01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-06-06 | 16 | 2024-08-09 | 6 |
| Cycle 2 | 2025-08-22 | 18 | 2023-09-29 | 6 |
| Cycle 3 | 2024-08-09 | 17 | 2022-09-26 | 8 |
CMS CCN 6550002026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Guam Memorial Hospital Authority
449 N Sabana Dr · Barrigada, GU 96913 · Guam County
Certified beds40CMS provider file
Recent citation rows71current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
71 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-06 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has no plan of correction2026-06-06 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has no plan of correction2026-06-06 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has no plan of correction2026-06-06 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has no plan of correction2026-06-06 · HEALTHF0636Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has no plan of correction2026-06-06 · HEALTHF0640Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has no plan of correction2026-06-06 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has no plan of correction2026-06-06 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has no plan of correction2026-06-06 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has no plan of correction2026-06-06 · HEALTHF0700Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has no plan of correction2026-06-06 · HEALTHF0791Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Correction field: Deficient, Provider has no plan of correction2026-06-06 · HEALTHF0837Severity C · widespread; potential for minimal harm
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.
Correction field: Deficient, Provider has no plan of correction2026-06-06 · HEALTHF0844Severity C · widespread; potential for minimal harm
Administration Deficiencies
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Correction field: Deficient, Provider has no plan of correction2026-06-06 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has no plan of correction2026-06-06 · HEALTHF0887Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
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.
Correction field: Deficient, Provider has no plan of correction2026-06-06 · HEALTHF0909Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
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.
Correction field: Deficient, Provider has no plan of correction2025-08-22 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-10-062025-08-22 · HEALTHF0561Severity G · isolated actual harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2025-10-062025-08-22 · HEALTHF0578Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-10-062025-08-22 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-10-062025-08-22 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-10-062025-08-22 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-10-062025-08-22 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-10-062025-08-22 · HEALTHF0691Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-10-0603 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-08-22 | Fine | $13,247 | 0 |
| 2025-08-22 | Payment Denial | $0 | 61 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- GUAM MEMORIAL HOSPITALOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/1983
- HECHANOVA, YUKARIIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/19/2022
- LIZAMA, FLORENCIOIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/19/2019
- PEREZ-POSADAS, LILLIANIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/28/2019
- HECHANOVA, YUKARIIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/22/2019
- HECHANOVA, YUKARIIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/22/2019
- PEREZ-POSADAS, LILLIANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/28/2019
- GUAM MEMORIAL HOSPITALOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/1999
- HECHANOVA, YUKARIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/06/2025
- LIZAMA, FLORENCIOIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/30/2024
- PEREZ-POSADAS, LILLIANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/06/2025
- LIZAMA, FLORENCIOIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/13/2025
- PEREZ-POSADAS, LILLIANIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/13/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours7.72per resident day
RN hours2.48per resident day
Weekend nurse hours7.01per resident day
Staff turnover15.6%CMS reported field
06 / LOCAL RECORDS
Open the Guam ledger →Other published facilities nearby
No second facility in the same city met the directory rule.