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Mon.-Thurs. | 8am to 4:30pm
Fri. | 8am to 4pm

Quality care delivered at home

We improve lives by providing individualized homecare services and support to people in their homes


PCA Choice

PCA Choice services are available to both children and adults with disabilities, chronic diseases, behavioral diagnoses and mental illnesses who need assistance with personal care in their home. These services are funded through government health care programs to help people who are unable to fully care for themselves, enabling them to stay in their homes rather than institutional settings or hospitals. With PCA Choice, clients independently recruit, hire and train the PCAs who provide their care.

PCA services are available both in the home and in the community for people with (but not limited to):

  • Autism
  • Behavioral diagnoses
  • Disabilities
  • Chronic disease
  • Medically complex diagnoses
  • Mental illness
  • Senior care

Financial Management Services

Financial Management Services (FMS) enable people who are on a waiver or looking for an alternative to the Personal Care Assistance program to have optimum control over their program funds through the Consumer Directed Community Supports (CDCS) or Consumer Support Grant (CSG) programs. FMS enables people to create and manage their own budget plan, hire their own staff, and choose which services they receive.

As a Financial Management Service provider, Accra supports the following self-directed services:

  • Consumer Directed Community Supports (CDCS)
  • Consumer Support Grant (CSG)
  • Coming soon: Community First Services and Supports (CFSS)

Waivered Programs

Accra is a Basic 245D licensed provider. With each 245D waivered service, the person or family selects a trusted, qualified worker. Accra then assigns a 245D Service Coordinator to work with the client and their county case manager to set up and administer Basic 245D Waivered Services, while ensuring that all workers are properly trained.

Services covered under our Basic 245D license include:

  • Individualized Home Supports Without Training
  • Respite
  • Homemaker
  • Night Supervision
  • Personal Support

Home Health Care Services

Accra offers medical and health-related services and assistance with day-to-day activities in the home, designed to maintain the safety and security of the client in the community. Accra primarily provides Home Health Care services to people requiring continuing care for chronic needs. These services are also sometimes offered on a short-term basis to people moving from a hospital or rehabilitation center back into their home.

Home Health Care options include:

  • Professional nursing
  • Home health aides
  • Homemakers
  • Rehabilitation services
Accra High Street House

Assisted Living

Accra’s High Street House in Lake City offers a quaint assisted living community with comfortable apartments. Each resident at High Street House completes a detailed interview and assessment with a registered nurse to create a personalized plan, tailored for their specific needs, such as bathing, treatments and medication assistance. The High Street House is located in a quiet residential setting – just blocks from downtown Lake City – close to churches, parks and beautiful Lake Pepin.

Basic services provided to all residents include:

  • A pendant alert system for 24-hour staff assistance through our call system
  • Three meals a day
  • Weekly housekeeping and linen change
  • Washing and drying of personal laundry
  • Scheduled activities several times per week
  • Health assessment and monitoring by a registered nurse
  • Assistance with contacting doctors and arranging appointments for healthcare needs

Mental Health Services

Accra provides mental health counseling and adult rehabilitative mental health services (ARMHS) to residents of St. Louis County. ARMHS services help clients manage the symptoms of mental illness, develop independent living skills and lead a more fulfilling life at home. Supervised by mental health professionals, ARMHS practitioners teach clients how to connect with and leverage community resources and mental health services.

Our rehabilitative services help clients with:

  • Household management, independent living and parenting skills
  • Interpersonal communication
  • Medication education and monitoring
  • Relapse prevention
  • Symptoms management skills
  • Transitions to community living and employment-related transitions
Grandma Laughing With Her Granddaughter

Champions of Homecare

We provide support to children, adolescents, adults and families who need help in their homes for a loved one with a disability or an older adult. The homecare services we provide support the independence of our clients. We can help you navigate the different choices available to you. We offer these services throughout Minnesota in all 87 counties. 

We are the largest provider of homecare services in Minnesota, proudly serving more than 9,000 clients across the state. Our mission is to improve lives by providing individualized homecare services and support to people living at home. We employ more than 8,000 people in both direct care positions and administrative staff.

Years Serving
of Minnesota Counties
Active Caregivers
Clients Served
Care that’s right for you
Existing Accra clients can search our job board to find caregivers who best fit their needs

There are heroes among us

You may know them. They are members of the Accra family — our clients and their caregivers.