ElderGrade
B

73.5/100

Above average

Guam Memorial Hospital Authority

449 N Sabana Dr, Barrigada, GU 96913

CMS 2/5 stars (671) 633-1800
Certified beds
40
Occupancy
49%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $13,247 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

16/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -10 for 52 total citations against a national median of 17

Staffing

29/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 8.44 total nurse hours per resident per day (national median 3.77)
  • 2.48 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 16% of nursing staff left in the last year

Resident outcomes

7.5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • No quality-measure rating published — scored neutral

Enforcement history

6/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $13,247 in federal fines across 1 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 7.72 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 2.48 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 7.01 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 15.60%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 52 citations

Last standard health inspection: August 22, 2025 (1 year ago).

G Aug 22, 2025 F0561

Resident Rights Deficiencies

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

Actual harm to a resident

F Aug 22, 2025 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

F Aug 22, 2025 F0837

Administration Deficiencies

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.

No actual harm, potential for more than minimal harm

F Aug 22, 2025 F0867

Administration Deficiencies

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

No actual harm, potential for more than minimal harm

F Aug 22, 2025 F0868

Administration Deficiencies

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

No actual harm, potential for more than minimal harm

F Aug 22, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

F Aug 22, 2025 F0882

Infection Control Deficiencies

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

No actual harm, potential for more than minimal harm

E Aug 22, 2025 F0578

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
GUAM MEMORIAL HOSPITAL Organization DIRECT OWNERSHIP INTEREST
HECHANOVA, YUKARI Individual INDIRECT OWNERSHIP INTEREST
LIZAMA, FLORENCIO Individual INDIRECT OWNERSHIP INTEREST
PEREZ-POSADAS, LILLIAN Individual INDIRECT OWNERSHIP INTEREST
HECHANOVA, YUKARI Individual W-2 MANAGING EMPLOYEE
HECHANOVA, YUKARI Individual CORPORATE OFFICER
PEREZ-POSADAS, LILLIAN Individual CORPORATE OFFICER
GUAM MEMORIAL HOSPITAL Organization OPERATIONAL/MANAGERIAL CONTROL
HECHANOVA, YUKARI Individual OPERATIONAL/MANAGERIAL CONTROL
LIZAMA, FLORENCIO Individual OPERATIONAL/MANAGERIAL CONTROL
PEREZ-POSADAS, LILLIAN Individual OPERATIONAL/MANAGERIAL CONTROL
LIZAMA, FLORENCIO Individual ADP OF THE SNF

What families say

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Common questions about Guam Memorial Hospital Authority

What is the ElderGrade for Guam Memorial Hospital Authority? +

Guam Memorial Hospital Authority holds an ElderGrade of B (73.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Guam Memorial Hospital Authority? +

Residents receive an average of 7.72 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Guam Memorial Hospital Authority been cited for harming residents? +

Yes. 1 of the 52 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Guam Memorial Hospital Authority accept Medicaid? +

Yes, Guam Memorial Hospital Authority is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.