Guardian Angels Health & Rehab Center
1500 East Third Avenue · Hibbing, MN · 55746 · 2182318100
65 certified beds Non profit - Corporation Chain: St. Francis Health Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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: 1 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.70 | 0.55–0.75 |
| Weekend hours / resident-day | 3.49 | ≈ weekday level |
| Nursing turnover / year | 29% | median 45% |
| Fines (3-yr window) | 2 · $26,481 |
Inspection citations (41 in the current record)
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Potential for harm · E August 20, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 18, 2025 · Pharmacy Service
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Potential for harm · D June 12, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 6, 2025 · Resident Rights
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Potential for harm · D June 12, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected August 6, 2025 · Resident Rights
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Potential for harm · E June 12, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected August 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 12, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 12, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected August 6, 2025 · Nursing and Physician Services
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Potential for harm · E June 12, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected August 6, 2025 · Pharmacy Service
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Potential for harm · F June 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 6, 2025 · Nutrition and Dietary
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Potential for harm · F June 12, 2025
Provide and implement an infection prevention and control program.
Corrected August 6, 2025 · Infection Control
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Potential for harm · F June 12, 2025
Implement a program that monitors antibiotic use.
Corrected August 6, 2025 · Infection Control
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Potential for harm · D June 12, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected August 6, 2025 · Infection Control
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Potential for harm · D June 12, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected August 6, 2025 · Infection Control
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Potential for harm · D June 12, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected August 6, 2025 · Environmental
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Potential for harm · E June 12, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 6, 2025 · Quality of Life and Care
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Potential for harm · E June 12, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 6, 2025 · Quality of Life and Care
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Potential for harm · F June 12, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 6, 2025 · Nursing and Physician Services
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Actual harm · G November 12, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected November 6, 2024 · Quality of Life and Care
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Immediate jeopardy · J July 31, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 26, 2024 · Quality of Life and Care
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Potential for harm · D July 17, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected September 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 3, 2024 · Quality of Life and Care
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Potential for harm · D July 17, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected September 3, 2024 · Pharmacy Service
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Potential for harm · E July 17, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected September 3, 2024 · Pharmacy Service
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Potential for harm · D July 17, 2024
Provide and implement an infection prevention and control program.
Corrected September 3, 2024 · Infection Control
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No harm found · C July 17, 2024
Post nurse staffing information every day.
Corrected September 3, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 12, 2024 | Fine | $12,048 |
| July 17, 2024 | Fine | $14,433 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245239 · certified since October 1, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.