Services

Licensed assisted living facilities must provide:

  • 24/7 staffing and daily “I’m okay” checks
  • Assistance with ADLs
  • Medication management
  • Housekeeping and laundry services
  • Nutritious meals and snacks
  • Social and recreational activities


Resident Rights and Protections

Key protections include informed decision-making, resident agreements, resident councils, grievance procedures, transition and discharge planning, and abuse and neglect protections.


Paying for Assisted Living in Minnesota

Options to cover the costs include:

  • Private Pay: Personal savings, retirement accounts, long-term care insurance, or family contributions.
  • Medicaid Waivers: Elderly Waiver (EW), Brain Injury (BI) Waiver, or Community Access for Disability Inclusion (CADI) Waiver.
  • Housing Support: For low-income seniors and people with disabilities.
  • Veteran’s Benefits: Aid and Attendance benefits for military veterans and their spouses.


Role of the Senior LinkAge LineĀ®

Prospective residents must contact the Senior LinkAge LineĀ® (1-800-333-2433) for assistance with assessing needs, understanding housing options, and identifying public programs.


Oversight and Complaint Resolution

The MDH licenses and regulates assisted living facilities. Complaints can be directed to the Office of the Ombudsman for Long-Term Care (1-800-657-3591) or filed directly with the MDH.


Finding the Right Assisted Living Community

Resources to help find the right fit include:

  • Minnesota Assisted Living Report Card: An online tool from the Minnesota Department of Human Services.
  • Minnesota’s Senior Housing Directory: A comprehensive directory maintained by the Minnesota Board on Aging.
  • Twin Cities Senior Housing Guide: Focuses on housing choices in the Greater Twin Cities region.



Understanding Minnesota’s assisted living requirements is essential for healthcare providers, facility administrators, and families. By staying informed, you can ensure high-quality care and support for residents. If you need assistance with compliance or have questions about the regulations, contact Holt Law for expert guidance.


FB Twitter