Guardian Angels Health & Rehab Center
GUARDIAN ANGELS HEALTH & REHAB CENTER in HIBBING, MN — inspection on August 20, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 8/19/25 at 11:31 a.m., R1 stated she had not received her pain medication in the past due to not having any in the facility.
During an interview on 8/20/25 at 7:48 a.m., licensed practical nurse (LPN)-A stated R1 had ran out of pain medications twice. At times, the providers did not reply to our requests for new pain medication prescriptions and residents would run out of their pain medications.
During an interview on 8/20/25 at 9:53 a.m., R3 stated he did run out of his pain medications and the facility told him they would keep a better eye on his medication to ensure he did not run out again.
During an interview on 8/20/25 at 12:10 p.m., registered nurse (RN)-A stated she did not believe the facility received medications for residents in a timely manner. RN-A called MD-A about R1 running out of her pain medication and MD-A stated not to call him just fax. RN-A explained to MD-A that not getting pain medications in a timely manner was an issue.
During an interview on 8/20/25 at 12:34 p.m., the director of nursing stated the facility had a system issue when it came to pharmacy services and physician's responses. As a result, the medications not received timely at the facility for residents.
During an interview on 8/20/25 at 1:22 p.m., MD-A stated the pharmacy would not accept verbal orders for pain medications, so residents were running out of their pain medications at the facility.
During an interview on 8/20/25 at 1:32 p.m., the consultant pharmacist stated the pharmacy could only take verbal orders for narcotics if it was an emergency.
Pharmacy did not receive timely faxed orders and as a result, residents were running out of pain medications.
During an interview on 8/20/25 at 2:35 p.m., the administrator stated it was expected that residents had their order medications and were given the medications per orders.
The facility planned to work on a solution with the pharmacy and MD-A to ensure residents did not run out of their medications in the future.
The facility policy Ordering and Receiving Medications undated, indicated reorder medications three to five days in advance of need to assure an adequate supply was on hand.
When reordering medications that require special processing (such as Schedule II controlled substances), order at least seven days in advance of need.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.