Nursing Homes in Guam
1 Medicare- and Medicaid-certified facilities · GU · ranked on CMS Five-Star ratings, staffing, and penalties
Guam's 1 Medicare- and Medicaid-certified nursing homes average 3.0 of 5 CMS overall stars, in line with the 3.0-star national average; 0 hold the top 5-star rating while 0 sit at the 1-star floor (CMS Nursing Home Compare, August 2026).
Ratings are force-curved within each state, so Guam's averages are best read against its own facilities and the national mean, not used to rank one state's 3-star home against another's.
- 3.0 / 5
- About average · nat'l 3.0
- 1
- Certified facilities
- 0
- Five-star homes (0.0%)
- $13K
- Federal fines, statewide
The state picture
Guam's 1 rated nursing homes average 3.0 CMS overall stars, in line with the 3.0-star national mean. 0 homes sit at 5 stars and 0 at 1 star; the state beats the U.S. average on 4 of 4 staffing-and-rating metrics.
- 3.0 / 5
- Mean CMS overall · national 3.0
- 0
- Five-star homes in Guam
- 4 / 4
- Metrics beating the national average
CMS overall stars are force-curved within each state · August 2026. Compare homes against Guam peers, not only the U.S. mean.
State registry desk · mid-band mean · balanced
Guam's mean sits in the middle third of ≥15-home states
Guam sits in the middle third of ≥15-home means (3.0, between 3.0 and 3.1) with a balanced tip: 0 five-star and 0 one-star records stay within 1.5×.
Largest absolute gap vs the U.S. mean is Nursing staff turnover (lower is better): Guam 15.6% vs national 45.8% (state side of the marker on the four-metric board).
Ownership desk: Government holds 1 of 1 certified homes (100%). Mean certified beds per home ≈ 40 · published federal fines average $13K per certified home statewide.
CMS Nursing Home Compare registry fields only · August 2026. Not care-placement advice.
CMS care plate
Sheet GU · Guam 3.00★ mean
STAR-PAR · RANK-UNK · PHOTO-FINISH · GOV-HEAVY · BOOK-SPARSE · STAFF-STRONG
- STAR-PAR 3.00★ ≈ U.S.
- RANK-UNK Rank unknown
- PHOTO-FINISH +0.00★ peer
- GOV-HEAVY 100% government
- BOOK-SPARSE 1 homes
- STAFF-STRONG 2.48 RN HPRD
Nearest average-rating peer: Alabama (+0.00★)
Instrument codes from this state’s CMS Nursing Home Compare sheet: star lead, peer rank, photo-finish gap, ownership sector, certified book size, and RN/turnover staffing. Not a placement score.
Average-rating neighbourhood around Guam
Lowest and highest poles plus nearest average-CMS-overall peers, not a full 50-state board reprint.
How Guam's nursing homes are rated
Guam's 1 rated facilities sit in a balanced tip - 0 five-star (0.0%) and 0 one-star (0.0%) stay within 1.5×. Bars below are the in-state force-curved CMS overall scale.
Guam vs all states by nursing-home facility count
Where this state's CMS-certified nursing-home inventory sits among every tracked state and territory (inventory signal, not a quality ranking)
1 53rd of 53 the lowest of 53 states
States and territories, banded by CMS-certified nursing-home count
Each bar is a band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.
Source CMS Nursing Home Compare · August 2026
Guam vs the national average
Metrics ordered by largest absolute gap from the U.S. mean. Guam sits on the better side of the marker on 4 of 4. Opening gap: Nursing staff turnover (lower is better) (15.6% vs 45.8%).
National average: 45.8%
National average: 3.86
National average: 0.69
National average: 2.98 ★
Bar = Guam average · vertical marker = U.S. average. Source: CMS Nursing Home Compare · August 2026.
What the Guam Nursing Home Record Reveals
Guam hosts 1 Medicare- and Medicaid-certified nursing facility operating 40 total certified beds (40 beds/home mean), with a statewide average CMS overall rating of 3.0 out of 5 stars - mid-tercile among ≥15-home peers. The tip is balanced: 0 five-star and 0 one-star stay within 1.5×. CMS ratings are state-normalized, so the same absolute inspection record may place differently in Guam than in a state with a different facility mix.
Statewide staffing reports an average of 2.48 registered-nurse hours per resident day across Guam facilities (CMS payroll-based nurse staffing file). Nursing staff turnover statewide averages 15.6% on the same CMS measure. Staffing levels and turnover feed the inspection and quality-measure scores that CMS uses in the overall star rating; the Guam figures above should be read against the federal CMS 2024 minimum-staffing rule, which phases in HPRD floors over several years and will reshape this distribution for facilities currently operating below the thresholds.
For families evaluating nursing home options in Guam, the statewide averages above set the backdrop, but placement decisions ultimately turn on facility-level records: the specific deficiencies cited at the most recent inspection, the staffing hours actually logged (as opposed to budgeted), the enforcement history of fines and payment denials, and direct observation through in-person visits. Every facility listed below links to its full CMS record on this site. Data is sourced from CMS Nursing Home Compare and Provider Data; figures reflect the most recent refresh and should be verified with each facility and the Guam state survey agency before any placement decision is finalized.
All facilities (1)
| Facility | City | Overall | Health | Staffing | Quality | Beds | Fines |
|---|---|---|---|---|---|---|---|
| Guam Memorial Hospital Authority | Barrigada | | | | | 40 | $13K |
What the CMS records show in Guam
Guam averages 3.0 of 5 CMS stars - in line with the 3.0-star national mean. That aggregate describes this CMS registry; it is not a placement or suitability score.
- Each facility record lists CMS overall, inspection, staffing, and quality fields separately. Browse facility records
- Guam's largest published federal fine is $13K; that enforcement field is distinct from the CMS star ratings. View the published record
- The rankings page compares the same state-normalized CMS fields across eligible state cohorts. View state rankings
CMS refreshes this registry quarterly. PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Read our methodology - how this data is sourced, computed, and verified.
How the CMS fields are recorded
The CMS Five-Star Quality Rating program publishes separate facility fields for health inspections, total nurse staffing hours per resident day, and quality measures drawn from MDS (Minimum Data Set) clinical assessments. CMS normalizes each star field against same-state peers before combining them into the overall rating shown in this registry.
PlainNursing aggregates the current CMS facility records for Guam and displays the source fields and state-relative ranks above. Those records describe the reported dataset only; they do not establish suitability, availability, admissions, or any individual’s outcome.
Source files publish quarterly at data.cms.gov. The official CMS record remains authoritative for facility fields and vintage.
Source: Centers for Medicare & Medicaid Services (CMS) Nursing Home Compare 5-Star Quality Rating, Guam · 2026 Star ratings combine health inspections, staffing, and quality measures. Updated quarterly by CMS.
This registry is informational, not medical or care-placement advice. It describes published CMS fields and links to Medicare.gov Care Compare, the official source for those records.