Minnesota › Sherburne County › Elk River
Guardian Angels Care Center
400 Evans Avenue, Elk River, MN 55330
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 120 beds, Guardian Angels Care Center serves Elk River in Sherburne County, Minnesota and has taken Medicare and Medicaid residents since 1967.
CMS gives it 2 of 5 stars overall, below the Minnesota median of 3; the health inspection rating is 2, staffing 4 and quality measures 3.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (2, 9, 7 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 15.0 per 100 beds, fewer than the state median of 30.0.
CMS lists 5 penalties in the period covered: fines totalling $98K and 1 payment denial.
Reported nurse staffing is 4.8 hours per resident per day (1.5 RN), close to the Minnesota median of 4.2; nursing staff turnover is 51.0%.
Compared with county, state and nation
| Measure | This facility | Sherburne Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 18 | 20 | 28.7 |
| Citations per 100 beds | 15.0 | 15.0 | 30.0 | 26.8 |
| Total nurse hours per resident day | 4.8 | 4.8 | 4.2 | 3.9 |
| RN hours per resident day | 1.5 | 1.5 | 1.0 | 0.7 |
| Nursing staff turnover | 51.0% | 62.3% | 40.0% | 45.8% |
| Fines listed | $98,353 | $98,353 | $0 | — |
County and state figures are medians across facilities (2 in the county, 338 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Dec 2025, 24 Jan 2025.
Severity mix: J ×3 L ×1 D ×11 E ×2 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 28 Apr 2026 |
| 9 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 24 Oct 2025 |
| 24 Apr 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 20 May 2025 |
| 24 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | L | Standard survey | 24 Mar 2025 |
| 24 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 24 Mar 2025 |
| 24 Jan 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 24 Mar 2025 |
| 24 Jan 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 24 Mar 2025 |
| 24 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 24 Mar 2025 |
| 24 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 24 Mar 2025 |
| 24 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 24 Mar 2025 |
| 12 Sep 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 9 Oct 2024 |
| 17 Jul 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | J | Complaint investigation | 11 Jul 2024 |
| 16 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 7 Jun 2024 |
| 11 Apr 2024 | F0578 | 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. | J | Standard survey | 29 Apr 2024 |
| 11 Apr 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 6 May 2024 |
| 11 Apr 2024 | F0688 | 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. | D | Standard survey | 6 May 2024 |
| 11 Apr 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 6 May 2024 |
| 14 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 12 Apr 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 24 Jan 2025 | Payment denial | — | 26 days |
| 24 Jan 2025 | Fine | $59,010 | |
| 17 Jul 2024 | Fine | $13,627 | |
| 16 May 2024 | Fine | $16,801 | |
| 14 Mar 2024 | Fine | $8,915 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 51.0%, RNs 51.2%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Minnesota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.8% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.9% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.9% | 1.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.7% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.2% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.8% | 15.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Guardian Angels Health Services, Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Guardian Angels Health Services, Inc. | Operational/managerial control | NOT APPLICABLE | 01/01/1967 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Sherburne County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| St Benedicts Care Center | Saint Cloud | 75 | 4 | 4 | 4 | 10 | 13.3 | — | 8 Apr 2026 |
All 2 facilities in Sherburne County
Questions and answers
How many deficiencies has Guardian Angels Care Center been cited for?
18 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.
Has Guardian Angels Care Center been fined?
Yes. CMS lists fines totalling $98K in the period covered, plus 1 payment denial.
How does staffing at Guardian Angels Care Center compare?
Reported total nurse staffing is 4.8 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates Guardian Angels Care Center?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Guardian Angels Health Services, Inc.. Individual owners and managers are not listed on this site.
When was Guardian Angels Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 19 Mar 2026; the most recent standard health survey was 10 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.