Based on interview and record review the facility failed to provide a written transfer notice to Resident 5 and/or his representative (one of 3 residents reviewed for transfer or discharge), and failed to send a copy to the notice to a representative of the Long-Term Care Ombudsman. Findings: A review of R5's medical record revealed the facility admitted R5 on 07/01/22, and transferred him to the hospital on 07/05/22. A chart note dated 07/05/22 at 08:34, written by Licensed Nurse (LN) 10 indicated R5 was found unresponsive in the dining area. The physician was notified and a report called to the hospital. A prefilled transfer notice was found in the chart, signed by R5's daughter and dated 07/02/22. …
F623 citations in Guam
Notice before transfer or discharge · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Guam cites F623 more often than its own record predicts
5.76 times the share F623 takes of citations nationally.
Of every deficiency written in Guam in 2024, this is the portion that was F623.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Guam surveyors wrote
F623 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.
The short window
Recent years
| Year | Share of Guam citations | vs expected |
|---|---|---|
| 2023 | 5.88% | 6.46× |
| 2024 | 5.88% | 5.76× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Guam surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction