Small by design, so care can be personal.
BTW Residence is a licensed-pending residential care home in northwest Rochester — five residents, a real house on a quiet street, and staff who know everyone by name. Nine minutes from Mayo Clinic.
A house, not a facility
Large communities can house a hundred people or more. We chose five. That single decision shapes everything else — how quickly someone notices a change, how meals are cooked, how much time a caregiver actually has to sit down with your parent.
A quiet residential street
A single-family home on 59th Street NW, on a two-tenths-acre lot in an established neighborhood — not a wing of a larger building.
Five residents, always
Our licensed capacity is five and will stay five. Staff learn each person's routine, preferences, and the small signals that something has changed.
Nursing oversight
A Minnesota-licensed registered nurse provides clinical oversight, resident assessments, and supervision of care staff.
Outdoor space
A private rear deck off the main level gives residents a place to sit outside, have coffee, or visit with family in good weather.
Close to care
Roughly nine minutes from Mayo Clinic, with pharmacies, clinics, and specialists nearby — which matters on appointment days.
Family stays involved
Visits, questions, and participation in care planning are welcome. You should never have to work to find out how your family member is doing.
Care built around each person
Services are provided according to each resident's individual service plan and physician orders. The list below reflects what we are prepared to provide; what any one resident receives is agreed in writing before move-in.
Personal care & daily living
- Bathing, dressing, and grooming assistance
- Toileting and continence support
- Transfer and mobility assistance
- Assistance with meals and eating
- Daily wellness checks
- Housekeeping, laundry, and linens
Medication & clinical services
- Medication administration and management
- Medication reminders and set-up by a nurse
- Central medication storage
- Coordination with physicians and pharmacies
- Blood glucose monitoring and diabetic care
- Injections, eye and ear drops, topicals, patches
- Oxygen management, CPAP and BiPAP support
- Basic wound care and clinical monitoring
Also available
- Nebulizers and inhalers
- Oxygen saturation checks
- Compression stockings
- Fall-prevention support
- Escort to on-site activities and meals
- Coordination of transportation to appointments
- Resident call device
- Social and recreational activities daily
A complete Uniform Disclosure of Assisted Living Services and Amenities (UDALSA) is provided to every prospective resident before any agreement is signed.
Meals, routine, and rhythm
Home cooking, three times a day
All meals are prepared on site in our kitchen — three meals daily plus morning, afternoon, and evening snacks. We follow a four-week rotating menu that changes with the seasons, built around fresh produce, whole grains, lean protein, and fish at least twice a week.
Physician-ordered diets are prepared as modifications of the same menu, not as a separate tray: diabetic, heart-healthy, low sodium, renal, gluten-free, vegetarian, mechanical soft, pureed, and thickened liquids. Cultural and religious dietary preferences are honored and documented in each resident's service plan.
Water, coffee, tea, milk, and juice are available at all times.
A typical day
Who will be caring for your family member
Owner & Assisted Living Director
Our Assisted Living Director brings more than fifteen years of healthcare experience, spanning acute inpatient hospital care through outpatient and residential group home settings. That range matters: it is the difference between recognizing a change in someone's condition early and finding out about it late. He brings the judgment, clinical knowledge, and professionalism to meet and exceed every aspect of our residents' care and daily needs — and he is on site, not managing from a distance.
Clinical Nurse Supervisor
Our Clinical Nurse Supervisor is a registered nurse licensed in Minnesota, with years of experience caring for older adults across clinical and community settings. She provides clinical oversight, completes resident assessments, and supervises and delegates nursing tasks to our care staff — and she is accessible to staff around the clock.
Someone here around the clock
Trained caregivers are in the home 24 hours a day, seven days a week, on day, evening, and overnight shifts. They work under the direction of the Assisted Living Director and the clinical supervision of our registered nurse.
Frequently asked
Are you open yet?
Not yet. Our licensure application is under review by the Minnesota Department of Health, and we cannot accept residents until that license is issued. We are building a waiting list now and will contact families in order as our opening date becomes clear.
How many residents will live there?
Five. That is our licensed capacity and we have no plans to grow it. The small size is the point — it is what lets staff give each person real attention.
Do you provide memory care?
No. We are applying as a standard residential care home and are not licensed to advertise or provide specialized dementia or memory care services. If your family member needs a secured memory care setting, we are glad to point you toward providers who offer it.
Is a nurse on site at all times?
A registered nurse provides clinical oversight, assessments, and supervision, and is accessible to staff 24 hours a day. Trained direct care staff are physically in the home around the clock.
What does it cost, and what payment sources do you accept?
Rates depend on the level of care in each resident's service plan. We expect to accept private pay, sliding scale, Housing Support, waivered services (EW, CADI, BI), and long-term care insurance. Contact us for current rates once we are licensed.
Can families visit whenever they want?
Yes. Family involvement makes care better, and we want you here. We will ask only that visits work around meals, personal care, and other residents' privacy.
How do I get on the waiting list?
Send us a note through the form below or call. There is no cost and no obligation — it simply means we will reach out to you first when we are able to accept residents.
Join the waiting list
Tell us a little about the person you are looking for care for. We will get back to you personally — and we will be honest with you about timing.
Rochester, MN 55901
Before you choose any senior housing
Minnesota offers free, unbiased help comparing your options. We encourage every family to use it — including before choosing us.
LinkAge 1-800-333-2433
Mon–Fri, 8:00 am – 4:30 pm
Ombudsman 1-800-657-3591