GUARDIAN ANGELS CARE CENTER
400 EVANS AVENUE, ELK RIVER, MN 55330 · CCN 245012
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 104.0
- Phone
- 7636355475
Inspection history vs Minnesota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Minnesota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-10 | 2 | 8.1 | 9.5 | -6.1 better |
| 2 | 2025-01-24 | 11 | 7.8 | 9.8 | +3.2 worse |
| 3 | 2024-04-11 | 7 | 7.4 | 9.3 | -0.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident rights | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.89 | 47.1% |
| RN staffing (reported) | 1.50 | 61.1% |
| Total nurse staffing (adjusted) | 4.63 | — |
Fines & penalties
- Total fines
- $98,353
- Number of fines
- 4
- Number of penalties
- 5
- Payment denials
- 1
Inspection citations (20)4 immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-09 · Health · corrected 2025-10-24
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-24 · Health · corrected 2025-05-20
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-24 · Health · corrected 2025-03-24
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-01-24 · Health · corrected 2025-03-24
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-24 · Health · corrected 2025-03-24
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-24 · Health · corrected 2025-03-24
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-01-24 · Health · corrected 2025-03-24
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-24 · Health · corrected 2025-03-24
Potential for more than minimal harm
- LF0880Provide and implement an infection prevention and control program.2025-01-24 · Health · corrected 2025-03-24
Immediate jeopardy
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-09-12 · Health · corrected 2024-10-09
Potential for more than minimal harm
- JF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-07-17 · Health · corrected 2024-07-11
Immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-16 · Health · corrected 2024-06-07
Immediate jeopardy
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-04-11 · Health · corrected 2024-05-06
Potential for more than minimal harm
- JF0578Honor 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.2024-04-11 · Health · corrected 2024-04-29
Immediate jeopardy
- DF0688Provide 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.2024-04-11 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-04-11 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-03-14 · Health · corrected 2024-04-12
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-10 · Health · corrected 2023-06-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-10 · Health · corrected 2023-06-14
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-05-10 · Health · corrected 2023-06-14
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GUARDIAN ANGELS HEALTH SERVICES, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1967-01-01 |
| LARSON, TRACI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-05-02 |
| LECLAIRE, JOYCE | Individual | CORPORATE DIRECTOR | — | 2019-01-01 |
| LLOYD ROSCOE, NANCY | Individual | CORPORATE DIRECTOR | — | 2018-01-01 |
| MOWRY, TRISHA | Individual | CORPORATE DIRECTOR | — | 2021-01-01 |
| NAGORSKI, JEFF | Individual | CORPORATE DIRECTOR | — | 2014-01-01 |
| NICHOLS, JOANIE | Individual | CORPORATE DIRECTOR | — | 2016-01-01 |
| RAITZ, JULIE | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| ROBINSON, CHRIS | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| SCHULER, LYNN | Individual | CORPORATE DIRECTOR | — | 2018-01-01 |
| SCHULTZ, ARLO | Individual | CORPORATE DIRECTOR | — | 2015-01-01 |
| VETSCH, GORDY | Individual | CORPORATE DIRECTOR | — | 2018-01-01 |
| ZERWAS, NICK | Individual | CORPORATE DIRECTOR | — | 2020-09-16 |
| HERRMANN, DARYL | Individual | CORPORATE OFFICER | — | 2018-01-01 |
| KRIEGER, LINDA | Individual | CORPORATE OFFICER | — | 2010-04-15 |
| LARSON, TRACI | Individual | CORPORATE OFFICER | — | 2022-05-02 |
| SONNTAG, ROBERT | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2006-03-15 |
| HEINECKE, CARLIE | Individual | W-2 MANAGING EMPLOYEE | — | 2024-05-06 |
| LARSON, TRACI | Individual | W-2 MANAGING EMPLOYEE | — | 2022-05-02 |
| MCDEVITT, DEAN | Individual | W-2 MANAGING EMPLOYEE | — | 2019-02-04 |
Other facilities in ELK RIVER
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.