| Deducted | Remarks |
| 3 | 4.2.8 Provide a supply of soap, single-use towels, and toilet tissue in the bathrooms at all times.//Provide paper towels in two of the four restrooms. |
| 3 | 6.8.2 Label all toxic items not in original containers with the common name of the product.//Label spray bottles found in room #1 and in the kitchen pantry. Observed a total of 4 unlabeled bottles. |
| 3 | 2.5.2 Complete and document an annual assessment of suitability and maintain a copy in the resident's file.
2.9.1 Update a Resident Agreement on the date of admission for each resident.
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. //Cease refilling medicine cups that are not designated for that particular resident.//Cease relabeling medicine cups for different residents. |