| Deducted | Remarks |
| 4 | 4.1.1 (e) Maintain each bed in good condition and supply each bed with a clean supportive mattress and box spring. // Mattress with sunken spots being filled in with clothing.
4.1.2 (a,c) Provide 2 sheets and 1 pillowcase in good condition for each bed. // Two residents without bed sheets. |
| 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. Fire extinguisher with date of 2021. Smoke detectors with low batteries (beeping). |
| 4 | 7.2.1 Provide effective extermination of insects, rodents and other pests. // Rodent droppings observed in bathroom closet, resident closets, and on counter beside microwave. |
| 3 | 2.5.2 Complete and document an annual assessment of suitability and maintain a copy in the resident's file.
2.9.4 Provide a current, signed Resident Agreement for verification of documentation. The record shall provided to the resident upon admission and kept on file at the Communal Living Facility as part of the Resident's File.
7.5.1, 7.5.3 Maintain a current record of each resident's personal information on file at the Communal Living Facility as required. |