| Deducted | Remarks |
| 5 |
2.2 Admit only persons which do not require personal care assistance in such activities including, but not limited to, bathing, dressing, feeding or administering medicine./// Two residents appeared to need assistance with their personal hygiene. |
| 3 | 4.2.8 Provide a supply of soap, single-use towels and toilet tissue in the bathrooms at all times.
4.2.3 Maintain all bathroom fixtures in good working condition and repair. /// Upstairs bath tub is in disrepair. |
| 2 | 6.1.1 Maintain all interior walls, ceiling and floors in good repair./// Walls and floors are in disrepair throughout facility especially in bathrooms and upstairs bedrooms./// Carpets are in disrepair in bedrooms.
6.1.2 Maintain all interior walls, ceilings, floors, windows and woodwork in clean condition./// Floors have an accumulation of debris and walls have an accumulation of food splatter, dust, and debris. |
| 1 | 6.2.1 Provide windows, exerior doors, and basement hatchways that are weather tight, insect and rodent-proof. Maintain in good repair./// Exterior door upstairs is in disrepair. |
| 2 | 6.6.1 Construct and maintain the facility, attached equipment and utilities in good repair and in safe working order./// Repair back door in laundry room area. |
| 5 | 6.9.1 Maintain all smoke detectors, fire extinguishers and fire safety equipment in good working condition and in compliance with current and applicable fire and safety codes. / Smoke detector chirping in the upstairs bathroom. |
| 4 | 7.2.1 Provide effective extermination of insects, rodents and other pests./// Upstairs middle bedroom and downstairs bedroom have signs of infestation./// Dead roach found in kitchen cabinet. |
| 3 | 7.7.1 (a) Store medications in separate containers and in a centralized, safe, secure and organized manner. /// Medications found on the floor in the dining area and in bedrooms upstairs. |
| 2 | 8.2.1 (b) Maintain a 3 day supply of foods at all times that is sufficient to feed all residents./// Limited amount of meat and supplies for residents in storage. |