The gray panels, each measuring 30 inches by five inches, are lifting around edges or have large missing pieces. Dialysis RN #841 told inspectors the tiles were never installed correctly and worsened after floodwater several inches deep flowed under the entry door in June 2025.
"I was concerned of it being a trip hazard, has been asking for months for it to get fixed and it has still not been fixed," the nurse said during a December 9 interview.
The waste odor comes from dialysis machines that drain resident body waste under the floors to outside pipes. Despite multiple visits from a cleaning company, the smell persists. "A dialysis unit should not have an odor of body waste," RN #841 told inspectors.
A restoration contractor recommended closing the unit for proper repairs after the flood, but facility management refused, saying they couldn't shut down operations. The contractor said administrators promised a flooring company would replace the floor the following Monday. That was six months ago.
Elsewhere in the facility, a sharp corner of plastic door protector hung loose from a patient room entrance, creating an injury hazard. Inside the same room, a privacy curtain separating two beds bore a three-foot by two-foot stain of what appeared to be dried blood or feces.
Certified Nurse Assistant #404 verified residents' wheelchairs repeatedly catch on the door protector. "A resident could get injured on the loose sharp corner," the aide acknowledged.
Staff attempted repairs with duct tape, which failed. By December 31, the door protector was finally secured with screws.
The facility's Infection Preventionist works in an office where over half the ceiling shows heavy dark brown water staining from roof leaks.
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.