State inspectors found the resident lying in bed half-naked on October 29, wearing only an adult brief with the sheet pulled off their body. During the inspection, the resident explained their daily humiliation.
"When they needed help, they yelled for staff to assist by calling, nurse! nurse!" the inspection report states. "Staff did not answer, and they would be incontinent."
The resident told inspectors they hated wearing the adult brief and wanted help getting to the toilet. When visiting family, they used the bathroom normally without any incontinence products. But at Renaissance Rehabilitation, staff simply ignored their requests.
"The resident stated the staff were aware of their preference to be assisted to the toilet," inspectors wrote. "They had told the certified nurse aides and nurses, but they did not listen to them."
Multiple staff members confirmed the resident was physically capable of using the bathroom. Certified Nurse Aide #2 told inspectors on October 30 that the resident "transferred with two assistants, could stand and was capable of being toileted."
But the aide revealed the real problem. "At times they did not have the staff to assist the resident."
The facility's own medical professionals agreed the resident should receive toilet assistance. The Director of Rehabilitation stated "the resident could request to sit on the toilet" and that the rehabilitation team "did not recommend that the resident not be toileted."
The Nurse Practitioner was even more direct. "If the resident was aware of when they needed to go to the bathroom, then the resident should be trialed with voiding and could use a bedside commode."
Yet no toileting program existed for this resident.
Registered Nurse #6 confirmed "the resident had not been on a toileting program." The Director of Nursing admitted the same thing, then offered a contradictory explanation.
The nursing director claimed the resident "was not a candidate for a voiding program because they require two assistants for transfers." This directly contradicted what her own certified nurse aide had told inspectors about the resident's capabilities.
The Nurse Practitioner acknowledged not knowing "the resident's full capacity" and promised to have physical therapy re-evaluate the resident for toileting needs. But this evaluation should have happened long before a resident was forced to lie in their own waste.
The Director of Rehabilitation made clear that "toileting schedules were the responsibility of nursing to implement." Nursing leadership had simply chosen not to implement one.
The inspection revealed a cascade of institutional failures. A resident with intact mental faculties and physical capability to use the bathroom was condemned to incontinence because staff couldn't be bothered to answer their calls for help.
The resident's experience during family visits proved they retained normal bladder and bowel control when given proper assistance. At Renaissance Rehabilitation, they were treated as if basic human dignity was optional.
Staff shortages became the excuse for denying fundamental care. Rather than addressing understaffing or developing systems to ensure toilet assistance, the facility chose the path of least resistance. Force the resident into adult briefs and ignore their distress.
The contradiction between what medical staff recommended and what nursing implemented reveals a breakdown in care coordination. The rehabilitation director, nurse practitioner, and certified nurse aide all recognized the resident's toileting capabilities. Only nursing leadership refused to act.
State inspectors cited Renaissance Rehabilitation for failing to provide necessary care and services to maintain the resident's highest practicable physical and mental well-being. The violation carried minimal harm designation but represented a profound loss of dignity for the affected resident.
The resident's daily calls of "nurse! nurse!" went unanswered while they lay exposed and incontinent in a facility collecting payment to provide their care. Their family visits offered brief respites of normal bathroom function before returning to institutional neglect.
Renaissance Rehabilitation's approach reduced a human being to a care burden rather than treating them as a person deserving basic respect and assistance.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Renaissance Rehabilitation and Nursing Care Center from 2025-11-19 including all violations, facility responses, and corrective action plans.
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