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Senior living in St. Paul, NE

3 senior living communities, including assisted living, memory care, independent living and care homes.

Senior living communities
3
in St. Paul
Licensed capacity
148
across all 3
Adults 65+
697
Census estimate for St. Paul
Licensed spaces per 1,000 adults 65+
212.3
city total vs. Census 65+ estimate
Within 25 miles
24
of the center of St. Paul
Senior LivingAssisted Living 1Nursing Homes 1Senior Apartments 1
Showing 1–3 of 3 senior living communities
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Representative photo of senior apartments, not The Cottages
Senior Apartments

The Cottages

Tax-credit property· HUD LIHTC database
1217 4th St, St. Paul, NE 68873
Units12
0.4 mi from city center
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Nearby

Senior living communities near St. Paul

Counting neighboring towns, there are 24 senior living communities within 25 miles of the center of St. Paul, 21 more than in St. Paul itself. Distances are straight-line miles.

Closest outside St. Paul

See all 24 within 25 miles

Nearby cities

Within 25 miles, closest first

Local overview

Senior living in St. Paul at a glance

Our directory lists 3 senior living communities with an address in St. Paul, based on public records. By size, the most common group is more than 60 residents (2 of 3 that report it).

By licensed capacity

  • 16 residents or fewer1
  • 17 to 60 residents0
  • More than 60 residents2
Size is the licensed capacity on the public record.

Licensing and oversight

How senior living is regulated in Nebraska

In Nebraska, the Nebraska Department of Health and Human Services licenses assisted living and other residential care settings. Its public records are the source for the senior living listings on this page.1

Report a problem
Contact the Nebraska Department of Health and Human Services about a licensed community, or the Nebraska long-term care ombudsman at (800) 942-78302.

Paying for care

Ways to pay for senior living in Nebraska

Programs that can help, by name. Eligibility rules are set by each program, so confirm with the agency before you plan around one.

Medicaid
The Nebraska Medicaid program can cover long-term care for people who qualify on income, assets and care needs. Which services it covers depends on the program, so ask the state Medicaid agency.3 Medicaid waivers pay for care services, not room and board.4 Nebraska Medicaid agency
Medicare
Medicare does not pay for long-term custodial care or for room and board. It still covers medically necessary care, such as doctor visits, hospital care, home health, hospice and prescriptions.5
Veterans benefits
Wartime veterans and surviving spouses who need help with daily activities may qualify for the VA pension with Aid and Attendance.6 The Nebraska Department of Veterans’ Affairs helps with claims (402-471-2458).7
Medicare counseling
Nebraska’s State Health Insurance Assistance Program (SHIP) gives unbiased one-on-one help with Medicare and related coverage questions: 1-800-234-7119.8

Local resources

Local help for families in St. Paul

Official agencies and nonprofit helplines, with phone numbers and links taken from their own directories.

  • Area Agency on Aging

    Aging services for Howard County9

    1-800-677-1116

    The Eldercare Locator connects you with the Area Agency on Aging that serves Howard County.

    Website

  • Long-term care ombudsman

    MAAA (Midland Area Agency on Aging)2

    (402) 463-4565

    Free, independent advocate for residents of care facilities in Howard County.

  • Report abuse or neglect

    Nebraska Adult Protective Services

    800-652-1999

    Adult Protective Services takes reports about adults at risk.

    Website

  • Medicare counseling (SHIP)

    Nebraska SHIP8

    1-800-234-7119

    Website

  • Veterans benefits

    Nebraska Department of Veterans’ Affairs7

    402-471-2458

    Website

  • Medicaid

    Nebraska Medicaid agency3

    Website

  • Dementia support

    Alzheimer’s Association 24/7 Helpline10

    1-800-272-3900

    Find the chapter that serves Nebraska.

    Website

Questions families ask

Frequently asked questions about senior living in St. Paul

How many senior living communities are in St. Paul, NE?

WeFoundCare lists 3 senior living communities in St. Paul, NE, from public licensing and certification records. Within 25 miles of the center of St. Paul there are 24.

How many residents can senior living communities in St. Paul serve?

3 of the 3 senior living communities report licensed capacity, for a combined 148 residents. The Census Bureau estimates 697 adults age 65 and older live in St. Paul.

Who licenses senior living in Nebraska?

The Nebraska Department of Health and Human Services licenses senior living in Nebraska. You can check a community’s license in the agency’s public records.

Who can help if there is a problem with care in St. Paul?

The long-term care ombudsman is a free, independent advocate for residents. In Howard County, call (402) 463-4565. To report suspected abuse or neglect, call Nebraska Adult Protective Services at 800-652-1999.

Are there senior living communities near St. Paul?

Nearby cities with listings include Grand Island (22, 20.9 mi), Central City (6, 24.7 mi).

Guides

Guides for families choosing senior living

Other types of care

Other senior care in St. Paul

Methodology

About this data

How the figures on this page are built. Each number links to its source below.

  • Adults 65+ is the Census Bureau’s 2020–2024 American Community Survey 5-year estimate for St. Paul (Census place). Census boundaries can differ from the mailing-address city used for listings, so per-1,000 figures are a guide, not a precise rate.11
  • Licensed capacity is the figure on the public record; 3 of 3 senior living communities report it.
  • Distances are straight-line miles from the center of St. Paul (U.S. Census Bureau place center). “Nearby” means within 25 miles and can include other states.
  • Agency contacts come from each program’s own directory and are checked when we rebuild the data. WeFoundCare does not rate or rank communities.

Sources and references

  1. Nebraska Department of Health and Human Services, Licensure Unit. dhhs.ne.gov/licensure/Documents/ALF%20Roster.pdf Accessed .
  2. National Long-Term Care Ombudsman Resource Center / National Consumer Voice for Quality Long-Term Care: Find your Long-Term Care Ombudsman. theconsumervoice.org/get-help Accessed Oct 18, 2026.
  3. National Association of Medicaid Directors: Medicaid Directors. medicaiddirectors.org/about/medicaid-directors Accessed Oct 18, 2026.
  4. 42 CFR §441.310 via LII: Limits on FFP (room and board excluded from HCBS waiver). law.cornell.edu/cfr/text/42/441.310 Accessed Oct 17, 2026.
  5. CMS / Medicare.gov: Long-term care coverage. medicare.gov/coverage/long-term-care Accessed Oct 17, 2026.
  6. U.S. Department of Veterans Affairs: Aid and Attendance benefits and Housebound allowance. va.gov/pension/aid-attendance-housebound Accessed Oct 18, 2026.
  7. U.S. Department of Veterans Affairs: State Veterans Affairs Offices. discover.va.gov/external-resources Accessed Oct 18, 2026.
  8. SHIP National Technical Assistance Center (funded by the U.S. Administration for Community Living): Find your local SHIP. shiphelp.org/ships Accessed Oct 18, 2026.
  9. U.S. Administration for Community Living: Eldercare Locator. eldercare.acl.gov Accessed Oct 18, 2026.
  10. Alzheimer’s Association: 24/7 Helpline. alz.org/help-support/resources/helpline Accessed Oct 18, 2026.
  11. U.S. Census Bureau, American Community Survey 2020–2024 5-year estimates, table B01001. data.census.gov/table/ACSDT5Y2024.B01001 Accessed Oct 18, 2026.