Guardian Angels Care Center
Elk River, Sherburne County, Minnesota · CCN 245012 · Non-profit (Corporation) · not part of a chain
CMS rates Guardian Angels Care Center 2 of 5 overall as of August 2026. 120 certified beds, 101 residents a day on average. 18 citations on record from the current inspection cycles, 4 at immediate jeopardy; 4 fines totalling $98,353 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 2 of 5 |
Staffing
| Total nurse staffing | 4.81079 hours per resident per day |
|---|---|
| Registered nurses | 1.4933 hours per resident per day |
| Weekend total | 4.31102 hours per resident per day |
| Nursing staff turnover | 51% (registered nurses 51.2%) |
| Administrators who left | 2 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-19 complaint survey |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-28 |
| 2025-09-09 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-24 |
| 2025-04-24 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-20 |
| 2025-01-24 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
L Immediate jeopardy to resident health or safety; widespread | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-03-24 |
| 2025-01-24 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-03-24 |
| 2025-01-24 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-24 |
| 2025-01-24 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-24 |
| 2025-01-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-24 |
| 2024-09-12 complaint survey |
Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-09 |
| 2024-07-17 complaint survey |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · tag F0806 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2024-07-11 |
| 2024-05-16 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0578 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-04-29 |
| 2024-04-11 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-06 |
| 2024-04-11 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-06 |
| 2024-03-14 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-12 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-24 | Payment denial for 26 days from 2025-02-26 | — |
| 2025-01-24 | Fine | $59,010 |
| 2024-07-17 | Fine | $13,627 |
| 2024-05-16 | Fine | $16,801 |
| 2024-03-14 | Fine | $8,915 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Guardian Angels Health Services, Inc. Organization | operational/managerial control | — | 1967-01-01 |
| Heinecke, Carlie Individual | adp of the snf | — | 2024-12-27 |
| Sonntag, Robert Individual | contracted managing employee | — | 2006-03-15 |
| Leclaire, Joyce Individual | corporate director | — | 2019-01-01 |
| Lloyd Roscoe, Nancy Individual | corporate director | — | 2018-01-01 |
| Mowry, Trisha Individual | corporate director | — | 2021-01-01 |
| Nagorski, Jeff Individual | corporate director | — | 2014-01-01 |
| Nichols, Joanie Individual | corporate director | — | 2016-01-01 |
| Raitz, Julie Individual | corporate director | — | 2017-01-01 |
| Robinson, Chris Individual | corporate director | — | 2017-01-01 |
| Schuler, Lynn Individual | corporate director | — | 2018-01-01 |
| Schultz, Arlo Individual | corporate director | — | 2015-01-01 |
| Vetsch, Gordy Individual | corporate director | — | 2018-01-01 |
| Zerwas, Nick Individual | corporate director | — | 2020-09-16 |
| Herrmann, Daryl Individual | corporate officer | — | 2018-01-01 |
| Krieger, Linda Individual | corporate officer | — | 2010-04-15 |
| Larson, Traci Individual | corporate officer | — | 2022-05-02 |
| Larson, Traci Individual | operational/managerial control | — | 2022-05-02 |
| Heinecke, Carlie Individual | w-2 managing employee | — | 2024-05-06 |
| Larson, Traci Individual | w-2 managing employee | — | 2022-05-02 |
| Mcdevitt, Dean Individual | w-2 managing employee | — | 2019-02-04 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Guardian Angels Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Sherburne County.