Pricing ranges from
    $5,708 – 6,849/month

    Central Towers

    20 E Exchange St, St. Paul, MN, 55101
    4.1 · 18 reviews
    • Independent living
    • Assisted living
    • Memory care
    AnonymousCurrent/former resident
    4.0

    Friendly staff, clean, small units

    As a long-term resident, I love the friendly, dedicated staff, responsive maintenance, wonderful activities, and the beautifully remodeled, very clean building connected to the skyway and transit - great value for limited income. Management was professional, COVID response/inoculations and emotional support were solid, and the place feels home-like. Downsides: units are small with limited storage and parking, dining can be inconsistent, I've noticed secondhand smoke in elevators/hallways, and accessibility/security measures can be inconvenient. Overall I'm happy here despite a few issues.

    Pricing

    $5,708+/moSemi-privateAssisted Living
    $6,849+/mo1 BedroomAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    4.11 · 18 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      4.1
    • Meals

      2.0
    • Amenities

      4.5
    • Value

      5.0

    Pros

    • Friendly, caring and dedicated staff
    • Responsive and reliable maintenance
    • Recently remodeled apartments and attractive lobby
    • Wide range of amenities (workout room, TV channels, two meals included)
    • Active activities program and outings with emotional support
    • Convenient location (skyway, light rail, bus, nearby shops)
    • Clean and well‑maintained building
    • Good COVID response and vaccination efforts
    • Good value for residents on limited income
    • Staff helpfulness (examples include returning lost items)

    Cons

    • Reports of poor care quality and residents feeling treated like objects
    • Extensive security measures and locked common areas
    • Secondhand smoke exposure in elevators, hallways and vents
    • Accessibility challenges (hard‑to‑open doors for wheelchair users, long walks for walkers in winter)
    • Small units with limited cabinet/storage space and modest views
    • Inconsistent or inadequate dining quality
    • Limited or no parking and potentially limited visitor parking
    • Nearby homeless panhandling outside the building
    • Mixed reports about management and staff behavior (some describe rudeness or discrimination)
    • Ongoing remodeling/renovation work causing disruption
    • Hallways and layouts smaller/narrower compared with other facilities visited

    Summary review

    Overall sentiment across the reviews is mixed but leans positive on the building, amenities, and staff responsiveness, while raising notable concerns about care quality, security practices, accessibility, and smoking exposure. Many reviewers praise the recent renovations, attractive lobby, cleanliness, and an abundance of amenities — including a good workout room, ample TV channels, and two meals included — that make the community feel comfortable and home‑like. The facility’s central location, with skyway access, light rail and bus connections and nearby shopping, is repeatedly highlighted as a strong advantage, especially for residents on limited incomes who need convenient transit. Maintenance and activity staff receive consistent commendation for being responsive and organized; examples include returning lost items and running engaging outings and music events.

    Staff and care perceptions are one of the most polarized themes. A substantial number of comments describe staff as friendly, bubbly, professional, and dedicated, noting excellent COVID response and emotional support offered through activities and programming. Long‑term residents report feeling accepted and supported. At the same time, some reviews raise serious concerns about care quality and resident treatment — phrases like "residents treated as objects" and reports of discriminatory or rude management appear alongside glowing staff appraisals. This split suggests variability in experiences that may depend on specific staff on duty, management interactions, or individual expectations.

    Facility, layout, and living unit characteristics also produce mixed impressions. The building is described as beautifully remodeled and very clean, with ongoing renovations to carpets, dining room, and lounges that many find appealing. However, units are frequently described as small with limited cabinet and storage space and less desirable views. Hallways and communal areas are navigable but narrower than other communities some reviewers visited. Renovation activity is noted positively for aesthetics but is also called out as an active disruption for some residents.

    Accessibility and security are recurring concern areas. Several reviewers mention doors that are difficult for wheelchair users to open and long walks for those using walkers, especially in winter, which points to potential mobility challenges within the layout. Security is extensive — cameras, security guards, double doors, and locked common rooms were observed — and while this can be reassuring to some, others view locked common rooms and pervasive security measures as restricting. Relatedly, smoking and secondhand smoke are a complex issue: management officially enforces a no‑smoking policy and some reviewers appreciate that smokers are not welcome, yet multiple reports of secondhand smoke in elevators, hallways and vents indicate enforcement or building ventilation problems that affect indoor air quality.

    Dining and community environment show inconsistent feedback. A number of residents appreciate the complimentary meals and the social dining environment, and management is in the process of renovating the dining room. Conversely, there are complaints about inadequate dining quality from some reviewers. External conditions such as nearby homeless panhandling are also mentioned as a local nuisance that affects the perception of safety and comfort outside the building.

    Management impressions are mixed but important. Several reviewers call the manager knowledgeable and professional and express optimism about future improvements. Others report encountering rude management and discriminatory behavior, which, combined with the earlier note about widely varying care quality, suggests that prospective residents should ask specific questions about staff culture, complaint resolution, and resident rights during a tour. Parking constraints, limited visitor spaces, and smaller unit footprints compared with competitors are practical issues that repeatedly appear and should be checked against a resident’s needs.

    Bottom line: Central Towers presents as an attractively updated, well‑located and amenity‑rich senior community with many staff members and departments that are praised for responsiveness, cleanliness, activities, and value for limited incomes. However, prospective residents and family members should investigate care quality and staff consistency, smoke exposure and ventilation, mobility access (doors and walking distances), parking availability, and the impact of ongoing renovations. Visiting at different times, speaking with multiple residents (including long‑term and newer tenants), and asking management for specifics about security policies, smoking enforcement, dining menus, and the handling of complaints will help clarify whether the facility’s strengths align with an individual’s priorities and needs.

    Location

    Map showing location of Central Towers

    About Central Towers

    Central Towers sits in downtown St. Paul, right next to the Fitzgerald Theater, and you can see some pretty nice views of the city and even the Minnesota State Capitol from there, so it's right in the middle of it all, and you get easy skyway access to churches, shopping, restaurants, and everything else downtown, and the two tall buildings really stand out on Exchange Street. There are 11 floors and 194 apartments, with studios, one-bedrooms, and two-bedrooms available-each one comes with a private bath and individual climate control, and the apartments all have kitchens with a stove and refrigerator, which is good if you like to cook at home, though the community also has all-day dining, room service, guest meals, and two meals daily with an optional third, plus meal services for special diets and allergy or diabetes needs, and you can bring a guest to eat with you if you want, too. The building is wheelchair accessible and has a controlled entrance and garage parking, and pets under 20 pounds are allowed for a deposit if you follow guidelines. You can choose your own apartment style-there are single and semi-private units, and there are care suites if you need more help, and storage lockers, and everything is maintenance-free, which saves a lot of hassle. The resident-run activities program gets people involved in planning and leading things like movie night, art in the arts room, billiards, group games, and crafts, and there are community-sponsored activities and opportunities for volunteering, plus music, chapel services, spiritual care, and the WINGS Wellness program that brings in classes for the mind, body, and spirit, so there's always something going on if you want it. There's a fitness center, garden, and walking paths, so you can stay active or relax outside, and inside, common areas have TVs, media rooms, and cozy corners for casual visits-plus you get a library, salons, a convenience store for quick shopping, and computers with free Wi-Fi and cable. Central Towers gives independent, assisted living, and memory care services, so you can get help with medication, bathing, dressing, mobility, mild cognitive issues, dementia, and even hospice if needed, plus there's a resident assistant on-site all the time, and in-house skilled nursing, a service coordinator, and a visiting physician or nurse practitioner for independent living residents, and if you need it, they'll coordinate with your other healthcare providers, and there's a call and response system in case of emergencies. Regular housekeeping, laundry, dry cleaning, and maintenance keep things running smooth, and residents who can't get around easily or who don't drive anymore can use the community's transportation and parking services for shopping or going to the doctor, and family can come visit or even stay the night as there are overnight guest options, plus pets are welcome if they follow rules and pay the deposit. The building is part of Presbyterian Homes & Services and is licensed by the state, and it also offers VA benefits help and financial advice, so if you have questions about money or support, there's someone to ask. The place has a rating of 4.5 out of 8 reviews, and people like the easy access to skyways, the downtown location, and the variety of activities, so you have choices about how you want to live, whether that's meals in the dining room, help with care as needed, or joining in on movie night or chapel, and you can pick the right balance for your lifestyle as you get older.

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