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Nursing home report

GUARDIAN ANGELS CARE CENTER

ELK RIVER, MN · Medicare-certified · 120 beds

Needs attention
Non-profit
2 of 5 overall

Guardian Angels Care Center (Elk River, MN) has an overall rating of 2 out of 5 stars. Its staffing is above the federal benchmark at 4.87 hours per resident per day versus 4.1, but it has a recent federal penalty, $89,438 in fines over the last 24 months, and a 2-star health inspection rating with cited issues in infection control, food accommodations, and accident prevention.

Facility ratings

Health inspections

Staffing

4.869 hrs/resident/day

Quality measures

Last inspection: March 19, 2026Penalties, last 24 months: $89,438recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.869.

Staffing detail

Registered nurses
1.48
Licensed practical nurses
0.60
Nurse aides
2.79
Weekend nursing
4.22

Hours per resident per day.

Total staff turnover: 54%
Registered nurse turnover: 60%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

14.3%13.7%Improving

Residents with a fall causing major injury

0%5.2%Worsening

Residents with pressure ulcers (bedsores)

0.8%2.3%Worsening

Residents with a urinary tract infection

2.7%0%Improving

Residents who lost too much weight

8.2%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

21.2%5.3%Improving

Residents whose ability to walk got worse

42.2%

Long-stay residents on antianxiety or sleep medication

4.9%4.7%No change

Short-stay residents newly given an antipsychotic

1.9%0.7%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

27.6%30.3%Worsening

Residents with depressive symptoms

0%6%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

98.8%

Long-stay residents given the pneumonia vaccine

100%98.7%Worsening

Short-stay residents given the seasonal flu vaccine

97.1%

Short-stay residents given the pneumonia vaccine

99%95.1%Worsening

What the inspectors found

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2025 — widespread issue, immediate jeopardy to residents.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: L

The home failed to make sure residents got food that met their allergies, intolerances, and preferences. Cited July 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 806 — 42 CFR §483.60 — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited April 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 578 — 42 CFR §483.10 — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal payment denial was recorded.

  6. PENALTY

    A federal fine of $59,010 was recorded.

  7. PENALTY

    A federal fine of $13,627 was recorded.

  8. PENALTY

    A federal fine of $16,801 was recorded.

Penalties & enforcement

On record with Medicare: 4 fines · $98,353 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Jan 24, 2025

    26 days
  • Federal fine

    Jan 24, 2025

    $59,010
  • Federal fine

    Jul 17, 2024

    $13,627
  • Federal fine

    May 16, 2024

    $16,801
  • Federal fine

    Mar 14, 2024

    $8,915

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
99.7 residents on an average day (83% of 120 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 59 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.