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St. Paul Reporter

Monday, November 10, 2025

Long-term care crisis strains Greater Minnesota as leaders seek sustainable solutions

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Ron Kresha, Minnesota State Representative from the 10A District | Official Website

Ron Kresha, Minnesota State Representative from the 10A District | Official Website

Across Greater Minnesota, long-term care and assisted living facilities are experiencing significant challenges due to rising costs and persistent staffing shortages. Many providers are struggling to remain open, with the closure of such facilities affecting not only residents but also families, local hospitals, and entire communities that rely on these essential services.

Current funding and workforce models for senior care have become unsustainable. Reimbursement rates have not kept up with increasing costs, leaving rural care homes in difficult financial positions. Staff shortages further complicate the situation, leading some facilities to limit admissions or turn away local residents who would otherwise stay close to home.

Efforts to address these issues call for comprehensive solutions rather than temporary fixes. According to the column, a combination of policies could help improve conditions. Workforce development is identified as a key area of focus, including initiatives like scholarships and paid training programs aimed at encouraging more Minnesotans to enter caregiving professions. Partnerships between high schools, community colleges, and care facilities are seen as a way to build a pipeline of talent and retain workers within their communities.

Support for families caring for aging relatives at home is also highlighted as important. Measures such as respite services, caregiver training, or targeted tax credits could provide relief and potentially delay or prevent the need for institutional care.

Minnesota’s aging population will put particular pressure on rural areas in the coming years. Ensuring access to quality senior care close to home is described as both a moral and economic necessity that supports jobs, families, and community stability in Greater Minnesota.

"As the holidays approach, it is a great reminder that our communities and families take care of one another. I urge you to reach out to your loved ones who are in care facilities, as a call or a moment together means more than you know especially during the holiday season. While we work towards solutions in the industry, we must also maintain connections with those who need it most," said State Representative Ron Kresha (R-Little Falls).