nursing home in Barrigada, GU

Guam Memorial Hospital Authority

449 N Sabana Dr, Barrigada, GU 96913 · (671) 633-1800

★★★★★3
Average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★5
  • Quality measuresNot rated

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Guam Memorial Hospital Authority at a glance

Guam Memorial Hospital Authority is a 40-bed government nursing home in Barrigada, Guam (Guam County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the Guam average of 3.

Residents receive about 7.7 hours of nursing care per day (2.5 of them from registered nurses), close to the state average of 7.7 hours.

Its most recent standard health inspection (June 6, 2026) found 16 health citations. The Guam average is 16.

Federal regulators fined it 1 time in the past three years, totaling $13,247.

Nursing staff turnover is 15.6% per year (state average 15.6%).

Facility details

Type
Nursing home
Ownership
Government - State
Beds
40
Certified for
Medicare and Medicaid
Medicare-certified since
January 1, 1968
Resident/family council
Resident
County
Guam County
CMS Certification Number
655000

Ratings

MeasureThis facilityGuam avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 53 / 53 / 5Average
Health inspection rating ⓘ (higher is better)2 / 52 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)5 / 55 / 52.9 / 5Better

Staffing

This facility7.72 hrsGuam average7.72 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Guam and U.S. averages
MeasureThis facilityGuam avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)7.72 hrs7.72 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)2.48 hrs2.48 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)3.68 hrs3.68 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)7.01 hrs7.01 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)15.6%15.6%45.8%Better
Registered nurse turnover (yearly) (lower is better)16.7%16.7%42.9%Better

Inspections

This facility16Guam average16U.S. average9
Health citations in the most recent inspection: this facility vs. Guam and U.S. averages
MeasureThis facilityGuam avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)16169Worse
Citations from complaint investigations (latest cycle) (lower is better)003Better
Weighted health inspection score ⓘ (lower is better)989880.6Worse

Penalties

This facility1Guam average1U.S. average1
Fines in the past 3 years: this facility vs. Guam and U.S. averages
MeasureThis facilityGuam avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$13,247$13,247$30,972Better
All federal penalties in the past 3 years (lower is better)221Worse

Size

MeasureThis facilityGuam avg.U.S. avg.vs. U.S.
Certified beds4040107
Average residents per day202086
Occupancy49.3%49.3%80.9%

Long-stay residents

This facility0%Guam average0%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Guam and U.S. averages
MeasureThis facilityGuam avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0%0%3.2%Better
Long-stay residents with pressure ulcers (lower is better)6%6%4.6%Worse
Long-stay residents with a urinary tract infection (lower is better)12.1%12.1%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)4.2%4.2%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)0%0%13.9%Better
Long-stay residents who lose too much weight (lower is better)3%3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)4.7%4.7%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)7%7%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)0%0%19%Better
Long-stay residents given a pneumonia vaccine (higher is better)100%100%93.6%Better

Short-stay residents

This facility0%Guam average0%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Guam and U.S. averages
MeasureThis facilityGuam avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%0%1.6%Better
Short-stay residents given a flu vaccine (higher is better)90.6%90.6%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)98.2%98.2%82%Better

Inspection citations

State inspectors cited this home for 51 health deficiencies and 20 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.

DateCitationSeverityStatus
June 6, 2026
Standard
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.
Environmental Deficiencies · Tag F0909
F
Potential harm, widespread
Corrected September 15, 2026
June 6, 2026
Standard
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.
Quality of Life and Care Deficiencies · Tag F0700
E
Potential harm, pattern
Corrected September 1, 2026
June 6, 2026
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected August 31, 2026
June 6, 2026
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected August 31, 2026
June 6, 2026
Standard
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 Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected September 1, 2026
June 6, 2026
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected September 1, 2026
June 6, 2026
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected August 31, 2026
June 6, 2026
Standard
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0640
D
Potential harm, isolated
Corrected August 31, 2026
June 6, 2026
Standard
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Tag F0636
D
Potential harm, isolated
Corrected August 31, 2026
June 6, 2026
Standard
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 Deficiencies · Tag F0605
D
Potential harm, isolated
Corrected August 31, 2026
June 6, 2026
Standard
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 Deficiencies · Tag F0887
D
Potential harm, isolated
Corrected August 31, 2026
June 6, 2026
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected July 31, 2026
June 6, 2026
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected September 1, 2026
June 6, 2026
Standard
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Tag F0791
D
Potential harm, isolated
Corrected September 1, 2026
June 6, 2026
Standard
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.
Administration Deficiencies · Tag F0837
C
No harm, widespread
Corrected September 25, 2026
June 6, 2026
Standard
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Administration Deficiencies · Tag F0844
C
No harm, widespread
Corrected August 15, 2026
August 22, 2025
Standard
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Tag F0561
G
Actual harm, isolated
Corrected October 6, 2025
August 22, 2025
Standard
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.
Administration Deficiencies · Tag F0837
F
Potential harm, widespread
Corrected September 19, 2025
August 22, 2025
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
F
Potential harm, widespread
Corrected October 6, 2025
August 22, 2025
Standard
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Tag F0868
F
Potential harm, widespread
Corrected October 6, 2025
August 22, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected October 6, 2025
August 22, 2025
Standard
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Tag F0882
F
Potential harm, widespread
Corrected October 6, 2025
August 22, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected October 6, 2025
August 22, 2025
Standard
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected October 6, 2025
August 22, 2025
Standard
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies · Tag F0945
E
Potential harm, pattern
Corrected October 6, 2025
August 22, 2025
Standard
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 Deficiencies · Tag F0887
E
Potential harm, pattern
Corrected October 6, 2025
August 22, 2025
Standard
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.
Resident Rights Deficiencies · Tag F0578
E
Potential harm, pattern
Corrected October 6, 2025
August 22, 2025
Standard
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 Deficiencies · Tag F0605
D
Potential harm, isolated
Corrected October 6, 2025
August 22, 2025
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected October 6, 2025
August 22, 2025
Standard
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 Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected October 6, 2025
August 22, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected October 6, 2025
August 22, 2025
Standard
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0691
D
Potential harm, isolated
Corrected October 6, 2025
August 22, 2025
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected October 6, 2025
August 22, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected October 6, 2025
August 9, 2024
Fire safety
Establish emergency prep training and testing.
Emergency Preparedness Deficiencies · Tag E0036
F
Potential harm, widespread
Corrected September 1, 2024
August 9, 2024
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected August 16, 2024
August 9, 2024
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
F
Potential harm, widespread
Corrected August 22, 2024
August 9, 2024
Fire safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916
F
Potential harm, widespread
Corrected August 29, 2024
August 9, 2024
Fire safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Construction Deficiencies · Tag K0131
F
Potential harm, widespread
Corrected August 16, 2024
August 9, 2024
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected August 16, 2024
August 9, 2024
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
F
Potential harm, widespread
Corrected August 30, 2024
August 9, 2024
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
E
Potential harm, pattern
Corrected August 29, 2024
August 9, 2024
Standard
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 Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected August 29, 2024
August 9, 2024
Standard
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 Deficiencies · Tag F0758
E
Potential harm, pattern
Corrected September 4, 2024
August 9, 2024
Standard
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 Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected August 29, 2024
August 9, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected August 28, 2024
August 9, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0625
D
Potential harm, isolated
Corrected August 29, 2024
August 9, 2024
Standard
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.
Administration Deficiencies · Tag F0838
D
Potential harm, isolated
Corrected August 28, 2024
August 9, 2024
Standard
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Tag F0865
D
Potential harm, isolated
Corrected August 30, 2024
August 9, 2024
Standard
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies · Tag F0790
D
Potential harm, isolated
Corrected August 29, 2024
August 9, 2024
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected September 4, 2024
August 9, 2024
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected August 29, 2024
August 9, 2024
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected August 29, 2024
August 9, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected August 29, 2024
August 9, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
C
No harm, widespread
Corrected August 30, 2024
August 9, 2024
Standard
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.
Administration Deficiencies · Tag F0837
C
No harm, widespread
Corrected August 29, 2024
August 9, 2024
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
C
No harm, widespread
Corrected August 28, 2024
September 29, 2023
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
F
Potential harm, widespread
Corrected November 7, 2023
September 29, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected November 7, 2023
September 29, 2023
Fire safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies · Tag K0346
F
Potential harm, widespread
Corrected November 7, 2023
September 29, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected November 7, 2023
September 29, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected November 7, 2023
September 29, 2023
Fire safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0908
E
Potential harm, pattern
Corrected November 7, 2023
September 26, 2022
Fire safety
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies · Tag E0015
F
Potential harm, widespread
Corrected October 17, 2022
September 26, 2022
Fire safety
Establish policies and procedures for sheltering.
Emergency Preparedness Deficiencies · Tag E0022
F
Potential harm, widespread
Corrected November 4, 2022
September 26, 2022
Fire safety
Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
Miscellaneous Deficiencies · Tag K0791
E
Potential harm, pattern
Corrected November 5, 2022
September 26, 2022
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected September 26, 2022
September 26, 2022
Fire safety
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies · Tag K0311
E
Potential harm, pattern
Corrected September 26, 2022
September 26, 2022
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected November 4, 2022
September 26, 2022
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected September 26, 2022
September 26, 2022
Fire safety
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0004
C
No harm, widespread
Corrected November 4, 2022

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $13,247 in fines.

DatePenaltyAmount / length
August 22, 2025Payment Denial61 days from November 22, 2025
August 22, 2025Fine$13,247

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
LIZAMA, FLORENCIO
Individual
adp of the snfNOT APPLICABLE01/13/2025
PEREZ-POSADAS, LILLIAN
Individual
adp of the snfNOT APPLICABLE01/13/2025
HECHANOVA, YUKARI
Individual
corporate officerNOT APPLICABLE04/22/2019
PEREZ-POSADAS, LILLIAN
Individual
corporate officerNOT APPLICABLE01/28/2019
GUAM MEMORIAL HOSPITAL
Organization
direct ownership interestNOT APPLICABLE10/01/1983
HECHANOVA, YUKARI
Individual
indirect ownership interestNOT APPLICABLE04/19/2022
LIZAMA, FLORENCIO
Individual
indirect ownership interestNOT APPLICABLE01/19/2019
PEREZ-POSADAS, LILLIAN
Individual
indirect ownership interestNOT APPLICABLE01/28/2019
GUAM MEMORIAL HOSPITAL
Organization
operational/managerial controlNOT APPLICABLE12/01/1999
HECHANOVA, YUKARI
Individual
operational/managerial controlNOT APPLICABLE01/06/2025
LIZAMA, FLORENCIO
Individual
operational/managerial controlNOT APPLICABLE12/30/2024
PEREZ-POSADAS, LILLIAN
Individual
operational/managerial controlNOT APPLICABLE01/06/2025
HECHANOVA, YUKARI
Individual
w-2 managing employeeNOT APPLICABLE04/22/2019

Frequently asked questions

What is Guam Memorial Hospital Authority's rating?

Guam Memorial Hospital Authority has 3 out of 5 stars on the CMS overall star rating. The average for Guam nursing homes is 3 stars.

How many inspection citations did Guam Memorial Hospital Authority receive?

Its most recent standard health inspection found 16 citations, compared with a Guam average of 16. Every citation is listed on this page with its severity.

Does Guam Memorial Hospital Authority accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Guam Memorial Hospital Authority?

It is government - state. The ownership section on this page lists the owners and managers reported to CMS.

Where is Guam Memorial Hospital Authority and how do I contact it?

Guam Memorial Hospital Authority is at 449 N Sabana Dr, Barrigada, GU 96913. Phone: (671) 633-1800.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.