Pricing ranges from
    $5,574 – 6,688/month

    Highland Gw

    1925 Graham Ave, St Paul, MN 55116
    • Assisted Living
    • Memory Care

    Clean homey unit, attentive staff

    I moved my mother into a corner unit and have been very pleased - clean, homey facility in a quiet neighborhood with large windows, private bath, patio and gardens, and a handicap-accessible tub. The staff are warm, professional and responsive (special thanks to Sara and Joy); care is personalized with regular physician visits, good meals and activities, and Medicaid/all-inclusive pricing accepted. Move-in was smooth and communication steady - overall a very positive experience.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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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

    Reviews

    4.38·(61)

    Overall rating

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

      4.3
    • Staff

      4.3
    • Meals

      3.1
    • Amenities

      4.6
    • Value

      3.8

    Pros

    • Compassionate, attentive caregiving staff
    • Small, home-like community atmosphere
    • Clean, well-maintained interior and grounds
    • Bright, spacious resident rooms with private bathrooms
    • Accessible outdoor spaces, patio and gardens
    • Personalized care plans with frequent nursing checks
    • Responsive admissions and move-in support
    • Engaging in-house activities and social events
    • Accommodating hospice and end-of-life coordination
    • Pet-friendly environment
    • Medicaid accepted
    • Reasonable all-inclusive pricing options
    • Regular physician or geriatrician visits
    • Dedicated dining staff and praised chef
    • Handicap-accessible bathing options
    • Demonstrated dementia and memory-care expertise

    Cons

    • Inconsistent staffing levels, especially evenings and weekends
    • Delays in responding to resident requests and call lights
    • Gaps in medication-administration processes
    • Unreliable meal-service continuity and diet accommodations
    • Breakdowns in staff–family and interstaff communication
    • Weak personal-property and laundry-management processes
    • Access-control procedures causing visitor and access delays
    • Resident-identification and handoff process gaps
    • Variable programming tailored to memory-care needs
    • Management responsiveness and conflict handling
    • Administrative and billing process errors
    • Inconsistent infection-control and testing procedures

    Summary of reviews

    Reviews present a mixed but coherent picture: many families praise the facility's small, home-like setting, compassionate staff, and well-kept physical environment, while a set of operational weaknesses recurs across longer-form accounts. The facility is repeatedly described as bright, clean, and intimate, with spacious rooms, private bathrooms in many units, accessible outdoor spaces and gardens, and an atmosphere that many residents and families find comfortable and familiar.

    Care quality is frequently characterized by individualized attention and frequent nursing checks; multiple reviewers compliment front-line caregivers, specific nurses, and an admissions process that eases transitions. At the same time, several reviewers raised concerns about staffing consistency — particularly during evenings and weekends — and about delays in attending to resident needs. Related clinical concerns include alleged medication-administration errors and gaps in diet accommodation and meal continuity; these items indicate variability in day-to-day clinical reliability despite examples of strong nursing and hands-on caregiving.

    Dining and activities are described as uneven. The dining staff and chef received praise from multiple families and some residents, with meals described as good to quite good in many accounts. Others reported limited flexibility for special diet needs and occasional lapses in meal delivery. Activities programming is often cited as a positive feature — with singalongs, group events, and creative in-house offerings — though some families noted a lack of personalized memory-care programming or variable activity engagement for residents with dementia.

    Facility amenities and ancillary services are generally seen as strengths: clean common areas, handicap-accessible bathing, pet-friendliness, and regular physician/geriatrician visits were cited. Conversely, recurring administrative issues appear in reviews: inconsistent laundry and personal-property handling, billing and end-of-life administrative errors, and access-control procedures that can delay visitors or family access. A subset of reviews documents more serious allegations — including medication-administration problems and concerns following a resident's death — that prompted calls for regulatory review; these accounts point to the need for prospective families to seek clear documentation of clinical and administrative safeguards.

    Management impressions are mixed. Several reviewers specifically praised on-site leadership and named staff for responsiveness and follow-up; others described defensive interactions and concerns about conflict resolution and retaliation. Given the split between many positive staff-level comments and multiple operational concerns, prospective families should balance the facility's clear strengths (small scale, engaged caregivers, pleasant environment) against the documented patterns of inconsistent staffing, communication gaps, and administrative/process weaknesses.

    Practical recommendations for families considering this facility include asking for current staffing ratios by shift, written medication-administration and diet-accommodation protocols, examples of memory-care programming, procedures for personal-property and laundry handling, and clarification of visitor access policies. Reviewing any recent regulatory history and requesting names and schedules for clinical leadership (nurse manager/physician) can help clarify whether the operational issues raised in some reviews have been addressed.

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    Location

    Map showing location of Highland Gw

    Highland Gw is located at 1925 Graham Ave, St Paul, MN, 55116.

    About Highland Gw

    Highland Gw sits on Graham Avenue West in Saint Paul, Minnesota, and provides both assisted living and memory care for seniors in a home-like setting where staff offer support with daily activities like bathing, dressing, and medication management, and you'll see that there's a real mix of services here with care for people with dementia, Alzheimer's, Parkinson's, and mild cognitive impairment, as well as men's memory care, which isn't always easy to find, and there are shared units, private rooms with generous closet space, kitchenettes, air-conditioning, and bathrooms with tubs, so residents have some choice in their living arrangements. Folks who move in get help with transfers, mobility, showering, and toileting, and there's a focus on safety with pull cords, fall prevention, secured grounds, and a 24-hour call system for emergencies, plus pets are welcome, which lightens up the place for animal lovers. Residents get three meals a day in a spacious dining room with all-day dining, pureed options for those who need it, and special diets for diabetes or allergies, and there's laundry and housekeeping service to keep things easier for everybody, along with medication administration and ongoing health checkups by registered nurses and a staff that can handle non-ambulatory care, so families won't have to worry about adequate support.

    Highland Gw only has room for up to 21 residents in a community with 36 licensed beds, and there's assisted living, memory care, independent living, skilled nursing, and even hospice waiver support, so most types of care needs are covered through personalized care plans, and while licensing authorities have investigated this provider, there aren't any complaint or survey records showing issues at this time, so the staff seems careful and professional with help for daily living and regular health screenings. For enrichment, residents can join arts & crafts, sensory and reminiscence programs, wellness and life enrichment activities, devotional services like Catholic and Protestant worship, movie nights, live performances, birthday parties, regular community-sponsored events, resident-run gatherings, and even BBQs and picnics, and the place has both indoor lounges and outdoor space like large balconies, gardens, and walking paths for fresh air or just relaxing outside. There's on-site parking, easy wheelchair access, and a theater for group activities, plus a beauty salon and on-site barber for personal care, private laundry if you need it, and community spaces including an arts room and indoor common areas.

    Management helps families with move-in coordination and offers free transportation for appointments, which makes transitions easier, and they provide ongoing support meetings and even specialized programs for mental wellness or mild memory issues. Residents get regular health screenings, coordination with healthcare providers, special dietary management, and concierge services, all in a supervised setting designed to reduce confusion and wandering for those with memory and cognitive challenges, and while the campus isn't certified by the Centers for Medicare & Medicaid Services, it's licensed under Minnesota's assisted living rules and commonly surveyed by state agencies. From fully furnished rooms with cable or satellite TV to emergency alert systems and help for activities like transfers or using mobility aids, the facility aims to deliver care with dignity and safety in mind, and you'll find a caring and friendly environment that feels more like a small neighborhood than a big institution.

    People often ask...

    Highland Gw offers competitive pricing, with rates starting at a cost of $5,574 per month.

    Highland Gw offers assisted living and memory care.

    There are 4 photos of Highland Gw on Mirador.

    The full address for this community is 1925 Graham Ave, St Paul, MN 55116.

    No, Highland Gw does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Minnesota, the Department of Health licenses assisted living facilities, publishing the findings of its surveys and complaint investigations.

    License number31337
    Facility typeAssisted Living

    Inspection Reports

    12

    Reports

    66

    Citations

    10

    Complaints

    5

    Years

    04 Feb 2026Complaint
    Determined neglect did not occur after investigating a resident's death.
    12 Mar 2025Inspection
    Identified state correction orders for food service, fire protection, emergency relocation, medication storage, and hazard vulnerability assessment following a March survey.
    • 144G.41 Subdivision 1 Subd. 1a (a-b) Minimum SS=F requirements; required food servicesFood safety and minimum service standards
    • 144G.45 Subd. 2. (a) - Fire Protection And Physical EnvironmentFire protection and physical environment
    • 144G.52 Subd. 9 Emergency relocationEmergency relocation
    • 144G.71 Subd. 19 Storage of medicationsStorage of medications
    • 144G.81 Subdivision 1 Fire protection and SS=F physical environmentFire protection and physical environment
    • 144G.45 Subd. 2 (b-f) Fire protection and SS=F physical environmentFire safety and evacuation plans
    31 Dec 2024Complaint
    Investigated a dining-room choking incident where staff did not provide lifesaving aid or call for help, resulting in death, and found staffing, training, and maltreatment-reporting failures.
    • 144G.41 Subdivision 1Minimum requirements
    • 144G.42 Subd. 6(a) / 626.557, Subd. 3Reporting maltreatment of vulnerable adults
    • 144G.71 Subdivision 8Documentation of administration of medication
    • 144G.91 Subdivision 4(b)Appropriate care and services
    • 144G.91 Subdivision 8Freedom from maltreatment
    31 Dec 2024Complaint
    Investigated an abuse allegation and found maltreatment occurred along with staffing shortages, improper medication practices, and failures to report incidents.
    • 144G.41 Subdivision 1Minimum requirements
    • 144G.42 Subd. 6 (a) / 626.557, Subd. 3Reporting maltreatment
    • 144G.42 Subd. 6 (a) / 626.557, Subd. 3Reporting maltreatment
    • 144G.71 Subd. 8Documentation of administration of medication
    • 144G.91 Subd. 4 (b)Appropriate care and services
    • 144G.91 Subd. 8Freedom from maltreatment
    • 144G.91 Subd. 8Freedom from maltreatment
    29 Aug 2023Complaint
    Observed that an employee slapped a resident and the incident was witnessed and recorded; additional systemwide noncompliance issues were identified, including failure to report maltreatment, inadequate staffing and service plans, and lack of resident and family councils.
    • 144G.41 Subdivision 1Minimum requirements
    • 144G.41 Subdivision 1Minimum staffing requirements
    • 144G.41 Subdivision 5Resident councils
    • 144G.41 Subdivision 6Family councils
    • 144G.70 Subdivision 4Service plan, implementation and revisions
    • 144G.71 Subdivision 8Documentation of medication administration
    • 144G.92 Subdivision 1Retaliation Prohibited
    • 626.557 Subdivision 3Timing of report
    • 144G.91 Subdivision 20Grievances and inquiries
    • 144G.41 Subdivision 8Freedom from maltreatment
    29 Aug 2023Complaint
    Investigated found neglect occurred when call lights went unanswered, causing distress to a resident, and revealed multiple compliance issues including staffing plan failures, missing resident and family councils, and failure to report maltreatment.
    • 144G.41 Subd. 1Minimum requirements
    • 144G.41 Subd. 1Minimum requirements
    • 144G.41 Subd. 5Resident councils
    • 144G.41 Subd. 6Family councils
    • 144G.41 Subd. 6(a)Reporting maltreatment
    • 144G.70 Subd. 4(a-e)Service plan; implementation
    • 144G.71 Subd. 8Documentation of medication administration
    • 144G.20 Subd. 1Conditions
    • 626.557 Subd. 3Timing of maltreatment reporting
    29 Aug 2023Complaint
    Identified neglect where staff did not follow residents' care plans or respond promptly to call lights, leading to severe pain and hospitalization. Multiple systemic issues with call lights, staffing, and reporting were found.
    • 144G.20 Subdivision 1Minimum Requirements
    • 144G.41 Subdivision 1Minimum Requirements
    • 144G.41 Subdivision 1Minimum Requirements
    • 144G.41 Subdivision 5Resident Councils
    • 144G.41 Subdivision 6(a)Reporting Maltreatment
    • 144G.70 Subdivision 4Service Plan Implementation
    • 144G.71 Subdivision 8Medication Administration Documentation
    • 144G.91 Subdivision 4Appropriate Care And Services
    • 144G.91 Subdivision 8Freedom From Maltreatment
    • 144G.91 Subdivision 20Grievances And Inquiries
    • 144G.92 Subdivision 1Retaliation Prohibited
    • 626.557 Subdivision 3Timing Of Report
    29 Aug 2023Complaint
    Identified neglect linked to a medication error that hospitalized a resident, and found widespread failures in staffing, documentation, and maltreatment reporting.
    • 144G.41 Subd. 1Minimum requirements
    • 144G.71 Subd. 8Documentation Of Medication Administration
    • 144G.91 Subd. 8Freedom from Maltreatment
    • 144G.91 Subd. 20Grievances and inquiries
    • 144G.92 Subd. 1Retaliation Prohibited
    • 626.557 Subd. 3Timing of report
    06 Jan 2023Inspection
    Identified multiple noncompliance issues across food safety, infection control, grievance posting, fire safety, evacuation planning, contract management, and hazard assessment.
    • 144G.41 Subd 1 (13) (i) (B)Minimum requirements
    • 144G.41 Subd 3Infection control program
    • 144G.41 Subd 7Resident grievances; reporting maltreatment
    • 144G.45 Subd. 2 (a) (4)Fire protection and physical environment
    • 144G.45 Subd. 2 (b)-(f)Fire protection and evacuation plans
    • 144G.50 Subd. 1Contract required
    • 144G.81 Subd 1Hazard vulnerability assessment
    • 144G.81 Subd 1Hazard vulnerability assessment
    12 Oct 2022Complaint
    Investigated the maltreatment allegation and concluded that neglect could not be determined. A medication administration deficiency was cited for giving multiple medications at once.
    • Minnesota Statutes 144G.71 Subd. 8Documentation of medication administration
    22 Jun 2022Complaint
    Investigated a complaint alleging care and safety concerns in an adult care setting.
    19 Oct 2021Complaint
    Investigated a maltreatment allegation and concluded maltreatment occurred. Found deficiencies related to initial resident reviews and monitoring, and overall maltreatment was established.
    • 144G.70 Subd. 2Initial reviews, assessments, and monitoring
    • 144G.91 Subd. 8Freedom from maltreatment

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    Mirador Living is not affiliated with the owner or operator(s) of Highland Gw. The information above has not been verified or approved by the owner or operator. For exact information, please contact Highland Gw directly. There is no cost for this service. We are compensated by the community you select.

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