| Deducted | Remarks |
| 3 | 420-3-11-.06(6) Test each smoke detector device at least once each quarter of each calendar year to determine if each detector is in working order, and maintain test records readily available for inspection.///No records. |
| 2 | 420-3-11-.09(1) Provide a blanket, mattress pad, and bedspread which are cleaned as often as necessary for each bed.///Stained mattress pad (Room 116) Stained mattress (Room 116, 218, & 235) Stained sheet (Room 235) Stained pillowcases (Room 116) |
| 2 | 420-3-11-.09(4) Provide protection of the clean linens from contamination on the maid or housekeeping carts.
420-3-11-.09(4) Handle and store clean linen in a manner which will prevent contact with and/or contamination from dirty linen.///Dirty and clean linens stored on maid carts without separation. |