French Park Care Center
Inspection Findings
F-Tag F0584
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, medical record review, and facility P&P review, the facility failed to provide reasonable care for the protection of resident's personal property from loss or theft for one of seven sampled residents (Resident 4). * Resident 4's personal belongings form was not signed by Resident 4, and the form was not accurately completed. This failure had the potential for the resident‘s property to get lost or stolen.Findings: Review of
the facility's P&P titled Resident Personal Belongings revised 12/19/22, showed all the resident's personal items will be inventoried at the time of admission by the Social Services designee or another designated staff member and documentation shall be retained in the medical record. Medical record review for Resident 4 was initiated on 9/4/25. Resident 4 was admitted to the facility on [DATE REDACTED]. Review of Resident 4's H&P examination dated 3/4/25, showed the resident had the capacity to understand and make decisions. Review of Resident 4's Resident's Clothing and Possessions form dated 1/12/25, showed instructions to the resident on admission regarding their personal property to prevent from theft or loss. The form was signed by the facility representative; however, the form failed to show Resident 4's signature and there was no reason indicated if the resident was unable to sign. On 9/5/25 at 1006 hours, an interview and concurrent record review was conducted with RN 3. RN 3 verified Resident 4's clothes and belongings completed form did not have Resident 4's signature to verify accuracy of the document. RN 3 stated the staff should have obtained Resident 4's signature and documented the personal belongings form accurately to safeguard the resident's personal property. On 9/5/24 at 1117 hours, an interview was conducted with the SSD. The SSD stated Resident 4 had an account with the facility which was the facility's business office manager. The Business Office would give Resident 4 money as requested and the resident would keep the money to himself. The SSD stated on 8/8/25, Resident 4 reported his jacket with his wallet with money in it was sent to the laundry. The wallet was returned to Resident 4 without the money. The wallet and undisclosed amount were not listed in Resident 4's Clothing and Possessions form. On 9/5/25 at 1600 hours, an interview was conducted with the DON. The DON acknowledged Resident 4's Clothing and Possessions completed document dated 1/12/25, was incomplete and not signed by Resident 4. On 9/10/25 at 1545 hours, an interview was conducted with the facility's Clinical Consultant. The Clinical Consultant was informed and acknowledged the findings.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
FRENCH PARK CARE CENTER in SANTA ANA, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SANTA ANA, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from FRENCH PARK CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.