Guardian Angels Care Center
400 EVANS AVENUE, Elk River, MN, 55330
Yes. Federal inspectors cited 2 deficiencies against Guardian Angels Care Center in Elk River, Minnesota at its most recent standard inspection on 2025-12-10, 2 of them arising from complaints. 4 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 4 times, totalling $98,353. Medicare rates it 2 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 18 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
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 · F0690 · 2026-03-19 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-09-09 · from a complaint · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-04-24 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-01-24 · standard survey · Immediate jeopardy to resident health or safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-01-24 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-01-24 · standard survey · No actual harm, potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2025-01-24 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-01-24 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-01-24 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-01-24 · standard survey · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2024-09-12 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0806 · 2024-07-17 · from a complaint · Immediate jeopardy to resident health or safety
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-05-16 · from a complaint · Immediate jeopardy to resident health or safety
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 · F0578 · 2024-04-11 · standard survey · Immediate jeopardy to resident health or safety
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · F0554 · 2024-04-11 · standard survey · No actual harm, potential for more than minimal harm
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 · F0688 · 2024-04-11 · standard survey · No actual harm, potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · F0698 · 2024-04-11 · standard survey · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2024-03-14 · from a complaint · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Guardian Angels Care Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| SONNTAG, ROBERT | Individual | NOT APPLICABLE | since 03/15/2006 |
| HEINECKE, CARLIE | Individual | NOT APPLICABLE | since 05/06/2024 |
| LARSON, TRACI | Individual | NOT APPLICABLE | since 05/02/2022 |
| MCDEVITT, DEAN | Individual | NOT APPLICABLE | since 02/04/2019 |
| LECLAIRE, JOYCE | Individual | NOT APPLICABLE | since 01/01/2019 |
| LLOYD ROSCOE, NANCY | Individual | NOT APPLICABLE | since 01/01/2018 |
| MOWRY, TRISHA | Individual | NOT APPLICABLE | since 01/01/2021 |
| NAGORSKI, JEFF | Individual | NOT APPLICABLE | since 01/01/2014 |
| NICHOLS, JOANIE | Individual | NOT APPLICABLE | since 01/01/2016 |
| RAITZ, JULIE | Individual | NOT APPLICABLE | since 01/01/2017 |
| ROBINSON, CHRIS | Individual | NOT APPLICABLE | since 01/01/2017 |
| SCHULER, LYNN | Individual | NOT APPLICABLE | since 01/01/2018 |
Ask Guardian Angels Care Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 245012.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction