| Deducted | Remarks |
| 2 | 6.1.1 Maintain all interior walls, ceiling and floors in good repair.// Broken ceiling tiles and vent covers throughout facility.
6.1.2 Maintain all interior walls, ceilings, floors, windows and woodwork in clean condition.// Dust accumulation on ceiling tiles, vent covers, and ceiling fans in rooms and kitchen throughout facility. |
| 3 | 7.7.1 (a) Store medications in separate containers and in a centralized, safe, secure and organized manner.// Medication stored on storage counters. COS, all medications moved to secure site. |