Guam › Guam County › Barrigada
Guam Memorial Hospital Authority
449 N Sabana Dr, Barrigada, GU 96913
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Guam Memorial Hospital Authority is a Government, state nursing home in Barrigada, Guam, certified for 40 beds and caring for about 20 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Guam median; the health inspection rating is 2, staffing 5 and quality measures —.
Inspectors recorded 51 health deficiencies across the three most recent survey cycles (16, 18, 17 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 127.5 per 100 beds, about the same as the state median of 127.5.
CMS lists 2 penalties in the period covered: fines totalling $13K and 1 payment denial.
Reported nurse staffing is 7.7 hours per resident per day (2.5 RN), close to the Guam median of 7.7; nursing staff turnover is 15.6%.
Compared with county, state and nation
| Measure | This facility | Guam Co. median | Guam median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 51 | 51 | 51 | 28.7 |
| Citations per 100 beds | 127.5 | 127.5 | 127.5 | 26.8 |
| Total nurse hours per resident day | 7.7 | 7.7 | 7.7 | 3.9 |
| RN hours per resident day | 2.5 | 2.5 | 2.5 | 0.7 |
| Nursing staff turnover | 15.6% | 15.6% | 15.6% | 45.8% |
| Fines listed | $13,247 | $13,247 | $13,247 | — |
County and state figures are medians across facilities (1 in the county, 1 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Guam average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Jun 2026, 22 Aug 2025.
Severity mix: G ×1 D ×29 E ×8 F ×8 C ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 6 Jun 2026 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | F | Standard survey | Deficient, Provider has no plan of correction |
| 6 Jun 2026 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard survey | Deficient, Provider has no plan of correction |
| 6 Jun 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | Deficient, Provider has no plan of correction |
| 6 Jun 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | Deficient, Provider has no plan of correction |
| 6 Jun 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | Deficient, Provider has no plan of correction |
| 6 Jun 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | Deficient, Provider has no plan of correction |
| 6 Jun 2026 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | Deficient, Provider has no plan of correction |
| 6 Jun 2026 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | Deficient, Provider has no plan of correction |
| 6 Jun 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | Deficient, Provider has no plan of correction |
| 6 Jun 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | Deficient, Provider has no plan of correction |
| 6 Jun 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | Deficient, Provider has no plan of correction |
| 6 Jun 2026 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | Deficient, Provider has no plan of correction |
| 6 Jun 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | Deficient, Provider has no plan of correction |
| 6 Jun 2026 | F0887 | 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. | D | Standard survey | Deficient, Provider has no plan of correction |
| 6 Jun 2026 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | C | Standard survey | Deficient, Provider has no plan of correction |
| 6 Jun 2026 | F0844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | C | Standard survey | Deficient, Provider has no plan of correction |
| 22 Aug 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | G | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Standard survey | 19 Sep 2025 |
| 22 Aug 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0578 | 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. | E | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0887 | 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. | E | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 6 Oct 2025 |
| 22 Aug 2025 | F0761 | 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. | D | Standard survey | 6 Oct 2025 |
| 9 Aug 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | F | Standard survey | 30 Aug 2024 |
| 9 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 29 Aug 2024 |
| 9 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 29 Aug 2024 |
| 9 Aug 2024 | F0758 | 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. | E | Standard survey | 4 Sep 2024 |
| 9 Aug 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 29 Aug 2024 |
| 9 Aug 2024 | F0625 | 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. | D | Standard survey | 29 Aug 2024 |
| 9 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 28 Aug 2024 |
| 9 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 29 Aug 2024 |
| 9 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Aug 2024 |
| 9 Aug 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 29 Aug 2024 |
| 9 Aug 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 29 Aug 2024 |
| 9 Aug 2024 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | Standard survey | 28 Aug 2024 |
| 9 Aug 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 4 Sep 2024 |
| 9 Aug 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 30 Aug 2024 |
| 9 Aug 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 28 Aug 2024 |
| 9 Aug 2024 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | C | Standard survey | 29 Aug 2024 |
| 9 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | C | Standard survey | 30 Aug 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 22 Aug 2025 | Payment denial | — | 61 days |
| 22 Aug 2025 | Fine | $13,247 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Guam average. Turnover: nursing staff 15.6%, RNs 16.7%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Guam median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 0.0% | 0.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.2% | 4.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 12.1% | 12.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 0.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.0% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.0% | 6.0% | 4.2% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, state. Legal business name: Guam Memorial Hospital.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Guam Memorial Hospital | Direct ownership interest | NOT APPLICABLE | 10/01/1983 |
| Guam Memorial Hospital | Operational/managerial control | NOT APPLICABLE | 12/01/1999 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Guam Memorial Hospital Authority been cited for?
51 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Guam median is 51 per facility.
Has Guam Memorial Hospital Authority been fined?
Yes. CMS lists fines totalling $13K in the period covered, plus 1 payment denial.
How does staffing at Guam Memorial Hospital Authority compare?
Reported total nurse staffing is 7.7 hours per resident per day against a Guam median of 7.7 and a national average of 3.9.
Who operates Guam Memorial Hospital Authority?
Ownership type is government, state. Organisations in the CMS ownership record include Guam Memorial Hospital and Guam Memorial Hospital. Individual owners and managers are not listed on this site.
When was Guam Memorial Hospital Authority last inspected?
The most recent survey or investigation in the CMS record is dated 6 Jun 2026; the most recent standard health survey was 6 Jun 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.