Health inspection·February 12, 2026

F 0655 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted **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 ensure a baseline care plan was developed and implemented within 48 hours of admission for one of three sampled residents (Resident 1). * The facility failed to develop and implement a baseline care plan that addressed pressure injuries and wounds for Resident 1, who was admitted with pressure ulcers and other wounds. * The facility incorrectly created a baseline nutritional care plan that included interventions to feed Resident 1 who was not able to take in nutrition or liquids by mouth and was dependent on enteral tube feedings for his nutritional and hydration needs. These failures posed the risk for Resident 1 not to receive the necessary treatment and services to meet Resident 1's individualized care needs and for Resident 1 to potentially suffer harm due to incorrectly rendered care.Findings: Review of the facility's P&P titled Baseline Care Plan revised 12/29/22, showed the facility will develop and implement a baseline care plan within 48 hours of a resident's admission and will include the minimum health care information necessary to properly care for a resident and meets professional standards of practice. The P&P also showed interventions shall be initiated to address the resident's special needs such as wound care and dietary orders. Closed medical record review for Resident 1 was initiated on 2/12/26. Resident 1 was admitted to the facility on [DATE] and discharged from the facility on 2/2/26. Review of Resident 1's MDS assessment dated [DATE], showed the resident had severe cognitive impairment. a. Review of Resident 1's initial skin assessment dated [DATE], showed Resident 1 had the following 10 pressure injuries and wounds present upon admission: - pressure injury to the sacrococcygeal area;- unstageable pressure injury to the Right hip;- unstageable pressure injury to the Left hip;- pressure injury to the left gluteal fold;- pressure injury to the left heel;- unstageable pressure injury to the side of the right foot;- surgical incision on the right upper with separated wound edges;- skin tear on the antecubital space of the right arm;- open wound on the front of the right knee; and- open wound on the front of the left ear. Review of Resident 1's baseline care plan initiated on 1/29/26, did not show a care plan regarding pressure injuries or wounds was developed or initiated. On 2/12/26 at 1330 hours, an interview and concurrent medical record review for Resident 1 was conducted with the IP. The IP stated the purpose of a care plan was for communication. The IP stated the purpose of a baseline care plan was to catch every wound. The IP stated if the care plan was missing for a wound, the wound could get overlooked. The IP stated each specific wound should have its own care plan with the specific interventions being provided. On 2/12/26 at 1400 hours, an interview and concurrent medical record review for Resident 1 was conducted with LVN 2. LVN 2 confirmed there was no care plan regarding wounds for Resident 1. LVN 2 stated Resident 1 should have had a wound care plan. LVN 2 stated the purpose of the wound care plan was to assess how the wound was progressing and to change the intervention if the treatment was not working. LVN 2 stated the purpose of the care plan was also to make goals. LVN 2 stated a care plan was a form of (continued on next page) 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 Page 1 of 3 Event ID: 555103 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 555103 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/12/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE French Park Care Center 600 E Washington Avenue Santa Ana, CA 92701 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)