Based on record review, interviews, and policy review, the facility failed to ensure two Residents (R)2 and R12) out of five residents reviewed for unnecessary medication was free from potential chemical restraints. The facility's failure to ensure residents were free from unnecessary chemical restraints created the potential for this and other residents to receive medication that is not necessary or desired related to their psychiatric/mental health care. Findings include: 1.Review of R2's undated Patient Data located in the Electronic Medical Record (EMR) revealed the resident was admitted to the facility on [DATE] with diagnoses of stroke-like symptoms and type 2 diabetes. …
F605 citations in Guam
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Guam cites F605 more often than its own record predicts
7.89 times the share F605 takes of citations nationally.
Of every deficiency written in Guam in 2025, this is the portion that was F605.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Guam surveyors wrote
F605 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.
What else Guam surveyors cite →
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