| Deducted | Remarks |
| 1 | 10.4 Post the most recent inspection report in a conspicuous location within the Communal Living Facility. The Inspection Report remains the property of JCDH. |
| 2 | 4.13 Post emergency telephone numbers (i.e. 911, fire, HD, Owner, Ombudsman, etc…) in a conspicous place and in a manner that is easily readable.//No Emergency Telephone numbers posted during the regular inspection. |
| 2 | 6.1.2 Maintain all interior walls, ceilings, floors, windows and woodwork in clean condition.//Repair all damaged walls, ceilings, and floors throughout the facility. |
| 4 | 7.2.1 Provide effective extermination of insects, rodents and other pests.//Bed Bugs observed in Rm 2, 4, and 5. Live Roaches observed throughout the facility. |
| 4 | 7.3.2 (a. - j.) Ensure that the resident's rights are read and explained to the resident. Include a list of the Resident's Rights in the Resident's Agreement. |
| 4 | 7.3.2 (a. - j.) Ensure that the resident's rights are read and explained to the resident. Include a list of the Resident's Rights in the Resident's Agreement. |
| 1 | 7.3.3 Post a clearly legible, Notice of Resident's Rights in a conspicous place within the CLF. |
| 1 | 7.6 Complete a detailed Incident Report and file all incidents with JCDH within 72 hours of the incident occurring.//PIC stated that an ambulance has been called on several occasions and PIC failed to report these incidents to JCDH. |
| 3 | 7.7.1 Store prescription medications in the original container and handle in accordance with current applicable laws and regulations.//Medication observed administered out of date. |
| 4 | 8.2.4 (g) Provide an appropriate and accurate food thermometer for measuring the internal temperature of foods. |