Assisted Living and Memory Care
Carefreeliving Cook by Oxford
151 4th Street Se, Cook, MN 55723 · Map
Licensed for 34 residents · CAREFREELIVING COOK BY OXFORD LIVING
Carefreeliving Cook by Oxford is a state-licensed assisted living, memory care community in Cook, Minnesota. It is licensed for 34 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 34 residents
Assisted Living Facility Dementia Care 424957, current license dated Apr 29, 2026. Licensee CAREFREELIVING COOK BY OXFORD LIVING.
Nearest emergency room
0.1 miles
Cook Hospital.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Carefreeliving Cook by Oxford this community | 34 | Not published | Active | 0 substantiated | |
| Vermilion Senior Living | 19.0 mi | 24 | Not published | Active | 1 substantiated |
| Edgewood Virginia I Senior Liv | 22.7 mi | 212 | Not published | Active | 1 substantiated |
| Chestnut Grove | 23.5 mi | 20 | Not published | Active | 0 substantiated |
| Diamond Willow Assisted Living | 23.6 mi | 26 | Not published | Active | 1 substantiated |
State inspection record0 substantiated
- Last evaluation
- December 3, 2025
- Evaluations on record
- 2
- Investigations substantiated
- 0 kept 7 years
- Inconclusive
- 0 kept 4 years
- Unsubstantiated
- 0 kept 3 years
Most recent evaluation (December 3, 2025, state report MBH411)
MDH: “On December 1, 2025, through December 3, 2025, the Minnesota Department of Health conducted a change of ownership (CHOW) survey at the above provider and the following correction orders are issued.”
Survey completed December 3, 2025: 12 correction orders
- Tag 480: 144G.41 Subdivision 1 Subd. 1a (a-b) Minimum requirements; required food services Level 2, widespread scope, scope/level letter F · correction period: Please refer to the FBEIR for any compliance dates
Details
Summary: MDH found the licensee failed to ensure food was prepared and served according to the Minnesota Food Code.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure food was prepared and served according to the Minnesota Food Code. This practice resulted in a level two violation (a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety, but was not likely to cause serious injury, impairment, or death), and is issued at a widespread scope (when problems are pervasive or represent a systemic failure that has [...]”
Rule cited: “(a) Except as provided in paragraph (b), food must be prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626. [...]”
- Tag 775: 144G.45 Subd. 2. (a) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days · fine: $500.00 assessed
Details
Summary: MDH found the licensee failed to ensure the physical environment of the facility was maintained in compliance with the requirements of Minnesota Statute 144G.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to ensure the physical environment of the facility was maintained in compliance with the requirements of Minnesota Statute 144G. [...]”
Rule cited: “Each assisted living facility must comply with the State Fire Code in Minnesota Rules, chapter 7511, and:”
- Tag 780: 144G.45 Subd. 2 (a) (1) Fire protection and physical environment Level 2, pattern scope, scope/level letter E · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure the physical environment of the facility was maintained in compliance with the requirements of Minnesota Statute 144G.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to ensure the physical environment of the facility was maintained in compliance with the requirements of Minnesota Statute 144G. [...]”
Rule cited: “(a) Each assisted living facility must comply with the State Fire Code in Minnesota Rules, chapter 7511, and: (1) for dwellings or sleeping units, as defined in the State Fire Code: (i) provide smoke alarms in each room used for sleeping purposes; (ii) [...]”
- Tag 800: 144G.45 Subd. 2 (a) (4) Fire protection and physical environment Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure the physical environment of the
MDH’s finding, as written: “Based on observation and interview, the licensee failed to ensure the physical environment of the facility was maintained in compliance with the requirements of Minnesota Statute 144G. [...]”
Rule cited: “(4) keep the physical environment, including walls, floors, ceiling, all furnishings, grounds, systems, and equipment in a continuous state of good repair and operation with regard to the health, safety, comfort, and well-being of the residents in accordance [...]”
- Tag 950: 144G.50 Subd. 3 Designation of representative Level 1, widespread scope, scope/level letter C · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure all resident assisted living contracts included a notice with the required verbiage for the residents to identify a designated representative.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure all resident assisted living contracts included a notice with the required verbiage for the residents to identify a designated representative. This had the potential to affect all residents who received services at the assisted living with dementia care facility. [...]”
Rule cited: “(a) Before or at the time of execution of an assisted living contract, an assisted living facility must offer the resident the opportunity to identify a designated representative in writing in the contract and must provide the following verbatim notice on a [...]”
Show all 12
- Tag 1550: 144G.64 (a) (4) Training in Dementia, Mental Illness, and De- Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure one of two employees (housekeeping (HSKP) -E) received the required amount of dementia, mental illness, and de-escalation in the required time frame.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure one of two employees (housekeeping (HSKP) -E) received the required amount of dementia, mental illness, and de-escalation in the required time frame. [...]”
Rule cited: “(4) staff who do not provide direct care, including maintenance, housekeeping, and food service staff, must have at least four hours of initial training on topics specified under paragraph (b), clauses (1) to (5), and two hours of initial training on mental [...]”
- Tag 1750: 144G.71 Subd. 7 Delegation of medication administration Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure the registered nurse (RN) documented resident-specific instructions for medications for one of three residents (R5) whose medication administration was delegated to unlicensed personnel (ULP).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the registered nurse (RN) documented resident-specific instructions for medications for one of three residents (R5) whose medication administration was delegated to unlicensed personnel (ULP). [...]”
Rule cited: “When administration of medications is delegated to unlicensed personnel, the assisted living facility must ensure that the registered nurse has: (1) instructed the unlicensed personnel in the proper methods to administer the medications, and the unlicensed [...]”
- Tag 1760: 144G.71 Subd. 8 Documentation of administration of medication Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure medications were administered per prescriber orders for one of six residents (R4) observed during medication administration.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure medications were administered per prescriber orders for one of six residents (R4) observed during medication administration. [...]”
Rule cited: “Each medication administered by the assisted living facility staff must be documented in the resident's record. The documentation must include the signature and title of the person who administered the medication. [...]”
- Tag 1880: 144G.71 Subd. 19 Storage of medications Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure one of one
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure one of one refrigerator storing medications maintained an acceptable temperature and medications were stored according to manufacturer's recommended temperature. [...]”
Rule cited: “An assisted living facility must store all prescription medications in securely locked and substantially constructed compartments according to the manufacturer's directions and permit only authorized personnel to have access.”
- Tag 2040: 144G.81 Subdivision 1 Fire protection and physical environment Level 2, pattern scope, scope/level letter E · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure the physical environment of the facility was maintained in compliance with the requirements of Minnesota Statute 144G.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to ensure the physical environment of the facility was maintained in compliance with the requirements of Minnesota Statute 144G. [...]”
Rule cited: “An assisted living facility with dementia care must meet the requirements of section 144G.45 and the following additional requirements: (1) an assessment of safety risks must be performed on and around the property. [...]”
- Tag 2280: 144G.90 Subd. 5 Notice to residents; change in ownership or m Level 1, widespread scope, scope/level letter C · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to provide written notice to the residents, legal representative, or designated representative of a change of ownership (CHOW)
MDH’s finding, as written: “Based on interview and record review, the licensee failed to provide written notice to the residents, legal representative, or designated representative of a change of ownership (CHOW) with all required content. This had the potential to affect all residents residing at the assisted living with dementia care facility. [...]”
Rule cited: “(a) A facility must provide written notice to the resident, legal representative, or designated representative of a change of ownership within seven calendar days after the facility receives a new license. [...]”
- Tag 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 3, widespread scope, scope/level letter I · correction period: Immediate · fine: $1,000.00 assessed
Details
Summary: MDH found the licensee failed to provide care and services according to acceptable health care, medical or nursing standards for one of one resident (R4) who utilized bedrails.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to provide care and services according to acceptable health care, medical or nursing standards for one of one resident (R4) who utilized bedrails. This resulted in an immediate correction order on December 2, 2025. [...]”
Rule cited: “(a) Residents have the right to care and assisted living services that are appropriate based on the resident's needs and according to an up-to-date service plan subject to accepted health care standards.”
From MDH’s letter: the letter says the facility is in substantial compliance.
Food and beverage inspection (included in this report): Food and beverage inspection report included
Fines assessed by MDH
- Tag 775 (144g.45 Subd. 2. (a) - Fire Protection And Physical Environment): $500.00
- Tag 2310 (144g.91 Subd. 4 (a) - Appropriate Care And Services): $1,000.00
Total fines assessed, as printed in the letter: $1,500.00.
Earlier evaluations (1)
- July 25, 2023: report 49X811 · 8 correction orders
Details
Survey completed July 25, 2023: 8 correction orders
- Tag 480: 144G.41 Subd 1 (13) (i) (B) Minimum requirements Level 2, widespread scope, scope/level letter F · correction period: Two (2) days
Details
Summary: MDH found the licensee failed to ensure food was prepared and served according to the Minnesota Food Code.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure food was prepared and served according to the Minnesota Food Code. This had the potential to affect all 14 residents. [...]”
Rule cited: “(13) offer to provide or make available at least the following services to residents: (B) food must be prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626; and”
- Tag 640: 144G.42 Subd. 7 Posting information for reporting suspected c Level 2, widespread scope, scope/level letter F · correction period: Twenty-One (21) days
Details
Summary: MDH found the licensee failed to post required content to include the 911 emergency number in common areas.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to post required content to include the 911 emergency number in common areas. This had the potential to affect all 14 residents, staff, and visitors. [...]”
Rule cited: “The facility shall support protection and safety through access to the state's systems for reporting suspected criminal activity and suspected vulnerable adult maltreatment by: (1) posting the 911 emergency number in common areas and near telephones provided [...]”
- Tag 800: 144G.45 Subd. 2 (a) (4) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to maintain the facility's physical environment in a continuous state of good repair and operation regarding the health, safety, and well-being of the residents.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to maintain the facility's physical environment in a continuous state of good repair and operation regarding the health, safety, and well-being of the residents. This had the potential to directly affect all residents, staff, and visitors. [...]”
Rule cited: “(4) keep the physical environment, including walls, floors, ceiling, all furnishings, grounds, systems, and equipment in a continuous state of good repair and operation with regard to the health, safety, comfort, and well-being of the residents in accordance [...]”
- Tag 810: 144G.45 Subd. 2 (b)-(f) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to maintain the facility's fire safety and evacuation plan with required elements.
MDH’s finding, as written: “Based on record review and interview, the licensee failed to maintain the facility's fire safety and evacuation plan with required elements. This had the potential to directly affect all residents, staff, and visitors. [...]”
Rule cited: “(b) Each assisted living facility shall develop and maintain fire safety and evacuation plans. [...]”
- Tag 820: 144G.45 Subd. 2 (g) Fire protection and physical environment Level 2, isolated scope, scope/level letter D · correction period: Two (2) days
Details
Summary: MDH found the licensee failed to provide facilities that were not a distinct hazard to life.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide facilities that were not a distinct hazard to life. This had the potential to affect a limited number of residents and staff. [...]”
Rule cited: “(g) Existing construction or elements, including assisted living facilities that were registered as housing with services establishments under chapter 144D prior to August 1, 2021, shall be permitted to continue in use provided such use does not constitute a [...]”
Show all 8
- Tag 1760: 144G.71 Subd. 8 Documentation of administration of medication Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure medications were administered as ordered for one of two residents (R2) who received medication management services.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure medications were administered as ordered for one of two residents (R2) who received medication management services. [...]”
Rule cited: “Each medication administered by the assisted living facility staff must be documented in the resident's record. The documentation must include the signature and title of the person who administered the medication. [...]”
- Tag 2170: 144G.84 SERVICES FOR RESIDENTS WITH DEMENTIA Level 2, widespread scope, scope/level letter F · correction period: Twenty-One (21) days
Details
Summary: MDH found the licensee failed to develop an individualized activity plan for two of two residents (R2, R3) who resided in a secured assisted living with dementia care facility.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to develop an individualized activity plan for two of two residents (R2, R3) who resided in a secured assisted living with dementia care facility. [...]”
Rule cited: “(b) Each resident must be evaluated for activities according to the licensing rules of the facility. [...]”
- Tag 2410: 144G.91 Subd. 13 Personal and treatment privacy Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure privacy was maintained during medication administration for one of two residents (R2).
MDH’s finding, as written: “Based on observation and interview, the licensee failed to ensure privacy was maintained during medication administration for one of two residents (R2). This practice resulted in a level two violation (a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety, but was not likely to cause serious injury, impairment, or death), and was issued at an isolated scope (when one or a limited number of residents are affected or one or [...]”
Rule cited: “(a) Residents have the right to consideration of their privacy, individuality, and cultural identity as related to their social, religious, and psychological well-being. [...]”
From MDH’s letter: the letter says the facility is in substantial compliance; no immediate fines.
- Tag 480: 144G.41 Subd 1 (13) (i) (B) Minimum requirements Level 2, widespread scope, scope/level letter F · correction period: Two (2) days
What the levels and scopes mean (MDH’s words)
Level 1: “a violation that has no potential to cause more than a minimal impact on the resident and does not affect health or safety”
Level 2: “a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety, but was not likely to cause serious injury, impairment, or death”
Level 3: “a violation that harmed a resident's health or safety, not including serious injury, impairment, or death, or a violation that has the potential to lead to serious injury, impairment, or death”
Isolated scope: “when one or a limited number of residents are affected or one or a limited number of staff are involved, or the situation has occurred only occasionally”
Pattern scope: “when more than a limited number of residents are affected, more than a limited number of staff are involved, or the situation has occurred repeatedly; but is not found to be pervasive”
Widespread scope: “when problems are pervasive or represent a systemic failure that has affected or has the potential to affect a large portion or all of the residents”
Summaries are ours and are marked “Summary”; quoted text is MDH’s own, shortened where marked [...]. Read the full reports at the links above or search every report on MDH’s site.
What these terms mean
MDH: “An evaluation is a process regulated by the division to ensure licensees comply with the laws, rules, and certifications for the type of care and services authorized under their license/certification.”
“An investigation may occur when the division is notified that care and services are not being provided by licensees as required by law. This may include allegations of abuse, neglect, or financial misuse.”
For maltreatment, Minnesota law defines substantiated as “a preponderance of the evidence shows that an act that meets the definition of maltreatment occurred” and inconclusive as “less than a preponderance of evidence to show that maltreatment did or did not occur” (Minn. Stat. 626.5572).
Correction orders, as MDH explains on each state form: “Tag numbers have been assigned to Minnesota State Statutes for Assisted Living Facilities.” “The letter in the left column is used for tracking purposes and reflects the scope and level issued pursuant to 144G.31 subd. 1, 2, and 3.” MDH adds that there is no requirement to submit a plan of correction for violations of Minnesota state statutes.
MDH keeps investigation results for seven years when allegations are substantiated, four years when inconclusive, and three years when unsubstantiated, so the counts cover different periods. This community is licensed for 34 residents; larger communities are evaluated and reported on more often, so read counts with size in mind. Source: Minnesota Department of Health, Health Regulation Division, data as of September 28, 2026. Always visit in person and ask the community about anything listed here.
License and ownershipActive license, licensee CAREFREELIVING COOK BY OXFORD LIVING
- License type
- Assisted Living Facility Dementia Care
- License number
- 424957
- License status
- Active
- Current license dated
- 2026-04-29
- Licensed capacity
- 34
- Licensee
- CAREFREELIVING COOK BY OXFORD LIVING
- County
- Saint Louis County
- Administrator/Authorized Agent
- Michelle Hamann
Source: Minnesota state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator/Authorized Agent name from the Minnesota licensing record, as of Sep 9, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Minnesota, and other programs
How Medicaid pays for care in Minnesota
- Elderly Waiver (EW), customized living services. Minnesota's Elderly Waiver, part of Medical Assistance (Minnesota Medicaid), can pay for "customized living" services, and a provider of those services must hold an assisted living license (or meet certain exceptions). You must qualify for Medical Assistance and need a nursing-home level of care. (state page)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 0.1 mi, nursing home 0.1 mi, pharmacy 0.3 mi
- Nearest hospital with an emergency room
- Cook Hospital, Cook. 0.1 miles away, straight line.
- Nearest Medicare nursing home
- Cook Community Hospital C&NC, Cook. 0.1 miles away, straight line.
- Nearest home health agency office
- Aveanna Home Health, Hibbing. 31.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Franks Pharmacy. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 55723 as rural (rural area).
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 55723.
- Nearest geriatric medicine practice
- Polinsky Medical Rehabilitation Center, Duluth. 73.3 miles away, straight line. 3 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively high; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively low, tornado relatively low, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The current license dates from 2026. Has the owner or operator changed recently?
- What does the base rate include, and when did rates last go up?
- How many caregivers work in memory care during the day, the evening and overnight, and for how many residents?
- What dementia training does each caregiver get before working alone, and every year after?
- How do staff respond when a resident is agitated, frightened or tries to leave?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
What we checked12 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Minnesota Department of Health, Health Regulation Division inspection records | Sep 28, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
Common questionsAnswers to 4 questions families ask
What type of care does Carefreeliving Cook by Oxford provide?
Carefreeliving Cook by Oxford is licensed by the state of Minnesota for assisted living, memory care in Cook, Minnesota. Its licensed capacity is 34 residents.
Does Lilisity rate Carefreeliving Cook by Oxford?
No. We publish state licensing details for Carefreeliving Cook by Oxford but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Carefreeliving Cook by Oxford cost?
Assisted Living in Minnesota typically starts at $2,200 to $4,800 a month. Based on 74 communities that publish prices. These are area figures, not this community's price. Carefreeliving Cook by Oxford does not publish its prices.
How do I contact Carefreeliving Cook by Oxford?
Use Carefreeliving Cook by Oxford's website, carefreeliving.com/cook, or visit at 151 4th Street Se, Cook, MN 55723.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid