Nursing home report
ELK RIVER, MN · Medicare-certified · 120 beds
Guardian Angels Care Center in Elk River, MN has an overall 2-star rating, with 2 stars for health inspections, 4 stars for staffing, and 3 stars for quality measures. Staffing is above the federal benchmark at 4.81 hours per resident day versus 4.1, but the facility had $72,637 in fines in the last 24 months and a recent federal penalty, with inspection concerns cited in infection control, food accommodations, and accident prevention.
Health inspections
Staffing
4.8108 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8108.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
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.
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.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
A federal payment denial was recorded.
A federal fine of $59,010 was recorded.
A federal fine of $13,627 was recorded.
A federal fine of $16,801 was recorded.
On record with Medicare: 4 fines · $98,353 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Jan 24, 2025
Federal fine
Jan 24, 2025
Federal fine
Jul 17, 2024
Federal fine
May 16, 2024
Federal fine
Mar 14, 2024
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.
