Assisted Living
Hillside Harmony
135 Geranium Ave E, St Paul, MN 55117 · Map
Licensed for 18 residents · HILLSIDE HARMONY LLC
Hillside Harmony is a state-licensed assisted living community in St Paul, Minnesota. It is licensed for 18 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, 18 residents
Provisional Assisted Living Facility 422920, current license dated Nov 25, 2025. Licensee HILLSIDE HARMONY LLC.
Nearest emergency room
1.5 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 |
|---|---|---|---|---|---|
| Hillside Harmony this community | 18 | Not published | Active | 0 substantiated | |
| Avelia Estates | 0.1 mi | 5 | Not published | Active | No record |
| Trusted Care Residence | 0.4 mi | 5 | Not published | Active | No record |
| Healing Homes Living Services | 0.4 mi | 3 | Not published | Active | 3 substantiated |
| Aurora Assisted Living | 0.4 mi | 5 | Not published | Active | 0 substantiated |
State inspection record0 substantiated
- Last evaluation
- July 9, 2026
- Evaluations on record
- 1
- Investigations substantiated
- 0 kept 7 years
- Inconclusive
- 0 kept 4 years
- Unsubstantiated
- 0 kept 3 years
Most recent evaluation (July 9, 2026, state report KN7W11)
MDH: “On July 7, 2026, through July 9, 2026, the Minnesota Department of Health conducted a survey at the above provider, and the following correction orders are issued.”
Survey completed July 9, 2026: 12 correction orders
- Tag 180: 144G.16 Subd. 2 Initial survey Level 2, widespread scope, scope/level letter F · correction period: Two (2) days
Details
Summary: MDH found the licensee failed to notify the Minnesota Department of Health (MDH) within two days of starting to provide Assisted Living services.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to notify the Minnesota Department of Health (MDH) within two days of starting to provide Assisted Living services. This had the potential to affect all residents residing at the assisted living facility. [...]”
Rule cited: “(a) During the provisional license period, the commissioner shall survey the provisional licensee after the commissioner is notified or has evidence that the provisional licensee is providing assisted living services to at least one resident. [...]”
- 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 was 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 680: 144G.42 Subd. 10 Disaster planning and emergency preparedness Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
MDH’s finding, as written: “Based on observation, interview and record review the licensee failed to post the emergency preparedness plan (EPP) prominently and failed to have a written emergency preparedness (EP) plan with all the required content readily accessible. This had the potential to affect all residents, staff, and visitors during an emergency. [...]”
Rule cited: “(a) The facility must meet the following requirements: (1) have a written emergency disaster plan that contains a plan for evacuation, addresses elements of sheltering in place, identifies temporary relocation sites, and details staff assignments in the event [...]”
- Tag 730: 144G.43 Subd. 3 Contents of resident record Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure resident records included documentation of services provided for two of two residents (R1, R2).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure resident records included documentation of services provided for two of two residents (R1, R2). [...]”
Rule cited: “Contents of a resident record include the following for each resident: (1) identifying information, including the resident's name, date of birth, address, and telephone number; (2) the name, address, and telephone number of the resident's emergency contact, [...]”
- 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
MDH’s finding, as written: “Based on observation, interview, and record review, 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:”
Show all 12
- Tag 810: 144G.45 Subd. 2 (b-f) 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, interview, and record review, the licensee failed to ensure the physical environment of the facility was maintained in compliance with the requirements of Minnesota Statute 144G. [...]”
Rule cited: “(b) Each assisted living facility shall develop and maintain fire safety and evacuation plans. [...]”
- Tag 940: 144G.50 Subd. 2 (e; 5-7) Contract information Level 1, widespread scope, scope/level letter C · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to execute a written contract with the required content for one of one resident (R2).
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to execute a written contract with the required content for one of one resident (R2). This practice resulted in a level one violation (a violation that will cause only minimal impact on the resident and does not affect 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 residents). [...]”
Rule cited: “(5) a description of the facility's policies related to medical assistance waivers under chapter 256S and section 256B.49 and the housing support program under chapter 256I, including: (i) whether the facility is enrolled with the commissioner of human [...]”
- Tag 1290: 144G.60 Subdivision 1 Background studies required Level 3, widespread scope, scope/level letter I · fine: $1,000.00 assessed
Details
Summary: MDH found the licensee failed to ensure that, prior to working with residents, all employees had a cleared Minnesota Department of Human Services (DHS) NETStudy 2.0 background study for one of six employees (unlicensed personnel (ULP-D).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure that, prior to working with residents, all employees had a cleared Minnesota Department of Human Services (DHS) NETStudy 2.0 background study for one of six employees (unlicensed personnel (ULP-D). This had the potential to affect all residents in the facility. [...]”
Rule cited: “(a) Employees, contractors, and regularly scheduled volunteers of the facility are subject to the background study required by section 144.057 and may be disqualified under chapter 245C. [...]”
- Tag 1370: 144G.61 Subd. 2 (a) Training and evaluation of unlicensed personn Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure training and competency evaluations required for all unlicensed personnel were completed, prior to providing services, for one of one employee (unlicensed personnel (ULP)-C).
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure training and competency evaluations required for all unlicensed personnel were completed, prior to providing services, for one of one employee (unlicensed personnel (ULP)-C). [...]”
Rule cited: “(a) Training and competency evaluations for all unlicensed personnel must include the following: (1) documentation requirements for all services provided; (2) reports of changes in the resident's condition to the supervisor designated by the facility; (3) [...]”
- Tag 1380: 144G.61 Subd. 2 (b) Training and evaluation of unlicensed personn Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure training and competency evaluations required for unlicensed personnel providing assisted living services were completed prior to providing services, for one of one employee (unlicensed personnel (ULP)-C).
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure training and competency evaluations required for unlicensed personnel providing assisted living services were completed prior to providing services, for one of one employee (unlicensed personnel (ULP)-C). [...]”
Rule cited: “(b) In addition to paragraph (a), training and competency evaluation for unlicensed personnel providing assisted living services must include: (1) observing, reporting, and documenting resident status; (2) basic knowledge of body functioning and changes in [...]”
- Tag 1530: 144G.64 (a) (1-2) Training in Dementia, Mental Illness, and De- Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure required dementia care training and mental illness and de-escalation training were conducted within required timeframe for two of two employees (clinical nurse supervisor (CNS) -B, unlicensed personnel (ULP)-C).
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure required dementia care training and mental illness and de-escalation training were conducted within required timeframe for two of two employees (clinical nurse supervisor (CNS) -B, unlicensed personnel (ULP)-C). [...]”
Rule cited: “(a) All assisted living facilities must meet the following dementia care, mental illness, and de-escalation training requirements: (1) supervisors of direct-care staff must have at least eight hours of initial training on dementia topics specified under [...]”
- Tag 1700: 144G.71 Subd. 2 Provision of medication management services Level 2, isolated scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure the registered nurse (RN) completed a face-to-face medication management assessment prior to providing medication management services for one of three residents (R1).
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure the registered nurse (RN) completed a face-to-face medication management assessment prior to providing medication management services for one of three residents (R1). [...]”
Rule cited: “(a) For each resident who requests medication management services, the facility shall, prior to providing medication management services, have a registered nurse, licensed health professional, or authorized prescriber under section 151.37 conduct an [...]”
MDH letters in this report
- August 13, 2026: Notice Of Provisional Extension And Conditional License
From MDH’s letter: the letter says the facility is not in substantial compliance; no immediate fines.
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 810 (144g.45 Subd. 2 (b-F) - Fire Protection And Physical Environment): $500.00
- Tag 1290 (144g.60 Subdivision 1 - Background Studies Required): $1,000.00
Total potential fines, as printed in the letter: $2,000.00.
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 18 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 HILLSIDE HARMONY LLC
- License type
- Provisional Assisted Living Facility
- License number
- 422920
- License status
- Active
- Current license dated
- 2025-11-25
- Licensed capacity
- 18
- Licensee
- HILLSIDE HARMONY LLC
- County
- Ramsey County
- Administrator/Authorized Agent
- Phineas Vang
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.
Staff pay and workplace safety2 OSHA inspections, 1 violation cited
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Mar 11, 2019: programmed (planned) inspection, complete (safety). Case closed Apr 5, 2019. 1 violation cited (1 serious). Penalties: $1,050 proposed, $735 now. OSHA record. OSHA recorded the employer as 99110 - New Harmony Care Center INC.
Details
- Serious: Machine guarding (1910.212(a)(3)(ii)). Penalty $1,050 proposed, $735 now. To be fixed by Apr 12, 2019.
- Apr 21, 2017: complaint inspection, partial (health). Case closed May 3, 2017. No violations cited. OSHA record. OSHA recorded the employer as 95144 - New Harmony Care Center INC.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby careNearest hospital 1.5 mi, nursing home 1.4 mi, pharmacy 1.1 mi
- Nearest hospital with an emergency room
- Regions Hospital, Saint Paul. 1.5 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Capitol View Transitional Care Center, Saint Paul. 1.4 miles away, straight line.
- Nearest home health agency office
- Divine Healthcare Network, Saint Paul. 2.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brightly Pharmacy Care. 1.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 55117 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Medical Care - Midway St Paul, Saint Paul, 1.3 miles away, straight line (CMS rating 2 of 5 stars)
St Paul Capitol At Home, Saint Paul, 1.3 miles away, straight line (CMS rating 4 of 5 stars)
Davita St Paul Dialysis, Saint Paul, 1.3 miles away, straight line (CMS rating 1 of 5 stars) - Hospice
- 23 Medicare hospices tell CMS they serve ZIP code 55117.
Sholom Hospice, office in Saint Paul, 4.4 miles away, straight line
Presbyterian Homes Hospice Inc, office in Roseville, 4.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Our Lady Of Peace Hospice, office in Saint Paul, 4.7 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Fairview Health Services, Saint Paul. 3.7 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 very 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 checked11 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 | See above |
| 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 |
Common questionsAnswers to 4 questions families ask
What type of care does Hillside Harmony provide?
Hillside Harmony is licensed by the state of Minnesota for assisted living in St Paul, Minnesota. Its licensed capacity is 18 residents.
Does Lilisity rate Hillside Harmony?
No. We publish state licensing details for Hillside Harmony 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 Hillside Harmony 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. Hillside Harmony does not publish its prices.
How do I contact Hillside Harmony?
Visit Hillside Harmony at 135 Geranium Ave E, St Paul, MN 55117.
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