Based on interview and record review, the facility failed to ensure staff received an infection prevention and control program in-service training to support current scope and standard of practice specifically for current COVID-19 vaccination requirement and Enhanced Barrier Precaution (EBP) practices for six of six staff (RN1, RN2, LPN1, CNA1, CNA3 and CNA4) reviewed over 75 total facility staff.This failure could affect the proper implementation of current infection prevention practices and placed residents at risk of not receiving appropriate care and services that could jeopardize their health and safety. Findings:In an interview on 08/21/25 at 02:41 PM, Registered Nurse (RN) 1 stated, I cannot remember the last time we received in-service or training for infection control. …
F945 citations in Guam
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Guam cites F945 more often than its own record predicts
100.36 times the share F945 takes of citations nationally.
Of every deficiency written in Guam in 2025, this is the portion that was F945.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Guam surveyors wrote
F945 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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