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We're stuck between two communities

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

Quick answer

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

HomeBy SituationWe're stuck between two communities

By this point you have toured enough that the buildings have merged. These are the questions that still separate them.

Short answer

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

What to do, in order

  1. Compare the all-in numbers, not the base rents. Ask each community for the total monthly cost at your parent's assessed care level, in writing.
  2. Compare the rate increase histories. Three years of actual increases from each.
  3. Compare overnight staffing, not daytime. Daytime ratios look similar everywhere. Overnight is where they diverge.
  4. Pull both state inspection records. Read the surveyor narratives rather than counting citations.
  5. Ask the Medicaid waiver question of both. If private funds might run out, a community that does not hold a waiver provider agreement is a future forced move.
  6. Go back unannounced. Same building, evening on a weekday.

Questions families ask

Does home care cost less than assisted living in the Twin Cities?

It depends heavily on how many hours of care are needed — a verified current Minnesota non-medical home care hourly rate could not be confirmed against a primary source, but 24/7 in-home care, once multiple caregiver shifts are factored in, is typically far more expensive than a private-pay assisted living apartment, even though a few hours a week of home care is usually cheaper than a full move.

What is Housing Support and how does it help with assisted living costs?

Housing Support (formerly Group Residential Housing) is a narrower Minnesota state supplement, separate from the Elderly Waiver, that can help very-low-income residents in certain licensed settings offset room-and-board costs — something the Elderly Waiver itself is not permitted to pay for.

What does the Minnesota long-term care ombudsman do?

The Minnesota Office of Ombudsman for Long-Term Care (OOLTC), part of the Minnesota Board on Aging, investigates and helps resolve complaints for residents of nursing homes, assisted living facilities (including memory care), and board-and-lodging settings statewide, and advocates for residents' rights. Reach OOLTC at 1-800-657-3591 or 651-431-2555.

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