Guardian Angels Care Center
400 Evans Avenue · Elk River, MN · 55330 · 7636355475
120 certified beds Non profit - Corporation
Why this verdict
- Federal penalties on record: $72,637 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$72,637 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.87 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.48 | 0.55–0.75 |
| Weekend hours / resident-day | 4.22 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 4 · $98,353 |
Inspection citations (18 in the current record)
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Potential for harm · D March 19, 2026 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 28, 2026 · Quality of Life and Care
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Potential for harm · D September 9, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 24, 2025 · Resident Rights
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Potential for harm · D April 24, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 20, 2025 · Quality of Life and Care
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Immediate jeopardy · L January 24, 2025
Provide and implement an infection prevention and control program.
Corrected March 24, 2025 · Infection Control
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Potential for harm · D January 24, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 24, 2025 · Resident Rights
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Potential for harm · D January 24, 2025
Ensure each resident receives an accurate assessment.
Corrected March 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 24, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 24, 2025 · Quality of Life and Care
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Potential for harm · D January 24, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 24, 2025 · Quality of Life and Care
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Potential for harm · E January 24, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 24, 2025 · Nutrition and Dietary
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Potential for harm · F January 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 24, 2025 · Nutrition and Dietary
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Potential for harm · D September 12, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected October 9, 2024 · Resident Rights
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Immediate jeopardy · J July 17, 2024 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected July 11, 2024 · Nutrition and Dietary
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Immediate jeopardy · J May 16, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 7, 2024 · Quality of Life and Care
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Immediate jeopardy · J April 11, 2024
Honor 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.
Corrected April 29, 2024 · Resident Rights
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Potential for harm · D April 11, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 6, 2024 · Resident Rights
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Potential for harm · D April 11, 2024
Provide 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.
Corrected May 6, 2024 · Quality of Life and Care
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Potential for harm · D April 11, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 6, 2024 · Quality of Life and Care
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Potential for harm · D March 14, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 24, 2025 | Fine | $59,010 |
| January 24, 2025 | Payment Denial | 26 days |
| July 17, 2024 | Fine | $13,627 |
| May 16, 2024 | Fine | $16,801 |
| March 14, 2024 | Fine | $8,915 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245012 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.