St. Louis County, Minnesota · Nursing home
Guardian Angels Health & Rehab Center
2 of 5 overall from CMS
1500 East Third Avenue, Hibbing, MN 55746
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.99 hours Below the state average of 4.19
- Nursing staff who left in a year 26.1% Below the state average of 42.2%
- Health citations, last 3 inspection cycles 42 4 at the harm level or above
- Fines in 3 years $26,481 2 fines
- Certified beds in use 77.1% of 65 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Guardian Angels Health & Rehab Center is a 65-bed nursing home in Hibbing, Minnesota (St. Louis County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.99 nurse staffing hours per resident per day, below the Minnesota average of 4.19. CMS lists 2 fines totaling $26,481 in the past three years.
- Certified beds
- 65
- Residents per day (average)
- 50.1
- Certified since
- 1981 (45 yrs)
Non profit - Corporation Participates in Medicare and MedicaidPart of St. Francis Health Services (14 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Guardian Angels Health & Rehab Center
Chosen from this home's public data.
- CMS lists 2 fines totaling $26,481 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 16 health deficiencies in the latest inspection cycle (the standard inspection on Jun 12, 2025 plus complaint and infection-control inspections); the Minnesota average is 7.1. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 3.49 hours per resident on weekends against 3.99 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Minnesota average 3.2
- Health inspections 1 of 5 Minnesota average 2.8
- Staffing 5 of 5 Minnesota average 4.1
- Quality measures 3 of 5 Minnesota average 3.1
The vertical line marks the Minnesota average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.99 h Minnesota average 4.19
- Nurse aides 2.20 h Minnesota average 2.52
- Licensed practical nurses 1.04 h Minnesota average 0.61
- Registered nurses 0.75 h Minnesota average 1.06
- All staff, weekends 3.49 h Minnesota average 3.71
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Minnesota average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover26.1%
- Minnesota average42.2%
- Registered nurse turnover33.3%
- Minnesota average38.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Minnesota and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Minnesota | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 16.6% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 9.1% | 4.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.7% | 1.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.6% | 2.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.6% | 4.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.1% | 4.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% | 97.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 11.0% | 20.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.9% | 12.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 96.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.9% | 5.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.9% | 24.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 9.1% | 17.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.61 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.90 | 1.78 |
Short-stay residents
| Measure | This home | Minnesota | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.1% | 88.1% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% | 1.9% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.0% | 82.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.4% | 23.5% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 21.1% | 14.8% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 42 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 3 involved actual harm; the rest were graded as no actual harm. 11 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Nov 12, 2024: Provide safe, appropriate pain management for a resident who requires such services.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jun 12, 2025 | 16 | 13 |
| Jul 17, 2024 | 9 | 6 |
| Aug 3, 2023 | 17 | 8 |
Minnesota homes averaged 7.1 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (42)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has no plan of correction
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Sep 18, 2025)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Aug 6, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 6, 2025)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Aug 6, 2025)
Show 25 more
-
FPotential for more than minimal harm, widespread
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Aug 6, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Aug 6, 2025)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 6, 2025)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 6, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Aug 6, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Aug 6, 2025)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Aug 6, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 6, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 6, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Aug 6, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 6, 2025)
-
DPotential for more than minimal harm, isolated
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental · Deficient, Provider has date of correction (Aug 6, 2025)
-
GActual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Nov 6, 2024)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Jul 26, 2024)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Sep 3, 2024)
-
DPotential for more than minimal harm, isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 3, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Sep 3, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 3, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Sep 3, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 3, 2024)
-
CPotential for minimal harm, widespread
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Sep 3, 2024)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 13, 2024)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 9, 2023)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 9, 2023)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Oct 9, 2023)
Showing the 30 most recent of 42.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Nov 12, 2024 | Fine | $12,048 |
| Jul 17, 2024 | Fine | $14,433 |
Minnesota homes averaged 0.8 fines and $24,507 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Minnesota
- Size140 of 338 by certified beds
- Minnesota average residents per day60.3
- ChainSt. Francis Health Services
- Chain average overall rating2.9 of 5
- Resident or family councilResident
- Homes in St. Louis County17
Common questions
What is the CMS star rating for Guardian Angels Health & Rehab Center?
Guardian Angels Health & Rehab Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 5 and quality measures is 3.
How many beds does Guardian Angels Health & Rehab Center have?
Guardian Angels Health & Rehab Center has 65 certified beds. It averages 50.1 residents per day, about 77.1% of its certified beds.
How much nursing care do residents get at Guardian Angels Health & Rehab Center?
The home reports 3.99 hours of nurse staffing per resident per day, including 0.75 hours from registered nurses. The Minnesota average is 4.19 hours and 1.06 hours from registered nurses.
Has Guardian Angels Health & Rehab Center been fined?
Yes. CMS lists 2 fines totaling $26,481 in the past three years.
Does Guardian Angels Health & Rehab Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Heritage Manor 65beds 88.0%in use 3.41nurse hours a day
- 3 of 5 Cornerstone Villa 43beds 87.2%in use 4.01nurse hours a day
- 1 of 5 The Waterview Woods LLC 65beds 78.2%in use 2.94nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in St. Louis County
Who to call in Minnesota
These offices serve residents of every nursing home in Minnesota.
- Long-term care ombudsman Office of Ombudsman for Long-Term Care (OOLTC) 1-800-657-3591 (Also 651-431-2555. Calls answered 8:00 AM - 4:00 PM, Monday to Friday. TDD/TTY: 711. Email MBA.OOLTC@state.mn.us; fax 651-431-7452.) An advocate for residents and their families.
- File a complaint about a nursing home Office of Health Facility Complaints (OHFC) 651-201-4200 (Email: health.ohfc-complaints@state.mn.us. MDH directs suspected maltreatment of a vulnerable adult (abuse, neglect, financial exploitation, unexplained injury) to the Minnesota Adult Abuse Reporting Center (MAARC), 844-880-1574 (toll free).) The state agency that inspects nursing homes.
Minnesota staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 245239. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.