Nursing homeActive
Guardian Angels Care Center
400 Evans Avenue, Elk River, MN 553307636355475120 certified beds · 101 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
10
since 2024
Deficiencies
18
● 0● 14● 4
Penalties · 3 yrs
$98,353
4 fines · 1 action
Last survey
2026-03-19
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Minnesota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-19 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-12-10 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2025-09-09 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-04-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-01-24 | Standard | 061 | CMS-2567 (Care Compare) | — |
| 2024-09-12 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-17 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-05-16 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-04-11 | Standard | 031 | CMS-2567 (Care Compare) | — |
| 2024-03-14 | Complaint | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Minnesota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F690Provide 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 DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 245012-20260319-F690
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-24Record 245012-20250909-F550
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 245012-20250424-F695
F880Provide and implement an infection prevention and control program.Scope/severity LHarm
Infection control
Widespread; immediate jeopardy to resident health or safety.Corrected 2025-03-24Record 245012-20250124-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-24Record 245012-20250124-F550
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-24Record 245012-20250124-F641
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-24Record 245012-20250124-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-24Record 245012-20250124-F684
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-24Record 245012-20250124-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-24Record 245012-20250124-F812
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-09Record 245012-20240912-F558
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity JHarm
Food & nutrition
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-07-11Record 245012-20240717-F806
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-06-07Record 245012-20240516-F689
F578Honor 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 JHarm
Dignity & rights
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-04-29Record 245012-20240411-F578
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-06Record 245012-20240411-F554
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-06Record 245012-20240411-F688
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-06Record 245012-20240411-F698
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-12Record 245012-20240314-F610
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-01-24 | Civil money penalty | $59,010 | CMS · Penalties |
| 2025-01-24 | Denial of payment for new admissions Payment denial for 26 days, from 2025-02-26 | — | CMS · Penalties |
| 2024-07-17 | Civil money penalty | $13,627 | CMS · Penalties |
| 2024-05-16 | Civil money penalty | $16,801 | CMS · Penalties |
| 2024-03-14 | Civil money penalty | $8,915 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.49
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day4.81
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours4.31
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover51%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover51%
Facility
Minnesota
National
Minnesota 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Minnesota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.2% | 5.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.9% | 4.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 13.8% | 17.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.7% | 2.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 11.8% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.0% | 4.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 5.2% | 12.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Guardian Angels Health Services, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Larson, Traci Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Heinecke, Carlie Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Heinecke, Carlie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Herrmann, Daryl Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Krieger, Linda Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Larson, Traci Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Larson, Traci Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Leclaire, Joyce Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lloyd Roscoe, Nancy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mcdevitt, Dean Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Mowry, Trisha Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Nagorski, Jeff Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Nichols, Joanie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Raitz, Julie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Robinson, Chris Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schuler, Lynn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schultz, Arlo Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sonntag, Robert Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Vetsch, Gordy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Zerwas, Nick Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Minnesota.
No county cost figures on file for Sherburne.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| The Estates At Twin Rivers LLC Anoka | 10.9 mi | 2026-07-02 | 1391 |
| Anoka Rehabilitation And Living Center Anoka | 10.8 mi | 2025-11-13 | 1231 |
| Cura Of Monticello Monticello | 10.7 mi | 2026-01-15 | 1161 |
| The Villas At Osseo LLC Osseo | 15.4 mi | 2026-06-10 | 0444 |
| The Birches At Trillium Woods Plymouth | 17.5 mi | 2026-05-27 | 060 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |