Care built around the person — not the other way around. Every Horizon resident has an individualized plan with around-the-clock support, designed to preserve dignity, routine, and independence.
24-Hour Customized Living is Minnesota's Medicaid Home and Community-Based Services (HCBS) waiver standard for residential assisted living with continuous staffing. At Horizon, it means a trained, awake staff member is present in the home around the clock — every night, every weekend, every holiday.
Unlike "on-call" arrangements where a caregiver might respond by phone, our model keeps staff on-site. If you need help at 3 a.m., someone is already there.
Care is delivered through an individualized service plan developed with the resident, their family, and their care coordinator. The plan is reviewed regularly and adjusted as needs change.
Adults who need more daily support than an independent living arrangement can provide, but who can be safely and comfortably served in a small residential home rather than a nursing facility. Eligibility is typically established through a county needs assessment.
Contact your county case manager or care coordinator to request a customized living assessment. Horizon can work directly with your lead agency to set up a service agreement once eligibility is confirmed. Contact us and we'll guide you through the process.
Each resident's service plan is assembled from the components below based on their assessed needs. Nothing is one-size-fits-all.
Hands-on assistance with bathing, dressing, grooming, oral hygiene, and personal routines. Delivered with patience, respect, and privacy — always at the resident's pace.
Staff assist with medication setup, administration reminders, and documentation. We coordinate with prescribing providers and pharmacies and flag any concerns to the care team.
Help with safe positioning, transfers (bed to chair, chair to standing), walking support, and the use of mobility aids — with falls prevention as a constant priority.
Three nutritious meals prepared daily in-home, with accommodations for dietary restrictions, preferences, and texture needs. Snacks available throughout the day.
Housekeeping, laundry, linen changes, and general upkeep of the resident's living space and common areas — keeping the home clean, safe, and comfortable.
Planned and informal activities — music, reading, crafts, outings, conversation — that keep residents connected to the world around them and to each other.
Regular health observations, vital sign monitoring, and delegated nursing tasks (such as wound care or catheter management) performed under a registered nurse's supervision.
Staff assist residents with scheduling and attending medical and social service appointments, coordinating transportation, and communicating with providers on the resident's behalf.
Moving into a care home is a big decision. Here's how the process works at Horizon — straightforward, at your pace, with no pressure.
Call or email us. We'll have a simple conversation about your situation — no forms, no intake packets, no pressure. Just a chance to get to know each other.
Come see Horizon in person. Walk through the rooms, meet the staff, and ask every question you have. We want you to feel what the home is like before you decide anything.
Your county case manager or care coordinator conducts a needs assessment. If you already have one, we can start from there. Horizon staff participate to ensure the plan fits the home.
Once a service agreement is signed, we work with you on a move-in timeline that feels right. Your space, your things, your rhythm — we adjust to you.
Horizon accepts Minnesota Medicaid HCBS waivers for 24-Hour Customized Living. Waivers are issued by the state but managed through your county, which assigns a case manager to coordinate your care plan and funding.
If you're not sure whether you qualify, contact your county's Health and Human Services office, or reach out to us — we can help point you to the right starting place.
Ask us about waiversTours are available by appointment — no commitment, no paperwork upfront. Just come see the home and meet the people who would care for you or your family member.