The home failed to support and respect residents’ choices and self-determination. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 561 — 42 CFR §483.10 — S/S: G
Nursing home report
GUAM MEMORIAL HOSPITAL AUTHORITY
BARRIGADA, GU · Medicare-certified · 40 beds
Needs attention
Government-run
2 of 5 overall
2 of 5 stars overall. Health inspection is low at 1 of 5 stars, staffing is strong at 5 of 5 stars with 6.11 hours per resident per day versus the 4.1 federal benchmark, and the facility has had $13,247 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
6.1132 hrs/resident/day
Quality measures
Last inspection: August 22, 2025Penalties, last 24 months: $13,247recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 6.1132.
Staffing detail
- Registered nurses
- 1.96
- Licensed practical nurses
- 1.27
- Nurse aides
- 2.88
- Weekend nursing
- 5.53
Hours per resident per day.
Total staff turnover: 19%
Registered nurse turnover: 18%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Residents with a fall causing major injury
—0%—
Residents with pressure ulcers (bedsores)
—6.8%—
Residents with a urinary tract infection
—10.3%—
Residents who lost too much weight
—10.3%—
Residents who were physically restrained
—0%—
Long-stay residents on antianxiety or sleep medication
—9.5%—
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
—0%—
Residents with depressive symptoms
—2.4%—
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the pneumonia vaccine
—100%—
Short-stay residents given the seasonal flu vaccine
—90.6%—
Short-stay residents given the pneumonia vaccine
100%96.2%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have a responsible governing body to set and carry out policies and properly manage the facility. Cited August 2025 — widespread issue, potential for harm.
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F-Tag 837 — 42 CFR §483.70 — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $13,247 was recorded.
- INSPECTION
Health inspection found 18 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $13,247 in total fines · 1 payment denial.
- 61 days
Medicare/Medicaid payment denial
Aug 22, 2025
- $13,247
Federal fine
Aug 22, 2025
Operator & ownership
- Ownership
- Government - State
- Occupancy
- 25.3 residents on an average day (63% of 40 beds)
- Medicare history
- Certified for 58 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.