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Nursing homeFAID #13906

Guam Memorial Hospital Authority

449 N SABANA DR, BARRIGADA, GU, 96913

(671) 633-1800

40 licensed beds

★★★★★3/5CMS Five-Star overall2/5 health inspections5/5 staffingSource: CMS Care Compare

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Address

449 N Sabana Dr

Barrigada, GU 96913

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

655000

Care type

Nursing home

County

Guam

Facility name

Guam Memorial Hospital Authority

Street address

449 N SABANA DR

City / state / ZIP

Barrigada, GU 96913

Phone

(671) 633-1800

About this facility — Guam Memorial Hospital Authority

Guam Memorial Hospital Authority is a Medicare/Medicaid-certified skilled nursing facility in Barrigada, Guam. It is licensed for 40 beds — close to the median for skilled nursing facilities in Guam (40 beds).

It is one of 2 senior care facilities in Barrigada and 1 skilled nursing facilities across Guam. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Guam Memorial Hospital Authority 71 times across 6 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $13,247 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Government - State

Registered owners & officers

Guam Memorial Hospital

Direct owner · Operational control — since 1983

Hechanova, Yukari

Indirect owner · Managing employee · Officer · Operational control — since 2019

Lizama, Florencio

Indirect owner · Operational control · Additional disclosable party — since 2019

Perez-posadas, Lillian

Indirect owner · Officer · Operational control · Additional disclosable party — since 2019

Regulatory standing

Licensed / certified since

1968-01-01

CMS overall rating

3 of 5 stars

Health deficiencies

16 at the last standard inspection

Federal fines

$13,247 total

Last standard inspection

2026-06-06

Nurse staffing

7.7 hours per resident per day

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-06-06Health inspection16 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

F-0605

D · No harm found

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

F-0640

D · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F-0700

E · No harm found

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.

F-0791

D · No harm found

Provide or obtain dental services for each resident.

F-0837

C · No harm found

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.

F-0844

C · No harm found

Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

F-0887

D · No harm found

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.

F-0909

F · No harm found

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.

2025-08-22Health inspection18 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-10-06

F-0561

G · Actual harm

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

Corrected 2025-10-06

F-0578

E · No harm found

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.

Corrected 2025-10-06

F-0584

E · No harm found

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.

Corrected 2025-10-06

F-0605

D · No harm found

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-10-06

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-10-06

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-10-06

F-0691

D · No harm found

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2025-10-06

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-10-06

F-0761

D · No harm found

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.

Corrected 2025-10-06

F-0812

F · No harm foundFood safety

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

Corrected 2025-10-06

F-0837

F · No harm found

Corrected 2025-09-19

F-0867

F · No harm found

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

Corrected 2025-10-06

F-0868

F · No harm found

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

Corrected 2025-10-06

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-10-06

F-0882

F · No harm found

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

Corrected 2025-10-06

F-0887

E · No harm found

Corrected 2025-10-06

F-0945

E · No harm found

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

Corrected 2025-10-06

4 earlier / fire-safety inspections (37 citations)

2024-08-09Health inspection17 citations

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-08-29

F-0625

D · No harm found

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.

Corrected 2024-08-29

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-08-28

F-0645

F · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-08-30

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-08-29

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-08-29

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-08-29

F-0686

E · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-08-29

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-08-29

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2024-08-28

F-0758

E · No harm found

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.

Corrected 2024-09-04

F-0790

D · No harm found

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2024-08-29

F-0837

C · No harm found

Corrected 2024-08-29

F-0838

D · No harm found

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.

Corrected 2024-08-28

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-09-04

F-0865

D · No harm found

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-08-30

F-0880

C · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-08-30

2024-08-09Fire-safety inspection6 citations

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2024-09-01

K-0131

F · No harm found

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

Corrected 2024-08-16

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-08-16

K-0355

F · No harm found

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

Corrected 2024-08-22

K-0372

F · No harm found

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

Corrected 2024-08-16

K-0916

F · No harm found

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

Corrected 2024-08-29

2023-09-29Fire-safety inspection6 citations

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2023-11-07

K-0345

F · No harm found

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

Corrected 2023-11-07

K-0346

F · No harm found

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

Corrected 2023-11-07

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-07

K-0374

F · No harm found

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

Corrected 2023-11-07

K-0908

E · No harm found

Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

Corrected 2023-11-07

2022-09-26Fire-safety inspection8 citations

E-0004

C · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-11-04

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2022-10-17

E-0022

F · No harm found

Establish policies and procedures for sheltering.

Corrected 2022-11-04

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-11-04

K-0311

E · No harm found

Have an enclosure around a vertical opening shaft.

Corrected 2022-09-26

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-09-26

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-26

K-0791

E · No harm found

Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.

Corrected 2022-11-05

Federal penalties

2025-08-22Fine$13,247

2025-08-22Medicare payment denial — 61 days

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 655000.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 71 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered