| Deducted | Remarks |
| 5 | 2.2 Admit only persons which do not require personal care assistance in such activities including, but not limited to, bathing, dressing, feeding or administering medicine.// Resident has a bedside commode and would not be able to get out in case of emergency. |
| 2 | 4.3.1 Maintain towels, washcloths and bed linens clean by laundering once a week or as often as needed.// No bedding on one residents room and no extra linens for laundry days. |
| 2 | 4.12 Provide at least one easily accessible and functional telephone at all times for use by the resident.// No land line telephone on premises. |
| 1 | 5.3 Provide adequate lighting of a minimum 20 foot candles in halls and stairways.// Repair damaged light in kitchen. |
| 5 | 6.9.1 Maintain current inspections and labels of fire extinguishers to meet applicable fire and safety codes.// Fire extinguisher does not meet fire and safety codes. |
| 2 | 4.4 Provide a common use area for residents to socialize, participate in communal activities, meet and receive visitors. //Bed and box spring set up in the common area blocking the couch as house manager bedroom. |
| 3 | 2.5.2 Complete and document an annual assessment of suitability and maintain a copy in the resident's file... Assessments not provided for the residents. |
| 4 | 8.2.4 (g) Provide an appropriate and accurate food thermometer for measuring the internal temperature of foods. // No food thermometer provided. |