Based on observation, interview, and record review the facility failed to ensure staff adhered to professional standards related to addressing weight variance for one of three residents (Resident [R] 7) reviewed for nutrition. The deficient practice could potentially delay the implementation of appropriate measures to prevent unintended weight loss or weight gain before complications arise. Findings:Review of R7's medical record indicated, R7 was re-admitted in the facility after hospitalization on 08/01/25 with diagnoses including recurrent urinary tract infection (UTI) and stage IV decubitus ulcer (severe form of skin damage). …
F658 citations in Guam
Professional standards of care · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Guam cites F658 more often than its own record predicts
3.12 times the share F658 takes of citations nationally.
Of every deficiency written in Guam in 2025, this is the portion that was F658.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Guam surveyors wrote
F658 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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