nursing home in Elk River, MN
Guardian Angels Care Center
400 Evans Avenue, Elk River, MN 55330 · (763) 635-5475
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Guardian Angels Care Center at a glance
Guardian Angels Care Center is a 120-bed non-profit nursing home in Elk River, Minnesota (Sherburne County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Minnesota average of 3.2.
Residents receive about 4.8 hours of nursing care per day (1.5 of them from registered nurses), better than the state average of 4.2 hours.
Its most recent standard health inspection (December 10, 2025) found 2 health citations. The Minnesota average is 7.1.
Federal regulators fined it 4 times in the past three years, totaling $98,353.
Nursing staff turnover is 51% per year (state average 42.2%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 1, 1967
- Resident/family council
- Both
- County
- Sherburne County
- CMS Certification Number
- 245012
Ratings
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 2.9 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.81 hrs | 4.19 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.49 hrs | 1.06 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.72 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.31 hrs | 3.71 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 51% | 42.2% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 51.2% | 38.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 81.3 | 63.9 | 80.6 | Average |
Penalties
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $98,353 | $24,507 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 5 | 1 | 1 | Worse |
Size
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 71 | 107 | |
| Average residents per day | 101 | 60 | 86 | |
| Occupancy | 84.2% | 84.1% | 80.9% |
Long-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.9% | 4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.2% | 5.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 13.8% | 17.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.7% | 2.6% | 1.6% | Average |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.9% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 11.8% | 18.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 23.7% | 20.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 0% | 4.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 6.6% | 4.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 5.2% | 12.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 35.2% | 24.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 98.8% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.3% | 97.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.9% | 1.9% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 97.1% | 82.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95% | 88.1% | 82% | Better |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 4 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 19, 2026 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 28, 2026 |
| December 10, 2025 Fire safety | Ensure proper storage of liquid oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0930 | D Potential harm, isolated | Corrected December 26, 2025 |
| December 10, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected December 26, 2025 |
| December 10, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | C No harm, widespread | Corrected December 26, 2025 |
| September 9, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected October 24, 2025 |
| April 24, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected May 20, 2025 |
| January 24, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected March 24, 2025 |
| January 24, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected March 24, 2025 |
| January 24, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected March 24, 2025 |
| January 24, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected March 24, 2025 |
| January 24, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected March 24, 2025 |
| January 24, 2025 Fire safety | Have horizontal exits used in accordance with safety requirements. Egress Deficiencies · Tag K0226 | D Potential harm, isolated | Corrected March 24, 2025 |
| January 24, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected March 24, 2025 |
| January 24, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | L Immediate jeopardy, widespread | Corrected March 24, 2025 |
| January 24, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 24, 2025 |
| January 24, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected March 24, 2025 |
| January 24, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected March 24, 2025 |
| January 24, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected March 24, 2025 |
| January 24, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 24, 2025 |
| January 24, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 24, 2025 |
| September 12, 2024 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected October 9, 2024 |
| July 17, 2024 Complaint | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | J Immediate jeopardy, isolated | Corrected July 11, 2024 |
| May 16, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected June 7, 2024 |
| April 11, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected May 6, 2024 |
| April 11, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected May 6, 2024 |
| April 11, 2024 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | J Immediate jeopardy, isolated | Corrected April 29, 2024 |
| April 11, 2024 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected May 6, 2024 |
| April 11, 2024 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected May 6, 2024 |
| April 11, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected May 6, 2024 |
| March 14, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected April 12, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 5 federal penalties in the past three years, including $98,353 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 24, 2025 | Payment Denial | 26 days from February 26, 2025 |
| January 24, 2025 | Fine | $59,010 |
| July 17, 2024 | Fine | $13,627 |
| May 16, 2024 | Fine | $16,801 |
| March 14, 2024 | Fine | $8,915 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HEINECKE, CARLIE Individual | adp of the snf | NOT APPLICABLE | 12/27/2024 |
| SONNTAG, ROBERT Individual | contracted managing employee | NOT APPLICABLE | 03/15/2006 |
| LECLAIRE, JOYCE Individual | corporate director | NOT APPLICABLE | 01/01/2019 |
| LLOYD ROSCOE, NANCY Individual | corporate director | NOT APPLICABLE | 01/01/2018 |
| MOWRY, TRISHA Individual | corporate director | NOT APPLICABLE | 01/01/2021 |
| NAGORSKI, JEFF Individual | corporate director | NOT APPLICABLE | 01/01/2014 |
| NICHOLS, JOANIE Individual | corporate director | NOT APPLICABLE | 01/01/2016 |
| RAITZ, JULIE Individual | corporate director | NOT APPLICABLE | 01/01/2017 |
| ROBINSON, CHRIS Individual | corporate director | NOT APPLICABLE | 01/01/2017 |
| SCHULER, LYNN Individual | corporate director | NOT APPLICABLE | 01/01/2018 |
| SCHULTZ, ARLO Individual | corporate director | NOT APPLICABLE | 01/01/2015 |
| VETSCH, GORDY Individual | corporate director | NOT APPLICABLE | 01/01/2018 |
| ZERWAS, NICK Individual | corporate director | NOT APPLICABLE | 09/16/2020 |
| HERRMANN, DARYL Individual | corporate officer | NOT APPLICABLE | 01/01/2018 |
| KRIEGER, LINDA Individual | corporate officer | NOT APPLICABLE | 04/15/2010 |
| LARSON, TRACI Individual | corporate officer | NOT APPLICABLE | 05/02/2022 |
| GUARDIAN ANGELS HEALTH SERVICES, INC. Organization | operational/managerial control | NOT APPLICABLE | 01/01/1967 |
| LARSON, TRACI Individual | operational/managerial control | NOT APPLICABLE | 05/02/2022 |
| HEINECKE, CARLIE Individual | w-2 managing employee | NOT APPLICABLE | 05/06/2024 |
| LARSON, TRACI Individual | w-2 managing employee | NOT APPLICABLE | 05/02/2022 |
| MCDEVITT, DEAN Individual | w-2 managing employee | NOT APPLICABLE | 02/04/2019 |
Other nursing homes near Guardian Angels Care Center
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Anoka Rehabilitation and Living Center
3000 4th Avenue, Anoka, MN 55303 · 10.8 mi
Non-profit · 120 beds · Part of Volunteers of America Senior Living
★★★★★4Above averageThe Estates at Twin Rivers LLC
305 Fremont Street, Anoka, MN 55303 · 10.9 mi
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★★★★★2Below averageThe Villas at Osseo LLC
501 Second Street Southeast, Osseo, MN 55369 · 15.4 mi
For-profit · 100 beds · Part of Monarch Healthcare Management
- Abuse citation
★★★★★1Much below averagePark River Healthcare and Rehabilitation Center Ll
9899 Avocet Street Northwest, Coon Rapids, MN 55433 · 16.6 mi
For-profit · 98 beds
- Special Focus candidate
★★★★★2Below averageSaint Therese at Oxbow Lake
9751 Regent Avenue North, Brooklyn Park, MN 55443 · 17 mi
Non-profit · 64 beds · Part of Saint Therese Senior Communities
★★★★★3Average
Frequently asked questions
What is Guardian Angels Care Center's rating?
Guardian Angels Care Center has 2 out of 5 stars on the CMS overall star rating. The average for Minnesota nursing homes is 3.2 stars.
How many inspection citations did Guardian Angels Care Center receive?
Its most recent standard health inspection found 2 citations, compared with a Minnesota average of 7.1. Every citation is listed on this page with its severity.
Does Guardian Angels Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Guardian Angels Care Center?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Guardian Angels Care Center and how do I contact it?
Guardian Angels Care Center is at 400 Evans Avenue, Elk River, MN 55330. Phone: (763) 635-5475.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.