Based on observations and interviews, the facility failed to ensure food safety standards when:1. The box of dishwasher heater booster and the storage cart were rusty.2. The hinge and handle of the food steam table had a thick whitish, black and brownish build-up.3. Staff food items were stored inside the kitchen walk-in refrigerator where the residents' food items were stored.4. Tray line or plating was not performed in a sanitary manner and food items were not measured accordingly.Failure to provide a food production environment that is safe and sanitary may result in foodborne illness, cross contamination of food and equipment and use of expired ingredients that may affect flavor and/or texture of food. …
F812 citations in Guam
Food safety and sanitation · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Guam cites F812 more often than its own record predicts
1.24 times the share F812 takes of citations nationally.
Of every deficiency written in Guam in 2025, this is the portion that was F812.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Guam surveyors wrote
F812 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.
Based on observation, interview, and record review, the facility's kitchen failed to always monitor the refrigerated food temperatures. Failure to monitor refrigerated food temperatures can lead to a potential for food loss and or food-borne illness. Finding includes: On 1/28/2019, the initial tour of the kitchen was completed. On 1/30/2019, the meal service observation was completed and further investigation occurred regarding periodic failures to record the refrigerator and freezer food temperatures. The facility policy titled Storing Food and Supplies stated, Freezer and refrigerator walk-ins and reach-ins are provided with a built in outside thermometer and an inside thermometer. Temperatures are checked and recorded twice daily by cooks on duty . …
The short window
Recent years
| Year | Share of Guam citations | vs expected |
|---|---|---|
| 2023 | 5.88% | 1.17× |
| 2025 | 5.56% | 1.24× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Guam surveyors cite →
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