Guam Memorial Hospital Authority
449 N Sabana Dr · Barrigada, GU · 96913 · 6716331800
40 certified beds Government - State
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: not rated
| Total nurse hours / resident-day | 6.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.96 | 0.55–0.75 |
| Weekend hours / resident-day | 5.53 | ≈ weekday level |
| Nursing turnover / year | 19% | median 45% |
| Fines (3-yr window) | 1 · $13,247 |
Inspection citations (52 in the current record)
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Actual harm · G August 22, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected October 6, 2025 · Resident Rights
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Potential for harm · D August 22, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 6, 2025 · Resident Rights
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Potential for harm · E August 22, 2025
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.
Corrected October 6, 2025 · Resident Rights
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Potential for harm · E August 22, 2025
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.
Corrected October 6, 2025 · Resident Rights
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Potential for harm · D August 22, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected October 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 22, 2025
Ensure each resident receives an accurate assessment.
Corrected October 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 22, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 22, 2025
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected October 6, 2025 · Quality of Life and Care
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Potential for harm · D August 22, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 6, 2025 · Pharmacy Service
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Potential for harm · D August 22, 2025
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.
Corrected October 6, 2025 · Pharmacy Service
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Potential for harm · F August 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 6, 2025 · Nutrition and Dietary
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Potential for harm · F August 22, 2025
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.
Corrected September 19, 2025 · Administration
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Potential for harm · F August 22, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected October 6, 2025 · Administration
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Potential for harm · F August 22, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected October 6, 2025 · Administration
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Potential for harm · F August 22, 2025
Provide and implement an infection prevention and control program.
Corrected October 6, 2025 · Infection Control
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Potential for harm · F August 22, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected October 6, 2025 · Infection Control
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Potential for harm · E August 22, 2025
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.
Corrected October 6, 2025 · Infection Control
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Potential for harm · E August 22, 2025
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected October 6, 2025 · Infection Control
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Potential for harm · D August 9, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected August 29, 2024 · Resident Rights
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Potential for harm · D August 9, 2024
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.
Corrected August 29, 2024 · Resident Rights
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Potential for harm · D August 9, 2024
Ensure each resident receives an accurate assessment.
Corrected August 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · F August 9, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 9, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 9, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 9, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 29, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 22, 2025 | Fine | $13,247 |
| August 22, 2025 | Payment Denial | 61 days |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 655000 · certified since January 1, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.