Velarion Records

Skilled nursing facility · CMS certification number 655000

GUAM MEMORIAL HOSPITAL AUTHORITY

BARRIGADA, Guam · Medicare and Medicaid

Certified beds, as filed in Care Compare: 40

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A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 2 · Fines: 1 · Fines, total amount: $13,247.00 · Payment denials: 1. The most recent penalty on file: August 22, 2025, Fine, $13,247. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

No Medicare cost report on file for this facility.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
LIZAMA, FLORENCIOADP OF THE SNFIndividualNOT APPLICABLEsince 01/13/2025
PEREZ-POSADAS, LILLIANADP OF THE SNFIndividualNOT APPLICABLEsince 01/13/2025
HECHANOVA, YUKARICORPORATE OFFICERIndividualNOT APPLICABLEsince 04/22/2019
PEREZ-POSADAS, LILLIANCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/28/2019
GUAM MEMORIAL HOSPITALDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 10/01/1983
HECHANOVA, YUKARIINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 04/19/2022
LIZAMA, FLORENCIOINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/19/2019
PEREZ-POSADAS, LILLIANINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/28/2019
GUAM MEMORIAL HOSPITALOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 12/01/1999
HECHANOVA, YUKARIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/06/2025
LIZAMA, FLORENCIOOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/30/2024
PEREZ-POSADAS, LILLIANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/06/2025
HECHANOVA, YUKARIW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 04/22/2019

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of GUAM MEMORIAL HOSPITAL (enrollment ID O20160311000070).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
GUAM MEMORIAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST510/1/1983
Private equity company: No
Real estate investment trust: No
Holding company: No
LILLIAN Q PEREZ-POSADASIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST51/28/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
FLORENCIO LIZAMAIndividualADP OF THE SNFNot stated in the filing1/13/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LILLIAN Q PEREZ-POSADASIndividualADP OF THE SNFNot stated in the filing1/13/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LILLIAN Q PEREZ-POSADASIndividualCORPORATE OFFICER501/28/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
YUKARI HECHANOVAIndividualCORPORATE OFFICER54/22/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GUAM MEMORIAL HOSPITALOrganizationDIRECT OWNERSHIP INTEREST10010/1/1983
Private equity company: No
Real estate investment trust: No
Holding company: No
FLORENCIO LIZAMAIndividualINDIRECT OWNERSHIP INTEREST01/19/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LILLIAN Q PEREZ-POSADASIndividualINDIRECT OWNERSHIP INTEREST501/28/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
YUKARI HECHANOVAIndividualINDIRECT OWNERSHIP INTEREST54/19/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
FLORENCIO LIZAMAIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GUAM MEMORIAL HOSPITALOrganizationOPERATIONAL/MANAGERIAL CONTROL10012/1/1999
Private equity company: No
Real estate investment trust: No
Holding company: No
LILLIAN Q PEREZ-POSADASIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/6/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
YUKARI HECHANOVAIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/6/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
YUKARI HECHANOVAIndividualW-2 MANAGING EMPLOYEE54/22/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1June 6, 2026August 9, 2024166
2August 22, 2025September 29, 2023186
3August 9, 2024September 26, 2022178

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

51 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
June 6, 2026HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has plan of correctionAugust 31, 2026
June 6, 2026HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has plan of correctionSeptember 1, 2026
June 6, 2026HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has plan of correctionJuly 31, 2026
June 6, 2026HealthF 0605Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DNoDeficient, Provider has plan of correctionAugust 31, 2026
June 6, 2026HealthF 0636Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DNoDeficient, Provider has plan of correctionAugust 31, 2026
June 6, 2026HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DNoDeficient, Provider has plan of correctionAugust 31, 2026
June 6, 2026HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has plan of correctionAugust 31, 2026
June 6, 2026HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has plan of correctionSeptember 1, 2026
June 6, 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has plan of correctionSeptember 1, 2026
June 6, 2026HealthF 0700Quality of Life and Care DeficienciesTry 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.ENoDeficient, Provider has plan of correctionSeptember 1, 2026
June 6, 2026HealthF 0791Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.DNoDeficient, Provider has plan of correctionSeptember 1, 2026
June 6, 2026HealthF 0837Administration DeficienciesEstablish 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.CNoDeficient, Provider has plan of correctionSeptember 25, 2026
June 6, 2026HealthF 0844Administration DeficienciesFollow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.CNoDeficient, Provider has plan of correctionAugust 15, 2026
June 6, 2026HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has plan of correctionAugust 31, 2026
June 6, 2026HealthF 0887Infection Control DeficienciesEducate 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.DNoDeficient, Provider has plan of correctionAugust 31, 2026
June 6, 2026HealthF 0909Environmental DeficienciesRegularly 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.FNoDeficient, Provider has plan of correctionSeptember 15, 2026
August 22, 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.GNoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0578Resident Rights DeficienciesHonor 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.ENoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0584Resident Rights DeficienciesHonor 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.ENoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0605Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DNoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0691Quality of Life and Care DeficienciesProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DNoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0837Administration DeficienciesEstablish 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.FNoDeficient, Provider has plan of correctionSeptember 19, 2025
August 22, 2025HealthF 0867Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FNoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0868Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyFNoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0882Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FNoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0887Infection Control DeficienciesEducate 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.ENoDeficient, Provider has date of correctionOctober 6, 2025
August 22, 2025HealthF 0945Infection Control DeficienciesInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.ENoDeficient, Provider has date of correctionOctober 6, 2025
August 9, 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DNoDeficient, Provider has date of correctionAugust 29, 2024
August 9, 2024HealthF 0625Resident Rights DeficienciesNotify 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.DNoDeficient, Provider has date of correctionAugust 29, 2024
August 9, 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionAugust 28, 2024
August 9, 2024HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesFNoDeficient, Provider has date of correctionAugust 30, 2024
August 9, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correctionAugust 29, 2024
August 9, 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionAugust 29, 2024
August 9, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionAugust 29, 2024
August 9, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.ENoDeficient, Provider has date of correctionAugust 29, 2024
August 9, 2024HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correctionAugust 29, 2024
August 9, 2024HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correctionAugust 28, 2024
August 9, 2024HealthF 0758Pharmacy Service DeficienciesImplement 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.ENoDeficient, Provider has date of correctionSeptember 4, 2024
August 9, 2024HealthF 0790Quality of Life and Care DeficienciesProvide routine and 24-hour emergency dental care for each resident.DNoDeficient, Provider has date of correctionAugust 29, 2024
August 9, 2024HealthF 0837Administration DeficienciesEstablish 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.CNoDeficient, Provider has date of correctionAugust 29, 2024
August 9, 2024HealthF 0838Administration DeficienciesConduct 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.DNoDeficient, Provider has date of correctionAugust 28, 2024
August 9, 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correctionSeptember 4, 2024
August 9, 2024HealthF 0865Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.DNoDeficient, Provider has date of correctionAugust 30, 2024
August 9, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.CNoDeficient, Provider has date of correctionAugust 30, 2024

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
August 22, 2025Fine$13,247136595
August 22, 2025Payment DenialNovember 22, 202561

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeGovernment - State
Legal Business NameGUAM MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid Services1968-01-01
Provider Resides in HospitalY
Continuing Care Retirement CommunityN
UrbanN
County/ParishGuam
Telephone Number6716331800
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds40
Average Number of Residents per Day19.7
Overall Rating3
Health Inspection Rating2
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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One email a day naming what moved on GUAM MEMORIAL HOSPITAL AUTHORITY: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On March 1, 2025: ANNIE U BORDALLO no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.

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