GUARDIAN ANGELS CARE CENTER
Open-data reference.
GUARDIAN ANGELS CARE CENTER is a non profit - corporation facility in ELK RIVER, MN with 120 certified beds and a 2-star overall CMS rating. The facility has 20 deficiency records on file. Total penalties: $98K.
400 EVANS AVENUE, ELK RIVER, MN 55330
Phone: 7636355475
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 245012
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 120
- Residents
- 104
- In Hospital
- No
- County
- Sherburne
- Last Inspection
- Dec 10, 2025
Staffing Data
- RN Hours
- 1.50 (nat'l avg: 0.68)
- LPN Hours
- 0.65
- CNA Hours
- 2.74
- Total Nursing Hours
- 4.89 (nat'l avg: 3.89)
- PT Hours
- 0.10
- Nursing Turnover
- 47.1%
- RN Turnover
- 61.1%
What the CMS Record Reveals About GUARDIAN ANGELS CARE CENTER
GUARDIAN ANGELS CARE CENTER operates 120 certified beds in ELK RIVER, MN with approximately 104 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 20 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 4 penalties totaling $98K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.89 total nursing hours per resident day (national average 3.89), with RN coverage at 1.50 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, GUARDIAN ANGELS CARE CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 47.1%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (20 most recent)
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Oct 24, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: May 20, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 24, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 24, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 24, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 24, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 24, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Mar 24, 2025
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Oct 9, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 11, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 7, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: May 6, 2024
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.
Category: Quality of Life and Care Deficiencies
Corrected: May 6, 2024
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.
Category: Resident Rights Deficiencies
Corrected: Apr 29, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: May 6, 2024
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 12, 2024
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 14, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 14, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 14, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.1% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.7% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.0% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 2.7% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 96.2% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 59.6% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 5.7% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 98.8% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 97.1% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 31.9% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.9% | Yes |
Penalty History 4 penalties totaling $98K
| Date | Type | Amount |
|---|---|---|
| Jan 24, 2025 | Fine | $59K |
| Jan 24, 2025 | Payment Denial | - |
| Jul 17, 2024 | Fine | $14K |
| May 16, 2024 | Fine | $17K |
| Mar 14, 2024 | Fine | $9K |
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Frequently Asked Questions
What is the overall CMS rating for GUARDIAN ANGELS CARE CENTER?
What are the staffing levels at GUARDIAN ANGELS CARE CENTER?
How many beds does GUARDIAN ANGELS CARE CENTER have?
Does GUARDIAN ANGELS CARE CENTER have any deficiencies on record?
Has GUARDIAN ANGELS CARE CENTER received any fines or penalties?
Who owns GUARDIAN ANGELS CARE CENTER?
When was GUARDIAN ANGELS CARE CENTER last inspected?
What quality measures are tracked for GUARDIAN ANGELS CARE CENTER?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.