All states › Guam › Barrigada › Guam Memorial Hospital Authority
449 N Sabana Dr Barrigada, GU 96913 · Guam County
CMS certification number 655000 · See this home on Medicare Care Compare
Is Guam Memorial Hospital Authority a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Guam Memorial Hospital Authority as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Guam average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 7.79 hours per resident per day at Guam Memorial Hospital Authority, about the same as the Guam median of 7.79 (US median: 3.72). About 2.47 of those hours are from registered nurses. Weekend staffing is close to its all-week average. 12.1% of nursing staff left within a year (Guam median 12.1%).
About this nursing home
Paying for care at Guam Memorial Hospital Authority: Medicare and Medicaid
Guam Memorial Hospital Authority is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Guam's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on June 6, 2026 and found 16 deficiencies. In total, inspectors issued 51 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 51 citations at Guam Memorial Hospital Authority across 3 inspection dates. 1 was at the actual-harm level (G–I), most recently on August 22, 2025. The most common areas cited were resident assessment and care planning (12) and resident rights (9). The most serious was cited under the CMS rule to "honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice" (tag F0561, level G, August 22, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
June 6, 2026 · 16 citations
FRegularly 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.
ETry 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.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DReasonably accommodate the needs and preferences of each resident.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DEnsure each resident receives an accurate assessment.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide or obtain dental services for each resident.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEducate 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.
CEstablish 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.
CFollow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
August 22, 2025 · 18 citations, includes actual harm
GHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FEstablish 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.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
FHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
FProvide and implement an infection prevention and control program.
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
EHonor 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.
EHonor 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.
EEducate 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.
EInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DEnsure each resident receives an accurate assessment.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
August 9, 2024 · 17 citations
FPASARR screening for Mental disorders or Intellectual Disabilities
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EImplement 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.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DNotify 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.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide routine and 24-hour emergency dental care for each resident.
DConduct 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DHave a plan that describes the process for conducting QAPI and QAA activities.
CPost nurse staffing information every day.
CEstablish 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.
CProvide and implement an infection prevention and control program.
Questions to ask on a tour of Guam Memorial Hospital Authority
- Inspectors cited the home at the actual-harm level on August 22, 2025 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 6, 2026. How are staff trained, and how are concerns reported?
- The home averages about 51% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $13,247 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 22, 2025 | Fine | $13,247 |
| Aug 22, 2025 | Payment Denial | 61 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 5/5 | — |
| August 2026 | 3/5 | 2/5 | 5/5 | — |
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.