facebook tracking Guardian Angels Care Center, Elk River MN: CMS Ratings
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Guardian Angels Care Center

All states › Minnesota › Elk River › Guardian Angels Care Center

400 Evans Avenue Elk River, MN 55330 · Sherburne County

(763) 635-5475

Accepts Medicare Accepts Medicaid 120 certified beds Non profit

CMS certification number 245012 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 18 citations in the last three years. CMS imposed 5 penalties, including $98,353 in fines, in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 5 out of 5.

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.

Nursing care per resident per day 4.72 hours
Above the Minnesota median of 4.18 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.48 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.19 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 53.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 44.4% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 106 About 89% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1967
Legal business nameGUARDIAN ANGELS HEALTH SERVICES, INC.

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Apr 28, 2026)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Oct 24, 2025)

April 24, 2025 · 1 citation · includes complaint inspection

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (May 20, 2025)

January 24, 2025 · 7 citations, includes immediate jeopardy

LProvide and implement an infection prevention and control program.

Immediate jeopardy · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Mar 24, 2025)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Mar 24, 2025)

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Mar 24, 2025)

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Mar 24, 2025)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Mar 24, 2025)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Mar 24, 2025)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Mar 24, 2025)

September 12, 2024 · 1 citation · includes complaint inspection

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Complaint inspection · Deficient, Provider has date of correction (Oct 9, 2024)

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.

Immediate jeopardy · Nutrition and Dietary Deficiencies · Tag F0806 · Complaint inspection · Past Non-Compliance (Jul 11, 2024)

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.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jun 7, 2024)

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.

Immediate jeopardy · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Apr 29, 2024)

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (May 6, 2024)

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (May 6, 2024)

DProvide safe, appropriate dialysis care/services for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0698 · Deficient, Provider has date of correction (May 6, 2024)

March 14, 2024 · 1 citation · includes complaint inspection

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Apr 12, 2024)

Questions to ask on a tour of Guardian Angels Care Center

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on March 14, 2024. How are staff trained, and how are concerns reported?
  3. Nursing staff turnover was 53.9% a year. How many of the staff come from agencies?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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.

DateTypeAmount 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 monthOverallInspectionStaffingQuality
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.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Cura of Monticello Monticello · 10.7 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 67 beds · Medicaid
Anoka Rehabilitation and Living Center Anoka · 10.8 mi away ★★★★★ Inspection 3/5 · Staffing 5/5 120 beds · Medicaid
The Estates at Twin Rivers Anoka · 10.9 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 50 beds · Medicaid
The Villas at Osseo Osseo · 15.4 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 100 beds · Medicaid
Park River Healthcare and Rehabilitation Center Coon Rapids · 16.6 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 98 beds · Medicaid

More nursing homes near Guardian Angels Care Center ›   All nursing homes in Elk River ›

Compare Guardian Angels Care Center with the 3 closest homes side by side ›

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.

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https://www.nursinghomesineachstate.com/minnesota/elk-river/guardian-angels-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.