Westpark Healthcare: Aide Pinched Resident's Face - OH
The incident occurred at 7:00 P.M. on August 4th in the smoking room at Westpark Healthcare Campus. Resident #43 had asked CNA #203 for another cigarette. The aide told her she had already given her one.
Resident #43 called the aide an expletive.
What happened next depends on the angle you were sitting. Resident #20, who witnessed the confrontation, saw CNA #203 touch Resident #43's face quickly. She heard Resident #43 cry out that it hurt and ask why the aide had done that.
"It was a touch and Resident #43 cried out and said it hurt," Resident #20 told inspectors. From where she sat, she could not see exactly what CNA #203 did to cause the resident to yell out.
Resident #43 provided more specific details. She told inspectors the aide "pinched her face and twisted her fingers while pinching it." The resident said CNA #203 should not have done that, but they had no further issues the rest of the evening.
After the physical contact, both women continued arguing. Resident #43 said she was going to get CNA #203 for hurting her. At that point, the aide walked away. Resident #43 said nothing more.
Two weeks later, when inspectors observed Resident #43 sitting by a table in the common area, her left cheek showed no swelling, bruising, or redness. But her feelings about the aide had not changed.
"She did not like CNA #203 and did not want her around her," according to the inspection report. Resident #43 told inspectors that if the aide did it again, "she was going to punch her and then I will have a problem for protecting myself."
The facility's response to the abuse allegation violated multiple protocols the administrator herself had outlined. When there was an abuse allegation, Administrator expected nurses to first protect the resident and ensure safety. After that, they should notify her immediately, assess the resident, and contact the resident's physician or nurse practitioner about the abuse allegation.
None of that happened.
Resident #43's medical record from August 4th at 7:00 P.M. through August 7th at 4:11 P.M. contained no documentation regarding the abuse allegation. There was no evidence the resident was assessed for pain or injury. There was no monitoring after the allegation was made.
The administrator confirmed that neither the resident's family member nor her physician or nurse practitioner was notified of the allegation that CNA #203 had pinched her cheek.
LPN #205 administered Tylenol to Resident #43 for complaints of cheek and face pain from being pinched. But the licensed practical nurse never documented a pain level for the resident's complaints. The Director of Nursing confirmed this gap in documentation.
The medication administration created another problem. Resident #43 did not have a physician order for Tylenol. The Director of Nursing acknowledged that LPN #205 should have contacted the resident's physician when she complained of pain on August 4th.
There was no reconciliation that Resident #43 actually received the Tylenol, despite its mention in a witness statement.
The facility kept all documentation regarding the abuse allegation in something called an SRI file, separate from the resident's medical record. The administrator confirmed an assessment of Resident #43 for injury was contained in this file, not in her medical chart where it would be accessible to her care team.
This separation of critical safety information from medical records meant that nurses and doctors treating Resident #43 would have no way of knowing about the alleged abuse or any assessment that followed.
The administrator expected statements to be taken from staff before they left the facility. She expected families and social services to be notified. The inspection found no evidence these steps occurred.
Federal inspectors investigated the incident as part of complaint number 2585793. They determined the facility's handling of the abuse allegation represented non-compliance with federal regulations requiring proper investigation and documentation of such incidents.
The smoking room confrontation lasted only minutes. CNA #203 walked away after Resident #43 threatened to get her for the pinching. But the facility's failure to follow its own abuse investigation protocols meant the incident's impact extended far beyond that August evening.
Resident #43 remained wary of the aide who had pinched her face. She did not want CNA #203 around her. The resident's threat to punch back if it happened again suggested the unresolved conflict could escalate.
Meanwhile, the facility's scattered documentation meant there was no clear record of what had occurred, what injuries may have resulted, or what steps were taken to prevent similar incidents. The administrator's own expectations for abuse investigations had been ignored by her staff.
The inspection revealed a facility where a resident's face could be pinched in front of a witness, pain medication could be administered without proper orders or documentation, and abuse allegations could disappear into separate files while medical records remained silent about potential injuries.
Two weeks after the incident, Resident #43 sat in the common area with no visible marks on her face. But her warning about defending herself next time hung in the air like smoke from the room where it all began.
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.
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 21, 2026 · Our methodology
WESTPARK HEALTHCARE CAMPUS in CLEVELAND, OH was cited for violations during a health inspection on August 20, 2025.
The incident occurred at 7:00 P.M.
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.