# Guardian Angels Care Center Guardian Angels Care Center is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Elk River, MN, CMS Certification Number 245012, with 120 certified beds and about 106 residents per day. CMS rates it 2/5 overall (health inspections 2/5, staffing 4/5, quality measures 4/5). ## Key facts - Status: Active CMS certification - Address: 400 Evans Avenue, Elk River, MN 55330 (Sherburne County) - Ownership type: Non profit - Corporation - Operator (legal business name): [Guardian Angels Health Services, Inc](https://carefield.site/operator/op-guardian-angels-health-services-inc) - CMS chain: not part of a CMS-reported chain - Phone: 7636355475 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/245012 ## Inspection record 13 inspections in the CMS window (latest 2026-03-19); 30 citations (18 health, 12 fire safety); 0 at actual harm and 4 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2025-01-24 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity L (Immediate jeopardy to resident health or safety); Corrected - 2024-07-17 — [F-0806](https://carefield.site/deficiency/cms-f0806) Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. — scope/severity J (Immediate jeopardy to resident health or safety); Past non-compliance; complaint survey - 2024-05-16 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey - 2024-04-11 — [F-0578](https://carefield.site/deficiency/cms-f0578) 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. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected - 2026-03-19 — [F-0690](https://carefield.site/deficiency/cms-f0690) Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-12-10 — [K-0321](https://carefield.site/deficiency/cms-k0321) Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-12-10 — [K-0930](https://carefield.site/deficiency/cms-k0930) Ensure proper storage of liquid oxygen. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-09-09 — [F-0550](https://carefield.site/deficiency/cms-f0550) Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-04-24 — [F-0695](https://carefield.site/deficiency/cms-f0695) Provide safe and appropriate respiratory care for a resident when needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-01-24 — [K-0226](https://carefield.site/deficiency/cms-k0226) Have horizontal exits used in accordance with safety requirements. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-01-24 — [K-0321](https://carefield.site/deficiency/cms-k0321) Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-01-24 — [K-0324](https://carefield.site/deficiency/cms-k0324) Provide properly protected cooking facilities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-01-24 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-01-24 — [K-0372](https://carefield.site/deficiency/cms-k0372) Ensure smoke barriers are constructed to a 1 hour fire resistance rating. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-01-24 — [K-0923](https://carefield.site/deficiency/cms-k0923) Have proper medical gas storage and administration areas. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-01-24 — [F-0550](https://carefield.site/deficiency/cms-f0550) Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-01-24 — [F-0641](https://carefield.site/deficiency/cms-f0641) Ensure each resident receives an accurate assessment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-01-24 — [F-0677](https://carefield.site/deficiency/cms-f0677) Provide care and assistance to perform activities of daily living for any resident who is unable. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-01-24 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-01-24 — [F-0804](https://carefield.site/deficiency/cms-f0804) Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - …and 10 more on the source page. ## Penalties - 2025-01-24 — Denial of payment for new admissions (26 days) - 2025-01-24 — Civil money penalty (fine): $59,010 - 2024-07-17 — Civil money penalty (fine): $13,627 - 2024-05-16 — Civil money penalty (fine): $16,801 - 2024-03-14 — Civil money penalty (fine): $8,915 ## Staffing (PBJ, hours per resident per day) - Total nurse: 4.71536 (state avg 4.26848, US 3.90085) - RN: 1.48268 - Nursing staff turnover: 53.9% ## Owners and managers of record (CMS disclosures) - [Guardian Angels Health Services, Inc](https://carefield.site/owner/org-guardian-angels-health-services-inc) — Operational / managerial control, since 1967-01-01 - Traci Larson — Operational / managerial control, since 2022-05-02 ## Nearby nursing homes - [Anoka Rehabilitation and Living Center](https://carefield.site/facility/cms-245205) — 17.3 km, CMS overall 5/5 ## Sources - cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245012&conditions%5B0%5D%5Boperator%5D=%3D - cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245012&conditions%5B0%5D%5Boperator%5D=%3D - cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245012&conditions%5B0%5D%5Boperator%5D=%3D - cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245012&conditions%5B0%5D%5Boperator%5D=%3D - cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245012&conditions%5B0%5D%5Boperator%5D=%3D - cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245012&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-245012 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.