Assisted Living
Cerenity Residence Marian of S
225 Frank Street, St. Paul, MN 55106 · Map
Licensed for 135 residents · CERENITY RESIDENCE MARIAN OF ST. PAUL
Cerenity Residence Marian of S is a state-licensed assisted living community in St. Paul, Minnesota. It is licensed for 135 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
Care and services
From the community’s website
What Cerenity Residence Marian of S says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Provides transportation.
For individuals who need assistance with regular daily activities such as meals, housekeeping, transportation to appointments and personal care.
(page, checked Oct 12, 2026) - 3 meals a day.
The Assisted Living apartments provide additional supportive assistance with daily life, such as weekly housekeeping and three meals a day.
(page, checked Oct 12, 2026) - Has a secured outdoor area.
The beautifully landscaped enclosed courtyard is a year-round delight—blooming in spring, vibrant in summer, colorful in fall, and serene in winter.
(page, checked Oct 12, 2026)
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, 135 residents
Assisted Living Facility 421928, current license dated Sep 1, 2025. Licensee CERENITY RESIDENCE MARIAN OF ST. PAUL.
Nearest emergency room
2.1 miles
Regions Hospital, rated 3 of 5 stars by CMS.
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 |
|---|---|---|---|---|---|
| Cerenity Residence Marian of S this community | 135 | Not published | Active | 0 substantiated | |
| Cerenity Care Center - Marian | 0.1 mi | 30 | Not published | Active | 1 substantiated |
| Precious Health Services Llf | 0.1 mi | 5 | Not published | Active | 0 substantiated |
| Zencare Health | 0.2 mi | 5 | Not published | Active | 0 substantiated |
| Blue Moon Center | 0.5 mi | 4 | Not published | Active | 0 substantiated |
State inspection record0 substantiated
- Last evaluation
- August 6, 2025
- Evaluations on record
- 2
- Investigations substantiated
- 0 kept 7 years
- Inconclusive
- 1 kept 4 years
- Unsubstantiated
- 0 kept 3 years
Most recent evaluation (August 6, 2025, state report OIUR11)
MDH: “On August 4, 2025, through August 6, 2025, the Minnesota Department of Health conducted a survey at the above provider, and the following correction orders are issued.”
Survey completed August 6, 2025: 5 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) and was issued at a 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 the [...]”
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 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure a registered nurse (RN) conducted ongoing resident monitoring and reassessment including a reassessment no more than 14 calendar days from the start of services for one of four residents (R2).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure a registered nurse (RN) conducted ongoing resident monitoring and reassessment including a reassessment no more than 14 calendar days from the start of services for one of four residents (R2). [...]”
Rule cited: “(a) Residents who are not receiving any assisted living services shall not be required to undergo an initial nursing assessment. [...]”
- Tag 1870: 144G.71 Subd. 18 Medications provided by resident or family me Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure security and accountability for the overall management, control, and disposition of over-the-counter (OTC) medications for one of four residents (R2).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure security and accountability for the overall management, control, and disposition of over-the-counter (OTC) medications for one of four residents (R2). [...]”
Rule cited: “When the assisted living facility is aware of any medications or dietary supplements that are being used by the resident and are not included in the assessment for medication management services, the staff must advise the registered nurse and document that in [...]”
- Tag 1880: 144G.71 Subd. 19 Storage of medications Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure medications were stored securely for one of four residents (R3) with medication management services.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure medications were stored securely for one of four residents (R3) with medication management services. [...]”
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 1890: 144G.71 Subd. 20 Prescription drugs Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure time sensitive medications were dated when opened and contained an original prescription label with legible information for one of 4 residents (R2).
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure time sensitive medications were dated when opened and contained an original prescription label with legible information for one of 4 residents (R2). [...]”
Rule cited: “A prescription drug, prior to being set up for immediate or later administration, must be kept in the original container in which it was dispensed by the pharmacy bearing the original prescription label with legible information including the expiration or [...]”
From MDH’s letter: the letter says the facility is in substantial compliance; no immediate fines.
Food and beverage inspection (included in this report): Food and beverage inspection report included
Earlier evaluations (1)
- August 23, 2023: report UI1S11 · 11 correction orders
Details
Survey completed August 23, 2023: 11 correction orders
- Tag 650: 144G.42 Subd. 8 Employee records Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure employee records contained the required content for two of two employees (licensed practical nurse (LPN)-C, unlicensed personnel (ULP)-H).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure employee records contained the required content for two of two employees (licensed practical nurse (LPN)-C, unlicensed personnel (ULP)-H). [...]”
Rule cited: “(a) The facility must maintain current records of each paid employee, each regularly scheduled volunteer providing services, and each individual contractor providing services. [...]”
- Tag 660: 144G.42 Subd. 9 Tuberculosis prevention and control Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to conduct TB symptom screening for one of three employees (unlicensed personnel (ULP)-H).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to conduct TB symptom screening for one of three employees (unlicensed personnel (ULP)-H). 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) and was issued at an 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 [...]”
Rule cited: “(a) The facility must establish and maintain a comprehensive tuberculosis infection control program according to the most current tuberculosis infection control guidelines issued by the United States Centers for Disease Control and Prevention (CDC), Division [...]”
- 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 physical environment, including walls, floors, ceiling, all furnishings,
MDH’s finding, as written: “Based on observation and interview, the licensee failed to maintain 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. This deficient condition had the ability to affect a limited number of staff and residents. [...]”
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 1460: 144G.63 Subdivision 1 Orientation of staff and supervisors Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure employees received orientation to assisted living statutes for two of two direct care employees (licensed practical nurse (LPN)-C, unlicensed personnel (ULP)-H).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure employees received orientation to assisted living statutes for two of two direct care employees (licensed practical nurse (LPN)-C, unlicensed personnel (ULP)-H). [...]”
Rule cited: “All staff providing and supervising direct services must complete an orientation to assisted living facility licensing requirements and regulations before providing assisted living services to residents. [...]”
- Tag 1470: 144G.63 Subd. 2 Content of required orientation Level 2, widespread scope, scope/level letter F · correction period: Twenty-One (21) days
Details
Summary: MDH found the licensee failed to ensure employees completed required orientation before providing services for two of two direct care employees
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure employees completed required orientation before providing services for two of two direct care employees (licensed practical nurse (LPN)-C, unlicensed personnel (ULP)-H). [...]”
Rule cited: “(a) The orientation must contain the following topics: (1) an overview of this chapter; (2) an introduction and review of the facility's policies and procedures related to the provision of assisted living services by the individual staff person; (3) handling [...]”
Show all 11
- Tag 1500: 144G.63 Subd. 5 Required annual training Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure employees received at least eight hours of annual training for each 12 months of employment in all required training topics for two of two direct care employees (licensed practical nurse (LPN)-C, unlicensed personnel (ULP)-H).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure employees received at least eight hours of annual training for each 12 months of employment in all required training topics for two of two direct care employees (licensed practical nurse (LPN)-C, unlicensed personnel (ULP)-H). [...]”
Rule cited: “(a) All staff that perform direct services must complete at least eight hours of annual training for each 12 months of employment. [...]”
- Tag 1530: 144G.64 TRAINING IN DEMENTIA CARE REQUIRED Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to provide employees with two hours of required annual dementia care training for two of two direct care employees (licensed practical nurse (LPN)-C, unlicensed personnel (ULP)-H).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to provide employees with two hours of required annual dementia care training for two of two direct care employees (licensed practical nurse (LPN)-C, unlicensed personnel (ULP)-H). [...]”
Rule cited: “(a) All assisted living facilities must meet the following training requirements: (1) supervisors of direct-care staff must have at least eight hours of initial training on topics specified under paragraph (b) within 120 working hours of the employment start [...]”
- Tag 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure the registered nurse (RN) conducted a 14-day assessment no more than 14 calendar days after initiation of services
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the registered nurse (RN) conducted a 14-day assessment no more than 14 calendar days after initiation of services for one of four residents (R1). [...]”
Rule cited: “(c) Resident reassessment and monitoring must be conducted no more than 14 calendar days after initiation of services. [...]”
- Tag 1880: 144G.71 Subd. 19 Storage of medications Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure all medications were securely locked in substantially constructed compartments and permitted only authorized personnel to have access for one of three residents (R3) receiving medication management services.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure all medications were securely locked in substantially constructed compartments and permitted only authorized personnel to have access for one of three residents (R3) receiving medication management services. [...]”
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 1890: 144G.71 Subd. 20 Prescription drugs Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure expired medications were disposed of for one of four residents (R2).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure expired medications were disposed of for one of four 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) and was issued at an 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 [...]”
Rule cited: “A prescription drug, prior to being set up for immediate or later administration, must be kept in the original container in which it was dispensed by the pharmacy bearing the original prescription label with legible information including the expiration or [...]”
- Tag 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 3, isolated scope, scope/level letter I · correction period: IMMEDIATE · fine: $3,000.00 assessed
Details
Summary: MDH found the licensee failed to provide care and services according to acceptable health care, medical or nursing standards for two of two residents (R3, R6) who utilized consumer bed rails (grab bars).
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 two of two residents (R3, R6) who utilized consumer bed rails (grab bars). Additionally, the licensee failed to document measurements of entrapment zones for R2 who utilized a hospital bed rail. [...]”
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.
Fines assessed by MDH
- Tag 2310 (144g.91 Subd. 4 (a) - Appropriate Care And Services): $3,000.00
Total fines assessed, as printed in the letter: $3,000.00.
- Tag 650: 144G.42 Subd. 8 Employee records Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Inconclusive investigations (1)
- June 9, 2026 · report HL219471700M · MDH finding: Inconclusive
Details
Allegation, as written: “The facility neglected the resident when a delay in starting an antibiotic for treatment of the resident's urinary tract infection (UTI) resulted in confusion and agitation. Staff found the resident crawling on the floor of her apartment. The resident was sent to the hospital where she was diagnosed with a subdural hematoma (a life-threatening collection of blood between the brain surface and its outer lining (dura mater) usually caused by head trauma tearing veins).”
“The Minnesota Department of Health determined neglect was inconclusive.”
Summary: MDH looked into an allegation and found: neglect inconclusive.
MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was inconclusive. Although there was a delay in initiating prescribed antibiotic therapy, it was unable to be determined if the delay in medication resulted in the resident's fall.”
Action taken by facility: “The facility completed an internal investigation, reviewed medication delivery protocols with the pharmacy and staff and completed staff education.”
Action taken by MDH: “No further action taken at this time.”
Survey completed April 7, 2026: no correction orders issued.
What the levels and scopes mean (MDH’s words)
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 135 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 CERENITY RESIDENCE MARIAN OF ST. PAUL
- License type
- Assisted Living Facility
- License number
- 421928
- License status
- Active
- Current license dated
- 2025-09-01
- Licensed capacity
- 135
- Licensee
- CERENITY RESIDENCE MARIAN OF ST. PAUL
- County
- Ramsey County
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.
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 2.1 mi, nursing home 0.1 mi, pharmacy 1.5 mi
- Nearest hospital with an emergency room
- Regions Hospital, Saint Paul. 2.1 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Cerenity Marian of St Paul LLC, Saint Paul. 0.1 miles away, straight line.
- Nearest home health agency office
- Care Plus Home Health Agency Inc, Saint Paul. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 55106 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Dialysis Services Of St Paul, Saint Paul, 0.8 miles away, straight line (CMS rating 3 of 5 stars)
Davita Sun Ray Dialysis Unit, Saint Paul, 1.4 miles away, straight line (CMS rating 4 of 5 stars)
Davita Phalen Dialysis, Saint Paul, 1.4 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 25 Medicare hospices tell CMS they serve ZIP code 55106.
Hospice Of The Midwest, office in Woodbury, 4.3 miles away, straight line (CMS family survey rating 3 of 5 stars)
Sholom Hospice, office in Saint Paul, 4.6 miles away, straight line
St Croix Hospice, office in Oakdale, 4.7 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Fairview Health Services, Saint Paul. 5.4 miles away, straight line. 1 geriatric medicine doctor 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 moderate; 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 moderate. By hazard: inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively high, 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 2025. Has the owner or operator changed recently?
- What does the base rate include, and when did rates last go up?
- 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?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
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 very 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 | See above |
Common questionsAnswers to 4 questions families ask
What type of care does Cerenity Residence Marian of S provide?
Cerenity Residence Marian of S is licensed by the state of Minnesota for assisted living in St. Paul, Minnesota. Its licensed capacity is 135 residents.
Does Lilisity rate Cerenity Residence Marian of S?
No. We publish state licensing details for Cerenity Residence Marian of S 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 Cerenity Residence Marian of S 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. Cerenity Residence Marian of S does not publish its prices.
How do I contact Cerenity Residence Marian of S?
Use Cerenity Residence Marian of S's website, cerenityseniorcare.org/marian-of-st-paul-senior-living, or visit at 225 Frank Street, St. Paul, MN 55106.
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