State inspectors found the facility's dialysis unit filled with a "foul, biological-waste odor consistent with drain back-up" during a December inspection. Seventeen gray floor panels, each measuring 30 inches by five inches, were either lifting around the edges or had large missing pieces exposing the subfloor beneath.
Dialysis RN #841 told inspectors the floor panels "were never installed correctly" and worsened after flooding in June. She said she had been "asking for months for it to get fixed and it has still not been fixed."
The nurse explained that human waste from multiple dialysis machines flowed through drains under the floors to the outside. "A dialysis unit should not have an odor of body waste," she told inspectors, adding that a cleaning company had come out several times but couldn't eliminate the smell.
A restoration contractor who handled flood cleanup warned the facility to close the dialysis unit for proper restoration after water went underneath the floors. The facility refused, telling him they couldn't shut down the unit.
Elsewhere in the building, inspectors found the infection preventionist's office ceiling "heavily covered in dark brown staining" from water infiltration. In a patient room, a loose plastic door protector created a sharp corner that could injure residents, while a privacy curtain was stained with what appeared to be dried blood or feces.
Staff member CNA #404 confirmed residents' wheelchairs repeatedly got stuck on the damaged door protector. The facility attempted repairs with duct tape before finally securing the protector with screws by December 31.
The nursing home is disputing the violations.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Warren Nursing & Rehab from 2025-12-31 including all violations, facility responses, and corrective action plans.