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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $59,010 was recorded.
PENALTY
A federal fine of $13,627 was recorded.
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.