Federal inspectors found 17 chipped and cracked floor panels in the dialysis unit, each measuring 30 inches by five inches, with large missing pieces exposing the subfloor underneath. The unit reeked of what Dialysis RN #841 described as "biological-waste odor consistent with drain back-up."
The nurse told inspectors she had been asking for months to fix the floors, which she considered a trip hazard. "The floor panels were never installed correctly since installed and after the flood back in June the tiles lifting and cracking from the floor got worse," she said.
A restoration contractor who handled the flood cleanup recommended the facility close the dialysis unit for proper restoration. The facility refused, telling him "they could not close the unit."
The contractor said flood water had gone underneath the dialysis unit floors. The facility promised a flooring company would replace the floors "the following Monday" — but inspectors found the same damaged panels six months later.
RN #841 explained that waste from multiple dialysis machines flows through drains under the floors to the outside. Despite multiple cleanings by an outside company, "the odor will not go away," she said. "A dialysis unit should not have an odor of body waste."
Elsewhere, inspectors found a room entrance door with a plastic protector hanging loose, creating a sharp corner that could injure residents. A privacy curtain inside displayed a three-foot by two-foot stain of what appeared to be dried blood or feces.
The facility's infection preventionist worked in an office where over half the ceiling was covered in dark brown water stains from previous roof leaks.
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.