Based on observations, interviews, and record reviews, the facility failed to implement an effective infection control program in accordance with internal policies and procedures, nationally recognized infection control guidelines and regulations when:1. Hand hygiene was not performed before entering the kitchen and tray line and in between changing of gloves during medication preparation. 2. The facility water management plan (WMP) did not include testing protocols, acceptable ranges for control measures, and corrective actions when control limits are not maintained to prevent growth of opportunistic waterborne pathogens such as Legionella bacteria. …
F880 citations in Guam
Infection prevention and control · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Guam cites F880 less often than its own record predicts
0.90 times the national share — cited less often here than elsewhere.
Of every deficiency written in Guam in 2025, this is the portion that was F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Guam surveyors wrote
F880 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% | 1.14× |
| 2024 | 5.88% | 1.04× |
| 2025 | 5.56% | 0.90× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Guam surveyors cite →
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