In one room, inspectors documented four cracked tiles with brown discoloration near the doorway, with one tile raised slightly above floor level. Another room had a single cracked tile by the entrance. A third room contained four broken tiles adjacent to the doorway with two chipped sections and extensive cracking along the outer edges.
Inspectors photographed the damaged flooring in all three rooms.
The Maintenance Director told inspectors he conducts monthly patient room inspections but acknowledged the repair challenges. "Due to the fact the facility is over [AGE] years old, it is difficult to find a vendor that has these specific tiles in stock," he said, adding that he believed he had a few replacement tiles remaining.
When confronted with the photographic evidence that evening, the Administrator acknowledged the tiles were in disrepair.
The facility violated federal requirements that residents have a right to a safe, clean, comfortable and homelike environment. Raised and cracked floor tiles pose trip hazards, particularly dangerous for elderly residents who may use walkers or have mobility issues.
Federal inspectors cited the facility for minimal harm with the potential for actual harm to residents. The violation affected few residents but highlighted maintenance deficiencies in basic environmental safety standards.
The inspection report does not indicate whether Windsor Health has developed a timeline for repairs or identified alternative tile suppliers to address the flooring problems in resident rooms.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Windsor Health and Rehabilitation Center from 2025-12-30 including all violations, facility responses, and corrective action plans.