Wellsprings Care Center: Urine Under Floor Tiles - CO
The floor technician had a different answer. The smell coming from under those tiles was urine.
The nursing home administrator confirmed it. The liquid was not rust. It was urine, she said, and the resident should have been moved out of the room until the floor was properly cleaned and treated. She said she would arrange that.
The inspection that surfaced all of this was a complaint survey, completed September 11, 2025, at Wellsprings Care Center on South Pearl Street in Englewood.
The resident living in the room had not been moved. She had been there, above urine-soaked flooring, for an indeterminate period. The maintenance director told inspectors he hadn't known about the loose tiles or the liquid until surveyors brought it to his attention during the inspection. He acknowledged the brown fluid could have been there "for quite awhile."
Nobody had flagged it. Nobody had reported it. The room had been cleaned daily, the maintenance director said, with floors mopped, bathrooms wiped down, and surface areas addressed. Monthly deep cleans were also scheduled, with a more detailed checklist. But the urine had settled beneath the tiles and stayed there, undetected or unreported, until a federal complaint inspection arrived.
The resident herself, interviewed on September 9, raised a separate problem. She said she did not have soap or towels in her bathroom. She said she did not feel those items were replaced in a timely way.
That same day, inspectors spoke with a housekeeper identified in the report as HK #2. She asked that another staff member, a social services assistant, come interpret for her, because she read and spoke very little English. What she described was a cleaning operation with no checklist on her cart. There was a checklist, she said, but only for rooms that received a deep clean. It was filled out after the shift ended, then kept in a binder in the maintenance director's office.
The cleaning bottles on her cart were labeled in English. So was the checklist. HK #2 could read neither.
The inspection cited the facility under F0584, the federal tag covering comfortable, safe, and homelike environment, rated at minimal harm or potential for actual harm. Some residents were affected, the report noted.
The gap between what the maintenance director believed was happening and what inspectors found is the story here. He described a daily cleaning regimen. The floor technician identified the odor immediately. The administrator, once told what surveyors had found, said the resident should have been relocated while the floor was treated. The housekeeper responsible for the room was working without a checklist she could read.
The maintenance director's first explanation, rust from mop water, gave way to the floor technician's account, urine from beneath the tiles, which the administrator then confirmed. At no point before the inspection did any of that information travel up the chain.
A resident without soap or towels, a floor soaked in urine beneath loose tiles, a housekeeper without readable instructions. The inspection closed on September 11. The administrator said she would have the resident moved to complete the repairs properly.
Whether that happened, and how long the resident had been living above that floor before anyone thought to check, the report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Wellsprings Care Center from 2025-09-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 28, 2026 · Our methodology
WELLSPRINGS CARE CENTER in ENGLEWOOD, CO was cited for violations during a health inspection on September 11, 2025.
The floor technician had a different answer.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.