Guardian Angels Health & Rehab Center
Hibbing, St. Louis County, Minnesota · CCN 245239 · Non-profit (Corporation) · part of St. Francis Health Services (14 facilities, chain average 2.8 stars)
CMS rates Guardian Angels Health & Rehab Center 2 of 5 overall as of August 2026. 65 certified beds, 50 residents a day on average. 41 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $26,481.
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 | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 3 / 3 of 5 |
Staffing
| Total nurse staffing | 3.99341 hours per resident per day |
|---|---|
| Registered nurses | 0.75199 hours per resident per day |
| Weekend total | 3.48876 hours per resident per day |
| Nursing staff turnover | 26.1% (registered nurses 33.3%) |
| Administrators who left | 0 |
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 |
|---|---|---|---|
| 2025-08-20 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-18 |
| 2025-06-12 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-08-06 |
| 2025-06-12 | 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 2025-08-06 |
| 2025-06-12 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-08-06 |
| 2025-06-12 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-08-06 |
| 2025-06-12 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-08-06 |
| 2025-06-12 complaint survey |
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 2025-08-06 |
| 2025-06-12 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-08-06 |
| 2025-06-12 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-08-06 |
| 2025-06-12 | 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 2025-08-06 |
| 2025-06-12 | 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 2025-08-06 |
| 2025-06-12 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-06 |
| 2025-06-12 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-06 |
| 2025-06-12 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-06 |
| 2025-06-12 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · tag F0887 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-06 |
| 2025-06-12 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-06 |
| 2024-11-12 complaint survey |
Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2024-11-06 |
| 2024-07-31 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 | Past Non-Compliance 2024-07-26 |
| 2024-07-17 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-03 |
| 2024-07-17 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-03 |
| 2024-07-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-03 |
| 2024-07-17 | 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 2024-09-03 |
| 2024-07-17 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-03 |
| 2024-07-17 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-03 |
| 2024-07-17 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-09-03 |
| 2024-02-09 complaint survey |
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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-13 |
| 2023-09-25 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-10-09 |
| 2023-09-25 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-09 |
| 2023-09-25 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-09 |
| 2023-08-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-09-09 |
| 2023-08-03 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-09 |
| 2023-08-03 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-09 |
| 2023-08-03 | 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 2023-09-09 |
| 2023-08-03 | 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 2023-09-09 |
| 2023-08-03 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-09 |
| 2023-08-03 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-09 |
| 2023-08-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-09 |
| 2023-08-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-09 |
| 2023-08-03 | 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 2023-09-09 |
| 2023-08-03 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-09 |
| 2023-08-03 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-09 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-12 | Fine | $12,048 |
| 2024-07-17 | Fine | $14,433 |
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 |
|---|---|---|---|
| Big Stone Therapies, Inc. Organization | adp of the snf | — | 2025-10-23 |
| Eide Bailly LLP Organization | adp of the snf | — | 2025-10-23 |
| St. Francis Health Services Of Morris, Inc. Organization | adp of the snf | — | 2025-12-01 |
| Big Stone Therapies, Inc. Organization | operational/managerial control | — | 2015-02-03 |
| Eide Bailly LLP Organization | operational/managerial control | — | 2023-01-03 |
| St. Francis Health Services Of Morris, Inc. Organization | operational/managerial control | — | 2008-06-09 |
| Bach, Curtis Individual | adp of the snf | — | 2024-08-28 |
| Black, Patricia Individual | adp of the snf | — | 2024-01-09 |
| Brownlee, Carissa Individual | adp of the snf | — | 2008-11-11 |
| Burrows, Amanda Individual | adp of the snf | — | 2024-01-02 |
| Caspers, Megan Individual | adp of the snf | — | 2014-12-29 |
| Contreras, Ricardo Individual | adp of the snf | — | 2024-11-11 |
| Copeman, Jeffrey Individual | adp of the snf | — | 2025-01-01 |
| Dripps, Daniel Individual | adp of the snf | — | 2016-01-01 |
| Ehlers, Douglas Individual | adp of the snf | — | 2023-01-01 |
| Goodnough, Jennifer Individual | adp of the snf | — | 2021-01-01 |
| Gramm, Timothy Individual | adp of the snf | — | 2023-01-01 |
| Hanneken, Michelle Individual | adp of the snf | — | 2022-07-20 |
| Hejhal, Roxanne Individual | adp of the snf | — | 2023-04-10 |
| Hobbs, Joyce Individual | adp of the snf | — | 2022-07-06 |
| Hofmann, Reed Individual | adp of the snf | — | 2023-05-08 |
| Just, Matthew Individual | adp of the snf | — | 2025-01-01 |
| Lair, Michael Individual | adp of the snf | — | 2025-01-01 |
| Lease, Cheyenne Individual | adp of the snf | — | 2024-10-07 |
| Lienemann, Steven Individual | adp of the snf | — | 2025-01-01 |
| Luetmer, John Individual | adp of the snf | — | 2021-01-01 |
| Marlow, Jina Individual | adp of the snf | — | 2022-06-06 |
| Moore, Laurelle Individual | adp of the snf | — | 2024-08-19 |
| Nelson, Patrick Individual | adp of the snf | — | 2020-01-01 |
| Peterson-Devries, Cami Individual | adp of the snf | — | 2022-05-08 |
| Raw, Carol Individual | adp of the snf | — | 2008-06-09 |
| Rentz, Laura Individual | adp of the snf | — | 2024-01-01 |
| Rentz, Mark Individual | adp of the snf | — | 2024-04-22 |
| Rentz, Paul Individual | adp of the snf | — | 2021-01-01 |
| Roche, Shane Individual | adp of the snf | — | 2017-05-08 |
| Ryan, Ben Individual | adp of the snf | — | 2012-12-27 |
| Ryan, Geoffrey Individual | adp of the snf | — | 1998-01-12 |
| Savolainen, Shawn Individual | adp of the snf | — | 2025-09-29 |
| Schneider, Todd Individual | adp of the snf | — | 2013-07-01 |
| Squires, Kelly Individual | adp of the snf | — | 2015-09-21 |
| Stock, Kelsey Individual | adp of the snf | — | 2022-06-01 |
| Thompson, Renee Individual | adp of the snf | — | 2018-10-10 |
| Tomoson, April Individual | adp of the snf | — | 2021-07-12 |
| Walker, Amy Individual | adp of the snf | — | 2024-05-13 |
| Wiese, Lorraine Individual | adp of the snf | — | 2017-07-25 |
| Bach, Curtis Individual | corporate director | — | 2024-08-28 |
| Dripps, Daniel Individual | corporate director | — | 2016-01-01 |
| Ehlers, Douglas Individual | corporate director | — | 2023-01-01 |
| Goodnough, Jennifer Individual | corporate director | — | 2021-01-01 |
| Gramm, Timothy Individual | corporate director | — | 2023-01-01 |
| Lair, Michael Individual | corporate director | — | 2025-01-01 |
| Lienemann, Steven Individual | corporate director | — | 2025-01-01 |
| Luetmer, John Individual | corporate director | — | 2021-01-01 |
| Nelson, Patrick Individual | corporate director | — | 2020-01-01 |
| Peterson-Devries, Cami Individual | corporate director | — | 2022-05-08 |
| Raw, Carol Individual | corporate director | — | 2005-08-16 |
| Rentz, Laura Individual | corporate director | — | 2024-01-01 |
| Rentz, Paul Individual | corporate director | — | 2021-01-01 |
| Schneider, Todd Individual | corporate director | — | 2013-07-01 |
| Wiese, Lorraine Individual | corporate director | — | 2017-07-25 |
| Bach, Curtis Individual | corporate officer | — | 2024-08-28 |
| Peterson-Devries, Cami Individual | corporate officer | — | 2022-05-08 |
| Raw, Carol Individual | corporate officer | — | 2005-08-16 |
| Raw, Carol Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-04-01 |
| Dripps, Daniel Individual | managing control - governing body | — | 2016-01-01 |
| Ehlers, Douglas Individual | managing control - governing body | — | 2023-01-01 |
| Goodnough, Jennifer Individual | managing control - governing body | — | 2021-01-01 |
| Gramm, Timothy Individual | managing control - governing body | — | 2023-01-01 |
| Lair, Michael Individual | managing control - governing body | — | 2025-01-01 |
| Lienemann, Steven Individual | managing control - governing body | — | 2025-01-01 |
| Luetmer, John Individual | managing control - governing body | — | 2021-01-01 |
| Nelson, Patrick Individual | managing control - governing body | — | 2020-01-01 |
| Rentz, Laura Individual | managing control - governing body | — | 2024-01-01 |
| Rentz, Paul Individual | managing control - governing body | — | 2021-01-01 |
| Schneider, Todd Individual | managing control - governing body | — | 2013-07-01 |
| Wiese, Lorraine Individual | managing control - governing body | — | 2017-07-25 |
| Bach, Curtis Individual | operational/managerial control | — | 2024-08-28 |
| Black, Patricia Individual | operational/managerial control | — | 2024-01-09 |
| Brownlee, Carissa Individual | operational/managerial control | — | 2008-11-11 |
| Burrows, Amanda Individual | operational/managerial control | — | 2024-01-02 |
| Caspers, Megan Individual | operational/managerial control | — | 2014-12-29 |
| Contreras, Ricardo Individual | operational/managerial control | — | 2024-11-11 |
| Copeman, Jeffrey Individual | operational/managerial control | — | 2025-01-01 |
| Dripps, Daniel Individual | operational/managerial control | — | 2016-01-01 |
| Ehlers, Douglas Individual | operational/managerial control | — | 2023-01-01 |
| Goodnough, Jennifer Individual | operational/managerial control | — | 2021-01-01 |
| Gramm, Timothy Individual | operational/managerial control | — | 2023-01-01 |
| Hanneken, Michelle Individual | operational/managerial control | — | 2022-07-20 |
| Hejhal, Roxanne Individual | operational/managerial control | — | 2023-04-10 |
| Hobbs, Joyce Individual | operational/managerial control | — | 2022-07-06 |
| Hofmann, Reed Individual | operational/managerial control | — | 2023-05-08 |
| Just, Matthew Individual | operational/managerial control | — | 2025-01-01 |
| Lair, Michael Individual | operational/managerial control | — | 2025-01-01 |
| Lease, Cheyenne Individual | operational/managerial control | — | 2024-10-07 |
| Lienemann, Steven Individual | operational/managerial control | — | 2025-01-01 |
| Luetmer, John Individual | operational/managerial control | — | 2021-01-01 |
| Marlow, Jina Individual | operational/managerial control | — | 2022-06-06 |
| Moore, Laurelle Individual | operational/managerial control | — | 2024-08-19 |
| Nelson, Patrick Individual | operational/managerial control | — | 2020-01-01 |
| Peterson-Devries, Cami Individual | operational/managerial control | — | 2022-05-08 |
| Raw, Carol Individual | operational/managerial control | — | 2005-08-16 |
| Rentz, Laura Individual | operational/managerial control | — | 2024-01-01 |
| Rentz, Mark Individual | operational/managerial control | — | 2024-04-22 |
| Rentz, Paul Individual | operational/managerial control | — | 2021-01-01 |
| Roche, Shane Individual | operational/managerial control | — | 2017-05-08 |
| Ryan, Ben Individual | operational/managerial control | — | 2012-12-27 |
| Ryan, Geoffrey Individual | operational/managerial control | — | 1998-01-12 |
| Schneider, Todd Individual | operational/managerial control | — | 2013-07-01 |
| Stock, Kelsey Individual | operational/managerial control | — | 2022-06-01 |
| Thompson, Renee Individual | operational/managerial control | — | 2018-10-10 |
| Tomoson, April Individual | operational/managerial control | — | 2021-07-12 |
| Walker, Amy Individual | operational/managerial control | — | 2024-05-13 |
| Wiese, Lorraine Individual | operational/managerial control | — | 2017-07-25 |
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 Health & Rehab 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 St. Louis County.