A bed with an integral toilet includes a frame, a mattress and a support for supporting the mattress on the bed frame. The mattress and support define an opening extending through the mattress and support. A robotic system removes and replaces a cushion for filling the opening and for replacing the toilet in alignment with the opening. An integral bidet, a source of clean water, a nozzle, a variable speed pump and mechanism for connecting a source of water to the bidet are included. A second opening in a lower portion of the toilet is connected to a waste storage tank. An odor eliminator is provided and a remote control allows a patient to control the unit.
