Guam Memorial Hospital Authority - Barrigada Nursing Home
General Information
UPDATEFederal Provider Number
655000
Provider Name
GUAM MEMORIAL HOSPITAL AUTHORITY
Provider Address
499 NORTH SABANA DRIVE
BARRIGADA, GU 96913
BARRIGADA, GU 96913
Provider Phone Number
6716331800
Provider SSA County
10
Provider County Name
Guam
Ownership Type
Government - State
Number of Certified Beds
42
Number of Residents in Certified Beds
18
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1968-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.80833
Reported LPN Staffing Hours per Resident per Day
2.22222
Reported RN Staffing Hours per Resident per Day
4.18889
Reported Licensed Staffing Hours per Resident per Day
6.41111
Reported Total Nurse Staffing Hours per Resident per Day
10.21944
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31667
Expected CNA Staffing Hours per Resident per Day
2.32411
Expected LPN Staffing Hours per Resident per Day
0.82196
Expected RN Staffing Hours per Resident per Day
1.31873
Expected Total Nurse Staffing Hours per Resident per Day
4.46480
Adjusted CNA Staffing Hours per Resident per Day
4.02068
Adjusted LPN Staffing Hours per Resident per Day
2.24396
Adjusted RN Staffing Hours per Resident per Day
2.37345
Adjusted Total Nurse Staffing Hours per Resident per Day
9.22630
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-09-20
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
168
Cycle 3 Standard Health Survey Date
2012-01-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
168
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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