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A+
Excellent

GUAM MEMORIAL HOSPITAL AUTHORITY

449 N SABANA DR · BARRIGADA, GU 96913

6716331800 · Government - State

40 beds21.5 residents56 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

GUAM MEMORIAL HOSPITAL AUTHORITY receives an overall staffing grade of A+ (Excellent). With 7.43 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 3.53 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 13.77% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

📊Staffing levels are highly variable day to day (consistency score: 0.8687). This means the care experience can be very different depending on the day.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
7.43hrs/resident/day▲ 3.53
CMS benchmark: 3.48
RN HPRD
2.5747hrs/resident/day▲ 1.89
Recommended: 0.75
Weekend Drop-off
13.77%
7.7308 weekday → 6.6665 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.4429hrs/resident/day
Direct care aides
LPN HPRD
1.4124hrs/resident/day
Licensed practical nurses
Consistency
0.8687std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Guam County Average+0.00 HPRD
7.43
07.43 HPRD
vs. Guam State Average+0.00 HPRD
7.43
07.43 HPRD
vs. National Average+3.53 HPRD
3.90
07.43 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
GUAM MEMORIAL HOSPITAL AUTHORITY ★
BARRIGADA · This facility
—
A+
7.432.5747★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
52
Total Deficiencies
$13,247
Fines Assessed
Aug 22, 2025Health
18 deficiencies cited· Includes actual harm
▼
Aug 9, 2024Health
17 deficiencies cited
▼
Sep 29, 2023Health
17 deficiencies cited
▼

Penalty History

Aug 22, 2025Fine
$13,247
Aug 22, 2025Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.