Park Health Center: Aide Told Resident Urinate in Brief - OH
The June 18 incident involved Resident 22, who had been readmitted to the 86-bed facility following an unspecified fracture of her right femur. Video captured at 9:38 p.m. shows the resident asking Certified Nursing Assistant 189 if she could go to the bathroom.
"We'll get you cleaned up," the aide responded, according to the inspection report. As he transferred her to bed, the resident repeated her request: "I need to go to the bathroom."
The nursing assistant's reply revealed his reasoning. "It's hard to go on the toilet when your leg's been busted up," he told her. He did not assist her to the bathroom.
During an August 20 interview with federal inspectors, the aide acknowledged his error. He stated that Resident 22 was forgetful and admitted he did not redirect her appropriately. Instead, he opted to instruct her to urinate in her brief because he was about to change her anyway and would get her cleaned up.
The resident's medical record painted a picture of someone already struggling with basic functions. Her April 28 care plan documented an alteration in elimination related to hip fracture and revision, back pain, dementia, stroke, diabetes, overall decline in mobility, falls, and bowel and bladder incontinence.
A minimum data set assessment revealed she had impaired cognition, required moderate assistance for transfers, and was frequently incontinent of bladder and bowel. Despite these challenges, her care plan included specific interventions for a toileting program and monitoring for urinary tract infections.
The goal was explicit: for Resident 22 to be clean, dry and odor free.
The family's decision to install video surveillance proved crucial in documenting the violation. They shared the footage with both the facility administrator and director of nursing, which led to the federal complaint investigation.
Administrator interviews revealed the facility took immediate action once aware of the incident. He personally educated the nursing assistant about incontinence care after being made aware of the footage showing the aide declining to take the resident to the bathroom.
The aide confirmed he had received education on incontinence care recently, suggesting the facility had ongoing training protocols that either failed to prevent the incident or were not effectively implemented in practice.
Federal regulations require nursing homes to ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Inspectors determined the facility failed to provide Resident 22 the opportunity for urination in the bathroom, instead allowing staff to direct her to use her incontinence brief.
The violation affected one of four residents reviewed for changes in condition during the August 22 complaint investigation. Inspectors classified the harm level as minimal or potential for actual harm, affecting few residents.
The incident highlights broader concerns about dignity and autonomy in nursing home care. While Resident 22 had documented incontinence issues and mobility limitations from her hip fracture, the inspection found no medical reason preventing bathroom assistance when she specifically requested it.
The nursing assistant's comment about her "busted up" leg suggested he made assumptions about her capabilities rather than following her individualized care plan, which specifically included toileting interventions.
Family surveillance footage has become increasingly common in nursing homes, often revealing care practices that would otherwise go undetected. In this case, the video provided clear evidence of staff failing to honor a basic resident request for dignity in elimination.
The facility's swift response to educate the aide after viewing the footage demonstrated awareness that the incident violated both policy and resident rights. However, the violation occurred despite recent incontinence care education, raising questions about how effectively training translates to bedside practice.
For Resident 22, the incident represented a fundamental loss of dignity during a vulnerable moment. Her repeated requests to use the bathroom were dismissed in favor of staff convenience, contradicting her care plan's stated goals for toileting assistance.
The investigation concluded under complaint number 2583102, but the video footage captured by her family ensures this moment of failed care is now part of the permanent federal record.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Park Health Center from 2025-08-22 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 20, 2026 · Our methodology
PARK HEALTH CENTER in ST CLAIRSVILLE, OH was cited for violations during a health inspection on August 22, 2025.
The June 18 incident involved Resident 22, who had been readmitted to the 86-bed facility following an unspecified fracture of her right femur.
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.