Elder Care Record

California › Los Angeles County › Norwalk

Dept of State Hospitals - Metropolitan SNF

11401 South Bloomfield Avenue, Norwalk, CA 90650

CCN 555731 · Government, state · 102 certified beds

CMS abuse iconSpecial Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Dept of State Hospitals - Metropolitan SNF is a Government, state nursing home in Norwalk, California, certified for 102 beds and caring for about 56 residents a day.

CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 5 and quality measures 2.

Inspectors recorded 53 health deficiencies across the three most recent survey cycles (23, 13, 17 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 52.0 per 100 beds, about the same as the state median of 51.1.

CMS lists 4 penalties in the period covered: fines totalling $135K and 1 payment denial.

Reported nurse staffing is 9.8 hours per resident per day (4.0 RN), above the California median of 4.2; nursing staff turnover is 22.6%.

CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.

53health deficiencies, 3 survey cycles5 at actual harm or worse
$135Kfines listed by CMS4 penalties in period
9.8nurse hours per resident per daystate median 4.2
55%occupancy (residents ÷ beds)56 residents a day

Compared with county, state and nation

MeasureThis facilityLos Angeles Co. medianCalifornia medianUS average
Overall star rating2233.0
Health citations, 3 cycles53614428.7
Citations per 100 beds52.069.151.126.8
Total nurse hours per resident day9.84.34.23.9
RN hours per resident day4.00.40.50.7
Nursing staff turnover22.6%34.4%36.4%45.8%
Fines listed$134,583$12,831$0—

County and state figures are medians across facilities (369 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)23
Cycle 213
Cycle 317

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Dec 2025, 8 Nov 2024.

Severity mix: J ×1 L ×1 G ×3 D ×30 E ×9 F ×9

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
6 May 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation8 May 2026
7 Mar 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.LComplaint investigation25 Mar 2026
7 Mar 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation25 Mar 2026
7 Mar 2026F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.FComplaint investigation6 Mar 2026
7 Mar 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation25 Mar 2026
7 Mar 2026F0610Respond appropriately to all alleged violations.DComplaint investigation25 Mar 2026
8 Dec 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.JStandard survey12 Jan 2026
8 Dec 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey12 Jan 2026
8 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey12 Jan 2026
8 Dec 2025F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard survey12 Jan 2026
8 Dec 2025F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey12 Jan 2026
8 Dec 2025F0880Provide and implement an infection prevention and control program.FStandard survey12 Jan 2026
8 Dec 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey12 Jan 2026
8 Dec 2025F0814Dispose of garbage and refuse properly.EStandard survey12 Jan 2026
8 Dec 2025F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EStandard survey12 Jan 2026
8 Dec 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey12 Jan 2026
8 Dec 2025F0641Ensure each resident receives an accurate assessment.DStandard survey12 Jan 2026
8 Dec 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey12 Jan 2026
8 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation12 Jan 2026
8 Dec 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey12 Jan 2026
8 Dec 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey9 Feb 2026
14 Nov 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation24 Nov 2025
14 Nov 2025F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.DComplaint investigation24 Nov 2025
18 Dec 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation2 Jan 2025
8 Nov 2024F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey5 Dec 2024
8 Nov 2024F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey5 Dec 2024
8 Nov 2024F0880Provide and implement an infection prevention and control program.FComplaint investigation5 Dec 2024
8 Nov 2024F0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.FStandard survey5 Dec 2024
8 Nov 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey5 Dec 2024
8 Nov 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey5 Dec 2024
8 Nov 2024F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey5 Dec 2024
8 Nov 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey5 Dec 2024
8 Nov 2024F0814Dispose of garbage and refuse properly.DStandard survey5 Dec 2024
23 Oct 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation12 Nov 2024
23 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation12 Nov 2024
25 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation15 Oct 2024
2 Jul 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation22 Jul 2024
27 Feb 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation21 Mar 2024
1 Dec 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey9 Jan 2024
1 Dec 2023F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey9 Jan 2024
1 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey9 Jan 2024
1 Dec 2023F0880Provide and implement an infection prevention and control program.EStandard survey9 Jan 2024
1 Dec 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey9 Jan 2024
1 Dec 2023F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey9 Jan 2024
1 Dec 2023F0565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard survey9 Jan 2024
1 Dec 2023F0584Honor 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.DStandard survey9 Jan 2024
1 Dec 2023F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey9 Jan 2024
1 Dec 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey9 Jan 2024
1 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey9 Jan 2024
1 Dec 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey9 Jan 2024
1 Dec 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey9 Jan 2024
1 Dec 2023F0814Dispose of garbage and refuse properly.DStandard survey9 Jan 2024
1 Dec 2023F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.DStandard survey9 Jan 2024

Penalties

DateTypeAmountDetail
7 Mar 2026Fine$51,490
8 Dec 2025Payment denial—34 days
8 Dec 2025Fine$65,521
2 Jul 2024Fine$17,572

Staffing

Total nursing9.8 h
Nurse aides0.89 h
LPN4.95 h
RN3.96 h
Weekend total9.04 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 22.6%, RNs 24.0%; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay11.8%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.9%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay4.8%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%1.3%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.3%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay11.3%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay70.0%9.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, state. Legal business name: Legal Business Name Not Available.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Los Angeles County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Alcott Rehabilitation HospitalLos Angeles1215444234.7$9K23 Dec 2025
Alden Terrace Convalescent HospitalLos Angeles2105443516.7—20 Nov 2025
Angels Nursing Health CenterLos Angeles495443775.5$72K11 Jun 2026
Ararat Post AcuteGlendale2854530107.1$42K23 Jan 2026
Atherton Baptist HomeAlhambra1135442824.8—16 Jan 2026
Atlantic Memorial Healthcare CenterLong Beach1045542524.0—16 Jun 2026
Beachside Post AcuteTorrance1105443128.2—19 Dec 2025
Beacon Healthcare CenterWest Covina545433259.3—14 May 2026

All 369 facilities in Los Angeles County

Questions and answers

How many deficiencies has Dept of State Hospitals - Metropolitan SNF been cited for?

53 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has Dept of State Hospitals - Metropolitan SNF been fined?

Yes. CMS lists fines totalling $135K in the period covered, plus 1 payment denial.

How does staffing at Dept of State Hospitals - Metropolitan SNF compare?

Reported total nurse staffing is 9.8 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Dept of State Hospitals - Metropolitan SNF?

Ownership type is government, state. Individual owners and managers are not listed on this site.

When was Dept of State Hospitals - Metropolitan SNF last inspected?

The most recent survey or investigation in the CMS record is dated 6 May 2026; the most recent standard health survey was 8 Dec 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.