Guam Memorial Hospital Authority

Nursing Home · Barrigada, GU

CMS overall rating 3/5 Government - State

CMS certification number655000

Contact & location

449 N Sabana DR
Barrigada, GU 96913
Guam County

Phone: (671) 633-1800
ZIP code: 96913 – all care providers

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Facility details

Certified beds: 40
Residents per day: 19.7 (49% occupied)
Ownership: Government - State
Legal name: Guam Memorial Hospital
Medicare certified since: January 1, 1968
Participates in: Medicare and Medicaid
Council: Resident council

CMS star ratings

Overall★★★★★ 3/5

State avg 3.0

Health inspections★★★★★ 2/5

State avg 2.0

Staffing★★★★★ 5/5

State avg 5.0

Quality measuresNot rated

Long-stay qualityNot rated

Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 7.72 (state 7.72 · U.S. 3.86)
Registered nurses (RN): 2.48 (state 2.48 · U.S. 0.69)
Licensed practical nurses: 1.56 (state 1.56 · U.S. 0.86)
Nurse aides: 3.68 (state 3.68 · U.S. 2.32)
Weekend total: 7.01 (state 7.01 · U.S. 3.42)
Nursing staff turnover: 15.6 (state 15.6 · U.S. 45.8)%
RN turnover: 16.7 (state 16.7 · U.S. 42.9)%

Inspections

Last standard inspection: June 6, 2026
Health deficiencies (last cycle): 16.0 (state 16.0 · U.S. 9.3)
From complaints: 0
Citations on record (3 years): 51 health · 20 fire safety · includes actual harm

Date	Citation	Severity	Status
2026-06-06	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. F0909 · Environmental Deficiencies	F No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2026-06-06	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. F0700 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2026-06-06	Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2026-06-06	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2026-06-06	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2026-06-06	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2026-06-06	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2026-06-06	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2026-06-06	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2026-06-06	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2026-06-06	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2026-06-06	Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2026-06-06	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2026-06-06	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. F0887 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2026-06-06	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. F0837 · Administration Deficiencies	C No actual harm, potential for minimal harm	Deficient, Provider has no plan of correction
2026-06-06	Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. F0844 · Administration Deficiencies	C No actual harm, potential for minimal harm	Deficient, Provider has no plan of correction
2025-08-22	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies	G Actual harm	Corrected 2025-10-06
2025-08-22	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2025-08-22	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. F0837 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-09-19
2025-08-22	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2025-08-22	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2025-08-22	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2025-08-22	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2025-08-22	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. F0578 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2025-08-22	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. F0584 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2025-08-22	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. F0887 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2025-08-22	Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. F0945 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2025-08-22	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2025-08-22	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2025-08-22	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2025-08-22	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2025-08-22	Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. F0691 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2025-08-22	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2025-08-22	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-10-06
2024-08-09	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-08-30
2024-08-09	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-08-29
2024-08-09	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-08-29
2024-08-09	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. F0758 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-09-04
2024-08-09	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-29
2024-08-09	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. F0625 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-29
2024-08-09	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-28
2024-08-09	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-29
2024-08-09	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-29
2024-08-09	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-29
2024-08-09	Provide routine and 24-hour emergency dental care for each resident. F0790 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-29
2024-08-09	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. F0838 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-28
2024-08-09	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-09-04
2024-08-09	Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-30
2024-08-09	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies	C No actual harm, potential for minimal harm	Corrected 2024-08-28
2024-08-09	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. F0837 · Administration Deficiencies	C No actual harm, potential for minimal harm	Corrected 2024-08-29

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $13,247 in fines.

Date	Type	Amount
2025-08-22	Payment Denial	61 days payment denial
2025-08-22	Fine	$13,247

Ownership & management

Name	Role	Since
Lizama, Florencio (individual)	Administrator · NOT APPLICABLE
Perez-Posadas, Lillian (individual)	Administrator · NOT APPLICABLE
Hechanova, Yukari (individual)	Corporate Officer · NOT APPLICABLE
Perez-Posadas, Lillian (individual)	Corporate Officer · NOT APPLICABLE
Guam Memorial Hospital (organization)	Direct Ownership Interest · NOT APPLICABLE
Hechanova, Yukari (individual)	Indirect Ownership Interest · NOT APPLICABLE
Lizama, Florencio (individual)	Indirect Ownership Interest · NOT APPLICABLE
Perez-Posadas, Lillian (individual)	Indirect Ownership Interest · NOT APPLICABLE
Guam Memorial Hospital (organization)	Operational/managerial Control · NOT APPLICABLE
Hechanova, Yukari (individual)	Operational/managerial Control · NOT APPLICABLE
Lizama, Florencio (individual)	Operational/managerial Control · NOT APPLICABLE
Perez-Posadas, Lillian (individual)	Operational/managerial Control · NOT APPLICABLE
Hechanova, Yukari (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Guam Memorial Hospital Authority?

Guam Memorial Hospital Authority has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Guam.

How many beds does Guam Memorial Hospital Authority have?

It has 40 certified beds and cares for about 20 residents per day.

Has Guam Memorial Hospital Authority been fined?

Yes. CMS lists 2 penalties totaling $13,247 in the last three years.

What is the phone number of Guam Memorial Hospital Authority?

(671) 633-1800. The facility is located at 449 N Sabana DR, Barrigada, GU 96913.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.