F

GUARDIAN ANGELS CARE CENTER

400 EVANS AVENUE, ELK RIVER, MN 55330
Score: 27 / 100

Guardian Angels Care Center has received an F grade based on CMS data, with a score of 27/100 — placing it among the lowest-rated nursing facilities in Minnesota. Families considering this Elk River facility should carefully review its inspection history and quality metrics.

Staffing levels at Guardian Angels Care Center exceed national averages, with 4.89 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.50 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 20 deficiencies at Guardian Angels Care Center, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.89 3.8 Above Average
Registered Nurses (RN) 1.50 0.7 Above Average
Licensed Practical Nurses (LPN) 0.65 0.7 Average
Certified Nursing Assistants (CNA) 2.74 2.4 Above Average
Weekend Total Nursing 4.18 3.8 Above Average
Weekend RN Hours 0.89 0.7 Above Average

🔍 Inspection & Deficiency History

20
Total Deficiencies
Sep 8, 2025
Most Recent Inspection
🟠 16 Moderate 🔴 4 Serious
View recent deficiencies (5 shown)
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Sep 8, 2025 · Resident Rights Deficiencies
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Apr 23, 2025 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity L
    Provide and implement an infection prevention and control program.
    Jan 23, 2025 · Infection Control Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jan 23, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0677 Severity E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Jan 23, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.4% 4.5% Better
Falls with major injury 2.3% 3.0% Better
On antipsychotic medication 11.9% 14.5% Better
Urinary tract infections 3.0% 2.5% Worse
ADL decline (daily activities) 18.1% 14.0% Worse
Excessive weight loss 3.7% 7.5% Better
New/worsened incontinence 31.9% 45.0% Better

⚠️ Penalties & Fines

4 penalties recorded by CMS

Total fines: $98,353

How This Grade Was Calculated

This facility's grade of F is based on a score of 27 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -9 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 9, 2025
Deficiencies (Cycle 1)
2