Guardian Angels Care Center
Nursing home · 400 EVANS AVENUE, Elk River, MN 55330 · Sherburne County
Prices
The Minnesota Department of Health publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Skilled Nursing Facility/Nursing Facilit · Nonprofit Corporation
- Capacity
- 120
- State license
- 424085
- Medicare CCN
- 245012
- Licensed entity
- GUARDIAN ANGELS HEALTH SERVICES, INC.
- Ownership
- Non profit - Corporation
- Phone
- (763) 441-1213
- Nurse staffing
- 4.81 hours per resident per day; 51.0% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 4★ · Quality 3★
- Official record
- Minnesota Department of Health provider directory
- Official record
- Medicare Care Compare
Penalties
- Jan 24, 2025 — Payment Denial · payment denial 26 days
- Jan 24, 2025 — Fine ($59,010)
- Jul 17, 2024 — Fine ($13,627)
- May 16, 2024 — Fine ($16,801)
- Mar 14, 2024 — Fine ($8,915)
Inspection findings
-
Mar 19, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0690 Quality of Life and Care Deficiencies
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 Apr 28, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 10, 2025 Fire Safety · 3 findings
-
Not serious
Scope/severity D
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Dec 26, 2025 · CMS fire safety
-
Not serious
Scope/severity C
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Dec 26, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0930 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper storage of liquid oxygen.
Corrected Dec 26, 2025 · CMS fire safety
-
Not serious
Scope/severity D
-
Sep 16, 2025 MDH complaint investigation · 1 finding
-
Severity not stated
H50123720C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Sep 9, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Oct 24, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 24, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 20, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jan 24, 2025 Health · 14 findings
-
Not serious
Scope/severity D
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Mar 24, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Mar 24, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Mar 24, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 24, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Mar 24, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Mar 24, 2025 · CMS health inspection
-
Serious
Scope/severity L
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 24, 2025 · CMS health inspection
-
Not serious
Scope/severity D
K0226 Egress Deficiencies
Have horizontal exits used in accordance with safety requirements.
Corrected Mar 24, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Mar 24, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Mar 24, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Mar 24, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Mar 24, 2025 · CMS fire safety
-
Not serious
Scope/severity C
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Mar 24, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Mar 24, 2025 · CMS fire safety
-
Not serious
Scope/severity D
-
Sep 19, 2024 MDH complaint investigation · 1 finding
-
Severity not stated
H50127441C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Sep 12, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Oct 9, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Aug 1, 2024 MDH complaint investigation · 1 finding
-
Severity not stated
H50125624C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jul 17, 2024 Health · 1 finding
-
Serious
Scope/severity J
Complaint
F0806 Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected Jul 11, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
-
Jun 5, 2024 MDH complaint investigation · 1 finding
-
Severity not stated
H50123646C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
May 16, 2024 Health · 1 finding
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jun 7, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
-
Apr 11, 2024 Health · 6 findings
-
Not serious
Scope/severity D
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 6, 2024 · CMS health inspection
-
Serious
Scope/severity J
F0578 Resident Rights Deficiencies
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 Apr 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0688 Quality of Life and Care Deficiencies
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 · CMS health inspection
-
Not serious
Scope/severity D
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected May 6, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected May 6, 2024 · CMS fire safety
-
Not serious
Scope/severity D
-
Mar 14, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Apr 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jan 23, 2023 MDH complaint investigation · 1 finding
-
Severity not stated
H50127579C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
May 3, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H5012083C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Oct 25, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5012064C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Aug 11, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5012061C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jun 11, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5012049M Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jan 8, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5012047C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Dec 10, 2020 MDH complaint investigation · 2 findings
-
Severity not stated
H5012043C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5012044C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Aug 21, 2020 MDH complaint investigation · 1 finding
-
Severity not stated
H5012041C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Aug 14, 2020 MDH complaint investigation · 3 findings
-
Severity not stated
H5012037C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5012038C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5012039C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jan 3, 2020 MDH complaint investigation · 1 finding
-
Severity not stated
H5012034C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
Owners and managers (as published by CMS)
- HEINECKE, CARLIE — adp of the snf, NOT APPLICABLE, since 12/27/2024
- HEINECKE, CARLIE — w-2 managing employee, NOT APPLICABLE, since 05/06/2024
- HERRMANN, DARYL — corporate officer, NOT APPLICABLE, since 01/01/2018
- KRIEGER, LINDA — corporate officer, NOT APPLICABLE, since 04/15/2010
- LARSON, TRACI — corporate officer, NOT APPLICABLE, since 05/02/2022
- LARSON, TRACI — w-2 managing employee, NOT APPLICABLE, since 05/02/2022
- LARSON, TRACI — operational/managerial control, NOT APPLICABLE, since 05/02/2022
- LECLAIRE, JOYCE — corporate director, NOT APPLICABLE, since 01/01/2019
- LLOYD ROSCOE, NANCY — corporate director, NOT APPLICABLE, since 01/01/2018
- MCDEVITT, DEAN — w-2 managing employee, NOT APPLICABLE, since 02/04/2019
- MOWRY, TRISHA — corporate director, NOT APPLICABLE, since 01/01/2021
- NAGORSKI, JEFF — corporate director, NOT APPLICABLE, since 01/01/2014
- NICHOLS, JOANIE — corporate director, NOT APPLICABLE, since 01/01/2016
- RAITZ, JULIE — corporate director, NOT APPLICABLE, since 01/01/2017
- ROBINSON, CHRIS — corporate director, NOT APPLICABLE, since 01/01/2017
- SCHULER, LYNN — corporate director, NOT APPLICABLE, since 01/01/2018
- SCHULTZ, ARLO — corporate director, NOT APPLICABLE, since 01/01/2015
- SONNTAG, ROBERT — contracted managing employee, NOT APPLICABLE, since 03/15/2006
- VETSCH, GORDY — corporate director, NOT APPLICABLE, since 01/01/2018
- ZERWAS, NICK — corporate director, NOT APPLICABLE, since 09/16/2020
- GUARDIAN ANGELS HEALTH SERVICES, INC. — operational/managerial control, NOT APPLICABLE, since 01/01/1967
Sources: the MDH Health Care Provider Directory, MDH's evaluation and complaint findings, and CMS's list of certified Minnesota nursing homes and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.