Guam Memorial Hospital Authority
Inspection Findings
F-Tag F0550
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-08-22.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0561
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0561 during a standard health inspection conducted on 2025-08-22.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.
Actual harm to residents was documented as a result of this deficiency.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0578
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-08-22.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0584
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2025-08-22.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0605
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2025-08-22.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0641
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-22.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0658
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-08-22.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0691
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0691 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0755
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-08-22.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0761
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-22.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0812
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-22.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0837
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0837 during a standard health inspection conducted on 2025-08-22.
Category: Administration Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-09-19.
F-Tag F0867
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0867 during a standard health inspection conducted on 2025-08-22.
Category: Administration Deficiencies
The facility was found deficient in the following area: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0868
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0868 during a standard health inspection conducted on 2025-08-22.
Category: Administration Deficiencies
The facility was found deficient in the following area: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0880
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-22.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0882
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0882 during a standard health inspection conducted on 2025-08-22.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0887
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0887 during a standard health inspection conducted on 2025-08-22.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0945
Federal health inspectors cited GUAM MEMORIAL HOSPITAL AUTHORITY in BARRIGADA, GU for a deficiency under regulatory tag F-F0945 during a standard health inspection conducted on 2025-08-22.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of GUAM MEMORIAL HOSPITAL AUTHORITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.