Guardian Angels Care Center

Nursing Home · Elk River, MN

CMS overall rating 2/5 Non profit - Corporation

CMS certification number245012

Contact & location

400 Evans Avenue
Elk River, MN 55330
Sherburne County
Phone
(763) 635-5475
ZIP code
55330 – all care providers

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Facility details

Certified beds
120
Residents per day
101.1 (84% occupied)
Ownership
Non profit - Corporation
Legal name
Guardian Angels Health Services, INC.
Medicare certified since
January 1, 1967
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.2
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 4.1
Quality measures★★★★★ 3/5
State avg 3.1
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.81 (state 4.19 · U.S. 3.86)
Registered nurses (RN)
1.49 (state 1.06 · U.S. 0.69)
Licensed practical nurses
0.59 (state 0.61 · U.S. 0.86)
Nurse aides
2.72 (state 2.52 · U.S. 2.32)
Weekend total
4.31 (state 3.71 · U.S. 3.42)
Nursing staff turnover
51.0 (state 42.2 · U.S. 45.8)%
RN turnover
51.2 (state 38.6 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
December 10, 2025
Health deficiencies (last cycle)
2.0 (state 7.0 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
18 health · 12 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-03-19 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-28
2025-09-09 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-24
2025-04-24 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-20
2025-01-24 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
L
Immediate jeopardy to resident health or safety
Corrected 2025-03-24
2025-01-24 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-03-24
2025-01-24 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-24
2025-01-24 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-24
2025-01-24 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-24
2025-01-24 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-24
2025-01-24 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-24
2024-09-12 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-09
2024-07-17 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-07-11
2024-05-16 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-06-07
2024-04-11 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.
F0578 · Resident Rights Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2024-04-29
2024-04-11 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-06
2024-04-11 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-06
2024-04-11 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-06
2024-03-14 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-12

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

5 penalties in the last three years, including $98,353 in fines.

DateTypeAmount
2025-01-24Payment Denial26 days payment denial
2025-01-24Fine$59,010
2024-07-17Fine$13,627
2024-05-16Fine$16,801
2024-03-14Fine$8,915

Ownership & management

NameRoleSince
Heinecke, Carlie (individual)Administrator · NOT APPLICABLE
Sonntag, Robert (individual)Contracted Managing Employee · NOT APPLICABLE
Leclaire, Joyce (individual)Corporate Director · NOT APPLICABLE
Lloyd Roscoe, Nancy (individual)Corporate Director · 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
Vetsch, Gordy (individual)Corporate Director · NOT APPLICABLE
Zerwas, Nick (individual)Corporate Director · NOT APPLICABLE
Herrmann, Daryl (individual)Corporate Officer · NOT APPLICABLE
Krieger, Linda (individual)Corporate Officer · NOT APPLICABLE
Larson, Traci (individual)Corporate Officer · NOT APPLICABLE
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
Larson, Traci (individual)W-2 Managing Employee · NOT APPLICABLE
McDevitt, Dean (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Guardian Angels Care Center?

Guardian Angels Care Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Minnesota.

How many beds does Guardian Angels Care Center have?

It has 120 certified beds and cares for about 101 residents per day.

Has Guardian Angels Care Center been fined?

Yes. CMS lists 5 penalties totaling $98,353 in the last three years.

What is the phone number of Guardian Angels Care Center?

(763) 635-5475. The facility is located at 400 Evans Avenue, Elk River, MN 55330.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.