All states › Minnesota › Elk River › Guardian Angels Care Center
400 Evans Avenue Elk River, MN 55330 · Sherburne County
CMS certification number 245012 · See this home on Medicare Care Compare
Is Guardian Angels Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Guardian Angels Care Center as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Minnesota average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.72 hours per resident per day at Guardian Angels Care Center, above the Minnesota median of 4.18 (US median: 3.72). About 1.48 of those hours are from registered nurses. On weekends it falls to 4.19 hours, 11% below its all-week average. 53.9% of nursing staff left within a year (Minnesota median 39.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Guardian Angels Care Center: Medicare and Medicaid
Guardian Angels Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Minnesota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 10, 2025 and found 0 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 18 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 18 citations at Guardian Angels Care Center across 9 inspection dates, 7 of them from complaint investigations. 4 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 24, 2025. The most common areas cited were quality of life and care (7) and resident rights (5). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level L, January 24, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
March 19, 2026 · 1 citation · includes complaint inspection
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
September 9, 2025 · 1 citation · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
April 24, 2025 · 1 citation · includes complaint inspection
DProvide safe and appropriate respiratory care for a resident when needed.
January 24, 2025 · 7 citations, includes immediate jeopardy
LProvide and implement an infection prevention and control program.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure each resident receives an accurate assessment.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
September 12, 2024 · 1 citation · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
July 17, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
May 16, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 11, 2024 · 4 citations, includes immediate jeopardy
JHonor 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.
DAllow residents to self-administer drugs if determined clinically appropriate.
DProvide 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.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
March 14, 2024 · 1 citation · includes complaint inspection
DRespond appropriately to all alleged violations.
Questions to ask on a tour of Guardian Angels Care Center
- Inspectors cited the home at the immediate-jeopardy level on January 24, 2025 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 14, 2024. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 53.9% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
5 penalties in the last three years, including $98,353 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jan 24, 2025 | Fine | $59,010 |
| Jan 24, 2025 | Payment Denial | 26 days of payments denied |
| Jul 17, 2024 | Fine | $13,627 |
| May 16, 2024 | Fine | $16,801 |
| Mar 14, 2024 | Fine | $8,915 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 4/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 4/5 | 3/5 |
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Location
Hospitals near Guardian Angels Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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10.6 mi
Centracare Health - Monticello MonticelloEmergency roomMedian ER visit 2h 12m for patients treated and sent home
- 10.8 mi
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12.6 mi
Maple Grove Hospital Maple GroveEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 14m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.