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  4. Nursing Home and Certified Boarding Care Home Moratorium Exceptions
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Nursing Homes

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  • Health Care Facilities, Providers and Insurance
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Nursing Homes

  • Nursing Homes Home
  • Regulatory Updates Webinars
  • Rulemaking

Related Info

  • Health Care Facilities, Providers and Insurance
  • About the Health Regulation Division
Contact Info
Health Regulation Division
651-201-4200
health.fpc-web@state.mn.us

Contact Info

Health Regulation Division
651-201-4200
health.fpc-web@state.mn.us

Nursing Home and Certified Boarding Care Home Moratorium Exceptions

Request for Proposals for Exception to the Moratorium 

At the authorization by the legislature of additional medical assistance expenditures for exceptions to the moratorium on nursing homes, the commissioner shall publish in the State Register a request for proposals for nursing home and certified boarding care home projects for conversion, relocation, renovation, replacement, upgrading, or addition. 

The commissioner of health is currently accepting written proposals from nursing homes and certified boarding care homes under moratorium exception process, in accordance with Minnesota Statutes, section 144A.073. 

During each biennium, including any carryover of previous appropriations, and for the period from July 1, 2025, to June 30, 2026, the legislative appropriation available to fund additional costs to the medical assistance program associated with projects approved under Minnesota Statutes, section 144A.073, is $8,121,912. 

Projects that do not meet the criteria for the exceptions to the moratorium process may still qualify as “threshold” projects under Minnesota Statutes, section 256B.434, subdivision 4f. Unlike projects approved through the competitive exceptions to the moratorium process, threshold projects are not required to demonstrate that capitalized expenses are related to improvements to the physical plant beyond the replacement of existing components. 

Note: Effective Oct. 1, 2025, Minnesota Statutes, section 256B.434, subdivision 4f permits threshold projects with costs under $2,421,908 to proceed without applying for an exception to the moratorium process. 

Timeline, Review and Approval of Proposals 

Facilities interested in submitting a moratorium exception request are encouraged to submit a Letter of Intent by Oct. 20. Completed proposals must be received by the Minnesota Department of Health (MDH) no later than 4:30 p.m. Central Standard Time (CST) on Dec. 18. 

Proposals will be reviewed by the Advisory Review Panel composed of representatives from organizations serving nursing home consumers and providers, professionals in engineering, building construction, or design services, and relevant state agencies involved in long-term care, housing, and finance. 

Applicants will have the opportunity to present their proposals during a virtual public meeting held prior to the panel’s submission of comments and recommendations to the Commissioner of Health. Meeting details, including the date and time, will be provided to the contact person identified in each moratorium exception proposal. 

The Commissioner of Health will approve or disapprove proposals based on criteria established in state law and rule. A final decision will be issued no later than March 31, 2026. 

Application Materials 

Letter of Intent – Exception to the Moratorium on Nursing Homes (PDF) 

Completed proposals should be uploaded to the MDH CloudDrive in 2 separate files: 

  1. Application for Exception to the Moratorium on Nursing Homes (PDF), and Engineering Summary Review Form (PDF)
  2. Schematic Drawings Example (PDF) 

Beds per 1000 65+ and 85+ by individual counties and contiguous county groups, June 2025 (PDF) 

Previous Awards

The Minnesota Department of Health’s Health Regulation Division approved exceptions for the following facilitates to the Nursing Home Moratorium on April 2, 2025, based on the recommendations of the Moratorium Review Committee.

  • Lyngblomsten Lino Lakes Care Center, Anoka County for $102,999.00
  • Milaca Elim Meadows Health Care Center, Mille Lacs County for $112,719.00
  • Meadows on Fairview, Wyoming, Chisago County for $164,358.00
  • Elim Wellspring, Mille Lacs County for $ 271,851.00
  • Augustana Health Care Center of Apple Valley, Dakota County for $258,378.00

The Minnesota Department of Health’s Health Regulation Division approved exceptions for the following facilities to the Nursing Home Moratorium on April 10, 2024, based on the recommendations of the Moratorium Review Committee

  • Aurora on France, Edina, Hennepin County for $48,876.00
  • Catholic Elder Care, Minneapolis, Hennepin County for $129,069.00
  • Augustana Chapel View Care Center, Hopkins, Hennepin County for 356,324.00
  • Knute Nelson Care Center, Alexandria, Douglas County for $188,791.00
  • Minnesota Masonic Home Care, Bloomington, Hennepin County for $264,945.00
  • Pelican Valley Health Center, Pelican Rapids, Ottertail County for $159,127.00
  • Sacred Heart Care Center, Inc., Austin, Mower County for $174,788.00

The Minnesota Department of Health's Health Regulation Division approved exceptions for the following facilities to the Nursing Home Moratorium on April 5, 2023, based on the recommendations of the Moratorium Review Committee.

  • Catholic Eldercare, Minneapolis, Hennepin County, $367,960
  • Trinity Care Center, Farmington, Dakota County, $209,330
  • Langton Shores, Roseville, Ramsey County, $140,574
  • Oak Hills Living Center, New Ulm, Brown County, $242,066
  • Pioneer Care Center, Fergus Fall, Otter Tail County, $372,482
  • St. Williams Living Center. Parkers Prairie, Otter Tail County, $126,242

Frequently Asked Questions

Check out Nursing Home Exception to the Moratorium Frequently Asked Questions.

Submit questions to health.nhm@state.mn.us.

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Last Updated: 07/21/2025

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