The games were initially scheduled between 9 and 18 December 2005 in Guatemala with support of El Salvador.

However, the damages caused by Hurricane Stan in October 2005 led to the resignment of the designated hosts.

[1] Therefore, a minor and descentralized version of the games was organized with venues distributed in all participating five countries with local opening ceremonies being the main took place in Managua.

The games were opened by ORDECA president Melitón Sánchez who was participating at Panama event.

[6][7] It is reported that a couple of medals were deprived retrospectively after protests from Costa Rica and Honduras.