The incident occurred on August 4th on the facility's third-floor secured unit. Resident #43 told Unit Manager #200 that Certified Nursing Assistant #203 had pinched her cheek. The unit manager examined the resident but found no swelling, bruising, or pain on her face.
When questioned about the allegation, the resident's story evolved throughout the day. She initially said the aide pinched her cheek, then later claimed the worker "tried to kill me."
Unit Manager #200 spoke with Licensed Practical Nurse #205, who confirmed she knew about the allegation. The LPN said Resident #43 had told her that CNA #203 "grabbed her face," though she observed no injury.
After consulting with the LPN, the unit manager reported the allegation to the facility administrator. She then interviewed Resident #43 again, this time with Social Services Director #204 present.
The facility completed an investigation and provided education to nursing staff about reporting abuse allegations immediately. CNA #203 has not worked on the third-floor secured unit since the incident.
But Unit Manager #200 admitted she wrote a witness statement about the investigation without documenting it in Resident #43's electronic medical record, as required.
The facility's own policy, dated November 28, 2016, explicitly requires documentation in nursing notes for all abuse investigations. The policy states that documentation should include the results of the resident's range of motion assessment, body assessment, vital signs, physician notification when necessary, notification of responsible parties, and any treatment provided.
The policy mandates that all alleged violations involving abuse, neglect, exploitation, or mistreatment be reported immediately, but no later than two hours after the allegation is made if the events involved abuse or resulted in serious bodily injury.
The violation was discovered during a complaint investigation numbered 2585793. Federal inspectors found the facility failed to ensure that all alleged violations involving mistreatment were immediately reported and properly documented.
The deficiency was classified as causing minimal harm or potential for actual harm, affecting few residents.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Westpark Healthcare Campus from 2025-08-20 including all violations, facility responses, and corrective action plans.