All citations for Guam Memorial Hospital Authority

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Guam Memorial Hospital Authority

Last standard health inspection on record

June 6, 2026

Showing 1 to 25 of 71 citations

  1. Harm to a resident

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0561, Resident Rights Deficiencies. Inspection of August 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  2. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0909, Environmental Deficiencies. Inspection of June 6, 2026. Found during a standard inspection.

    The home has a plan to correct it (September 15, 2026).

  3. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  4. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0837, Administration Deficiencies. Inspection of August 22, 2025. Found during a standard inspection.

    The home has a plan to correct it (September 19, 2025).

  5. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of August 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  6. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of August 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  7. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  8. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of August 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  9. No harm, with potential for more than minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2024).

  10. No harm, with potential for more than minimal harm

    Meet requirements for sections of health care facilities separated by fire resistive construction.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0131, Construction Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

  11. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

  12. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

  13. No harm, with potential for more than minimal harm

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    A waiver was granted (August 29, 2024).

  14. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Widespread (many residents). CMS level F.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  15. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2023).

  16. No harm, with potential for more than minimal harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2023).

  17. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2023).

  18. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2023).

  19. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of September 26, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2022).

  20. No harm, with potential for more than minimal harm

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of September 26, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2022).

  21. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of June 6, 2026. Found during a standard inspection.

    The home has a plan to correct it (September 1, 2026).

  22. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of August 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  23. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  24. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0887, Infection Control Deficiencies. Inspection of August 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  25. No harm, with potential for more than minimal harm

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0945, Infection Control Deficiencies. Inspection of August 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.