| Deducted | Remarks |
| 4 | 4.1.1 (e) Maintain each bed in good condition and supply each bed with a clean supportive mattress and boxspring. // Mattress with uneven surfacing/lumps in resident's room near kitchen. |
| 3 | 4.2.8 Provide a supply of soap, single-use towels and toilet tissue in the bathrooms at all times. // Paper towels not supplied in restrooms. |
| 1 | 5.1 Provide at least 1 wall or ceiling mounted lighting fixture in every habitable room used for living, cooking, eating, or sleeping to provide adequate lighting. // Ceiling light unable to be cut on in an upstairs bedroom. Only light source was small table lamp. |
| 2 | 6.1.1 Maintain all interior walls, ceiling and floors in good repair. // Damaged floor/walls/ceiling throughout facility. |
| 4 | 7.2.1 Provide effective extermination of insects, rodents and other pests. // Rodent droppings observed in closets throughout building. |
| 4 | 7.3.1 Ensure that residents are free from any form of abuse (physical, sexual, emotional, verbal), financial exploitation, neglect, confinement to a room, withholding of food, and free of interference or coercion, discrimination and reprisal from owner. // Resident with manager capacity responsibilities without compensation. |
| 3 | 2.5.2 Complete and document an annual assessment of suitability and maintain a copy in the resident's file.
2.9.2 Provide documentation of a Resident Agreement that includes all required information. |
| 3 | 7.7.1 (a) Store medications in separate containers and in a centralized, safe, secure and organized manner. // Prescribed medications not being administered by correct dates. |
| 4 | 8.2.1 (a) Serve at least 3 meals sufficient in quantity and quality per day at regular hours. // According to residents, breakfast is served daily. Lunch is provided on Wednesday and Saturdays with residents going off premises to locate meals rest of the week. Dinner is a "light meal" that is made by residents. |