ElderGrade
D

51.6/100

Below average

Guardian Angels Care Center

400 Evans Avenue, Elk River, MN 55330

CMS 2/5 stars #2 of 2 in Sherburne County (763) 635-5475
Certified beds
120
Occupancy
84%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 4 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $98,353 in federal fines

    CMS has fined this facility across 4 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 9.6/30 Staffing 26/30 Stability 7/15 Outcomes 9/15 Enforcement 0/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

9.6/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 4 immediate-jeopardy citation(s) in the last 3 years
  • -0.4 for 18 total citations against a national median of 17

Staffing

26/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.98 total nurse hours per resident per day (national median 3.77)
  • 1.49 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

7/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 51% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $98,353 in federal fines across 4 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.81 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.49 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.31 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 51.00%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 18 citations

Last standard health inspection: December 10, 2025 (8 months ago).

D Mar 19, 2026 F0690 From a complaint

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.

No actual harm, potential for more than minimal harm

D Sep 9, 2025 F0550 From a complaint

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

D Apr 24, 2025 F0695 From a complaint

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

L Jan 24, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Immediate jeopardy to resident health or safety

F Jan 24, 2025 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.

No actual harm, potential for more than minimal harm

E Jan 24, 2025 F0677

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

E Jan 24, 2025 F0804

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

D Jan 24, 2025 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
SONNTAG, ROBERT Individual CONTRACTED MANAGING EMPLOYEE
HEINECKE, CARLIE Individual W-2 MANAGING EMPLOYEE
LARSON, TRACI Individual W-2 MANAGING EMPLOYEE
MCDEVITT, DEAN Individual W-2 MANAGING EMPLOYEE
LECLAIRE, JOYCE Individual CORPORATE DIRECTOR
LLOYD ROSCOE, NANCY Individual CORPORATE DIRECTOR
MOWRY, TRISHA Individual CORPORATE DIRECTOR
NAGORSKI, JEFF Individual CORPORATE DIRECTOR
NICHOLS, JOANIE Individual CORPORATE DIRECTOR
RAITZ, JULIE Individual CORPORATE DIRECTOR
ROBINSON, CHRIS Individual CORPORATE DIRECTOR
SCHULER, LYNN Individual CORPORATE DIRECTOR

What families say

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Common questions about Guardian Angels Care Center

What is the ElderGrade for Guardian Angels Care Center? +

Guardian Angels Care Center holds an ElderGrade of D (51.6 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Guardian Angels Care Center? +

Residents receive an average of 4.81 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Guardian Angels Care Center been cited for harming residents? +

Yes. 4 of the 18 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Guardian Angels Care Center accept Medicaid? +

Yes, Guardian Angels Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.