01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-10 | 2 | 2025-12-10 | 3 |
| Cycle 2 | 2025-01-24 | 9 | 2025-01-24 | 7 |
| Cycle 3 | 2024-04-11 | 7 | 2024-04-11 | 2 |
CMS CCN 2450122026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Guardian Angels Care Center
400 Evans Avenue · Elk River, MN 55330 · Sherburne County
Certified beds120CMS provider file
Recent citation rows30current CMS citation release
Penalty rows5current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
30 rows in the current release
4 rows carry G–L scope/severity codes; 4 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-19 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2026-04-28 · complaint2025-12-10 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-10 · FIREK0918Severity C · widespread; potential for minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-10 · FIREK0930Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper storage of liquid oxygen.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-09-09 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-10-24 · complaint2025-04-24 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-05-20 · complaint2025-01-24 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-03-242025-01-24 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-03-242025-01-24 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-03-242025-01-24 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-03-242025-01-24 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-03-242025-01-24 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-03-242025-01-24 · HEALTHF0880Severity L · widespread immediate jeopardy
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-03-242025-01-24 · FIREK0226Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have horizontal exits used in accordance with safety requirements.
Correction field: Deficient, Provider has date of correction · 2025-03-242025-01-24 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-03-242025-01-24 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-03-242025-01-24 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-03-242025-01-24 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-03-242025-01-24 · FIREK0521Severity C · widespread; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2025-03-242025-01-24 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-03-242024-09-12 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2024-10-09 · complaint2024-07-17 · HEALTHF0806Severity J · isolated immediate jeopardy
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction field: Past Non-Compliance · 2024-07-11 · complaint2024-05-16 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-06-07 · complaint2024-04-11 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-05-0603 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-01-24 | Fine | $59,010 | 0 |
| 2025-01-24 | Payment Denial | $0 | 26 |
| 2024-07-17 | Fine | $13,627 | 0 |
| 2024-05-16 | Fine | $16,801 | 0 |
| 2024-03-14 | Fine | $8,915 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SONNTAG, ROBERTIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 03/15/2006
- HEINECKE, CARLIEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 05/06/2024
- LARSON, TRACIIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 05/02/2022
- MCDEVITT, DEANIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 02/04/2019
- LECLAIRE, JOYCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2019
- LLOYD ROSCOE, NANCYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2018
- MOWRY, TRISHAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- NAGORSKI, JEFFIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2014
- NICHOLS, JOANIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- RAITZ, JULIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- ROBINSON, CHRISIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- SCHULER, LYNNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2018
- SCHULTZ, ARLOIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2015
- VETSCH, GORDYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2018
- ZERWAS, NICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/16/2020
- HERRMANN, DARYLIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2018
- KRIEGER, LINDAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/15/2010
- LARSON, TRACIIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/02/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.81per resident day
RN hours1.49per resident day
Weekend nurse hours4.31per resident day
Staff turnover51.0%CMS reported field
06 / LOCAL RECORDS
Open the Minnesota ledger →Other published facilities nearby
No second facility in the same city met the directory rule.