The Alton

    1306 Alton St, St Paul, MN 55116
    • Assisted Living
    • Memory Care

    Highly recommend caring clean community

    I moved my mom here and I'm very pleased - the staff are caring, well-trained, and communicative, and nursing/in-house physicians give excellent medical attention. The building is clean, safe, and well-maintained with private rooms/bathrooms, plentiful activities, nutritious meals, and a warm, family-like atmosphere; I would highly recommend touring this community.

    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

    4.23·(39)

    Overall rating

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

      3.6
    • Staff

      4.0
    • Meals

      3.1
    • Amenities

      4.2
    • Value

      2.2

    Pros

    • Compassionate, person-centered staff
    • Skilled memory-care programming
    • Stimulating activities and social engagement
    • Homelike, well-maintained environment
    • Accessible outdoor garden and central common areas
    • Private rooms with ensuite bathrooms
    • Strong housekeeping and facility maintenance
    • Safe wandering-detection and security measures
    • In-house medical and nursing support
    • Welcoming reception and marketing staff
    • Supportive end-of-life and hospice-oriented care
    • Nutritious, healthy meal options

    Cons

    • Inconsistent staffing levels and weekend understaffing
    • Gaps in medication-management and clinical coordination
    • Unreliable call-button and emergency-response systems
    • Inconsistent family communication and administrative coordination
    • Variability in dining quality and limited menu diversity
    • Limited capacity for higher-acuity residents
    • Property and personal-item tracking weaknesses
    • Language and resident–staff communication limitations
    • Ambiguity around levels-of-care and placement suitability
    • High cost and private-pay requirement impacting perceived value

    Summary of reviews

    The Alton presents a mixed but generally positive profile: many families praise the facility for its compassionate, person-centered approach, strong memory-care programming, and a warm, homelike setting. Reviewers frequently highlight attentive direct-care staff and nursing support, a variety of memory-focused activities, clean and well-maintained spaces including an attractive garden and central gathering area, and private-room options with ensuite bathrooms. Several accounts emphasize the facility’s strengths in end-of-life support, in-house clinical attention, and an engaged reception/marketing team that makes touring families feel welcome.

    Care and staffing: Clinical and caregiving quality is a core strength when staffing is adequate — staff are described as empathetic, knowledgeable about dementia care, and effective at building a sense of community. However, there is a recurrent pattern of operational strain: inconsistent staffing levels (particularly on weekends), occasional inability to motivate or engage residents with higher needs, and variability in assistance with personal hygiene and laundry routines. A number of accounts indicate breakdowns in medication administration and clinical coordination that suggest the need for clearer protocols and oversight. Prospective families should ask about current staffing ratios, medication-safety procedures, and nurse-manager oversight.

    Dining and activities: Activity programming is frequently cited as a standout element, especially within the memory-care neighborhoods where organized games, puzzles, and social programming are noted. At the same time, activity visibility and resident engagement appear inconsistent in some observations. Dining is commonly described as healthy and well-prepared, with some reviewers praising meals; other reviewers raised concerns about highly processed offerings, limited fresh fruit/vegetable options, and constrained menu variety (including limited ethnic options). If dining preferences and nutrition variety are important, families should request current menus and sample meals during a visit.

    Facilities and safety: The physical plant and maintenance receive strong marks: clean common areas, good maintenance, effective wandering/detection measures, and pleasant outdoor spaces. The building’s scale and location are positives for many families. Nonetheless, several operational safety systems drew concern — notably unreliable call-button functionality and emergency-response reliability — which are operational risks for residents who require rapid assistance. There are also reports that the community may not be well-suited for residents who are rapidly progressing to higher medical acuity; families of couples who wish to cohabit where one partner needs much more intensive care should verify placement policies and transfer protocols.

    Management and communication: Administrative impressions are mixed. Some families commend specific leaders (for example, a communicative nurse manager and knowledgeable marketing staff) and note timely family updates. Other families describe disorganized administrative processes, poor intra-staff communication, missing documentation, and inconsistent coordination with external providers such as hospice and ambulance services. There are also mentions of personal-item loss and challenges in tracking belongings, which point to opportunities for stronger property-management practices. Cost is a consistent consideration: the community is described as expensive with private-pay requirements, and several families wrestled with perceived value versus price.

    Notable patterns and recommendations: Overall, The Alton offers strong elements for residents who need memory-focused, community-oriented care in an attractive facility, but operational variability — particularly around staffing consistency, medication and emergency-response processes, dining variety, and administrative coordination — appears repeatedly. Prospective families should balance the facility’s demonstrated strengths in compassionate caregiving and programming against these operational concerns. Recommended topics for a visit and contract discussion include current staffing ratios (including weekend coverage), medication-safety protocols, call-button and emergency-response testing, hospice and external-provider coordination procedures, property-inventory policies, language capabilities of direct-care staff, activity schedules, sample menus, and total cost and private-pay terms.

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    Location

    Map showing location of The Alton

    The Alton is located at 1306 Alton St, St Paul, MN, 55116.

    About The Alton

    The Alton Memory Care sits at 1306 Alton Street, Saint Paul, MN, and has served seniors living with memory loss since 2008. The building has an environment that looks a little like a grand hotel, which helps residents with memory and sensory experiences, and you see private living suites or semi-private tandem suites, each with their own or shared bathrooms, plus secured grounds for safe walking, along with a courtyard and even a putting green outside. The place is smoke-free, fully wheelchair accessible, and equipped with sprinkler systems for safety, and it uses a state-of-the-art, noninvasive call and security system, while entrances and exits are monitored, so nobody gets lost or confused. The Alton runs small neighborhoods that care for 10-12 residents each, plus there's an enhanced care wing called The Highland for those needing extra help. There's only a focus on memory care, using programs suited for dementia and regular staff training in how to talk to and care for residents with Alzheimer's or other forms of memory loss.

    Nurses are here seven days a week, there's a registered nurse on site on weekdays and always on call, and nurses or aides help with personal care, bathing, dressing, toileting, and remembering to take medicines - which can be set up weekly and given up to three times a day by trained staff. Contracted providers offer physical, occupational, and speech therapy to keep up skills for daily life, and care is always person-centered, which means the team works with each resident, their family, and providers to find what works best for their situation. There's hospice support for terminal illness, including comfort and pain management if needed.

    Meals come three times a day, restaurant-style, and snacks are always on hand, while residents can also choose a la carte food if they wish, and weekly housekeeping, linen changes, and laundry (up to three loads per week) are all done by staff, with onsite maintenance for anything that breaks. Activities happen every day, from arts and crafts to wellness programs and social outings with team-led transportation, and family members are welcome, with support groups and open meetings to keep everyone on the same page. Residents can enjoy Wi-Fi, cable TV, a dining room, salon or barbershop, game rooms, fitness center, guest parking, and more, with all utilities like heat, water, and electricity included in the monthly rate, along with notary, fax, and copy services if paperwork comes up. The Alton offers furnished apartments for respite stays too.

    Rent depends on room type-the private nursing home rooms range from $11,000 to $18,000 a month, semi-private nursing home options go from $10,000 to $16,000, and for those in assisted or independent living, single rooms start at $2,500, studios at $2,000, and two-bedroom units can go up to $8,000 a month, with health care services varying with each resident. Staff are always nearby to help, and the whole community feels comfortable, homelike, and steady, aiming for compassion and respect, with a commitment to honor each resident's personal story, needs, and dignity throughout their stay.

    People often ask...

    The Alton offers competitive pricing, with rates starting at a cost of $6,261 per month.

    The Alton offers assisted living and memory care.

    There are 25 photos of The Alton on Mirador.

    The full address for this community is 1306 Alton St, St Paul, MN 55116.

    No, The Alton 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 number25829
    Facility typeAssisted Living

    Inspection Reports

    7

    Reports

    18

    Citations

    4

    Complaints

    3

    Years

    31 Mar 2026Inspection
    Found multiple deficiencies across food service, emergency preparedness, recordkeeping, and medication disposition, resulting in cited violations.
    • Minn. Stat. 144G.41Minimum food service standards; food safety
    • Minn. Stat. 144G.42 Subd. 10Disaster planning and emergency preparedness
    • Minn. Stat. 144G.43 Subd. 3Contents of resident records
    • Minn. Stat. 144G.45 Subd. 2Fire protection and physical environment
    • Minn. Stat. 144G.45 Subd. 2(b)-(f)Fire safety and evacuation plans
    • Minn. Stat. 144G.52 Subd. 9Emergency relocation
    • Minn. Stat. 144G.70 Subd. 2(c)-(e)Initial reviews, assessments, and monitoring
    • Minn. Stat. 144G.71 Subd. 22Disposition of medications
    15 Oct 2025Complaint
    Investigated a complaint; no correction orders were issued.
    14 Oct 2024Complaint
    Identified neglect due to failure to provide two-hour safety checks and toileting assistance, resulting in two falls and hospitalization. Heating issues could not be determined as contributing to the hospitalization.
    • 144G.91 Subd. 8 Freedom from maltreatmentFreedom from maltreatment
    07 Mar 2024Inspection
    Identified correction orders after a follow-up review; one involved TB screening with a fine; overall found substantial compliance.
    • 144G.42 Subd. 9Tuberculosis prevention and control
    09 Nov 2023Complaint
    Identified deficiencies related to emergency relocation notification and the right to return, and to timely assessments after a change in condition.
    • 144G.52 Subd. 9 Emergency relocationEmergency relocation
    • 144G.52 Subd. 10 Right to returnRight to return
    • 144G.70 Subd. 2 (c-e) Initial reviews, SS=D assessments, and monitoringInitial reviews, assessments, and monitoring
    11 Aug 2023Complaint
    Investigated an allegation that a staff member placed hands on a resident's face to force medication; the finding was inconclusive.
    • 144G.41 Subd. 3 Infection control programInfection control program
    • 144G.71 Subd. 7 Delegation of medication administrationDelegation of medication administration
    17 May 2023Inspection
    Identified state correction orders for staffing schedule postings, liability waiver language in contracts and handbooks, and storage of refrigerated medications.
    • 144G.41 Subdivision 1Staffing Requirements
    • 144G.50 Subd. 5Waivers of liability
    • 144G.71 Subd. 19Storage of Medications

    Disclaimer

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

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