F561 in Guam. Pick another state for the same tag.
Against expectation — 2025
Guam cites F561 more often than its own record predicts
Versus expected share14.47×
14.47 times the share F561 takes of citations nationally.
Share of Guam citations5.56%
Of every deficiency written in Guam in 2025, this is the portion that was F561.
Guam5.56%
National0.38%
Share of all citations that were F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Guam surveyors wrote
F561 findings written in Guam, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
G · Actual harm, isolatedAugust 22, 2025
Based on observation, interview, and record review, the facility failed to honor the rights of one of one resident (Resident(R)28) reviewed for choices to make decisions about their care. Specifically, staff failed to provide showers for R28 prior to going to dialysis treatments due to lack of available linens.This failure resulted in R28 experiencing psychosocial harm as exhibited by decreased engagement in social activities, apathy and withdrawal, and refusal of care. Findings:On 08/18/25 at 10:58 AM, R28 was observed lying in bed in her room, watching television. R28 was alert and stated she wanted to share her concerns; however, she is going to dialysis so would like to speak the next day. Transport arrived after a couple of minutes. …
D · No harm, potential for more than minimal, isolatedSeptember 26, 2022
Based on observation, interview and record review the facility failed to promote resident self-determination and make choices about aspects of his or her life that were significant to 2 of 8 sampled residents, Resident (R) 101 and R104. Specifically, staff repeatedly placed a hospital like ID bracelet on R101 despite her request to not wear it, and R104 desired a specific condiment (soy sauce) with her meals and staff did not support that choice. This practice limited R101 and R104's autonomy regarding those things that are important in his or her life.
Findings:
Resident 101:
Review of the electronic medical record (e-HR) revealed the facility admitted R101 on 08/29/2021. …
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