Dept of State Hospitals - Metropolitan SNF
11401 South Bloomfield Avenue · Norwalk, CA · 90650 · 5628637011
102 certified beds Government - State
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $65,521 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
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Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$65,521 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 10.05 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 4.41 | 0.55–0.75 |
| Weekend hours / resident-day | 9.29 | ≈ weekday level |
| Nursing turnover / year | 21% | median 45% |
| Fines (3-yr window) | 2 · $83,093 |
Inspection citations (54 in the current record)
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Immediate jeopardy · L March 7, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 7, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 7, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 7, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F March 7, 2026 · found via complaint
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected March 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J December 8, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 12, 2026 · Quality of Life and Care
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Actual harm · G December 8, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 12, 2026 · Quality of Life and Care
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Potential for harm · D December 8, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 12, 2026 · Quality of Life and Care
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Potential for harm · D December 8, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 12, 2026 · Resident Rights
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Potential for harm · D December 8, 2025
Ensure each resident receives an accurate assessment.
Corrected January 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 8, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 8, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 12, 2026 · Quality of Life and Care
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Potential for harm · E December 8, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected January 12, 2026 · Nursing and Physician Services
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Potential for harm · F December 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 12, 2026 · Nutrition and Dietary
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Potential for harm · E December 8, 2025
Dispose of garbage and refuse properly.
Corrected January 12, 2026 · Nutrition and Dietary
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Potential for harm · F December 8, 2025
Conduct 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.
Corrected January 12, 2026 · Administration
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Potential for harm · D December 8, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · F December 8, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected January 12, 2026 · Administration
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Potential for harm · F December 8, 2025
Provide and implement an infection prevention and control program.
Corrected January 12, 2026 · Infection Control
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Potential for harm · E December 8, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected January 12, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 14, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 14, 2025 · found via complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected November 24, 2025 · Administration
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Potential for harm · D December 18, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 5, 2024 · Resident Rights
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Potential for harm · D November 8, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected December 5, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 8, 2025 | Fine | $65,521 |
| December 8, 2025 | Payment Denial | 34 days |
| July 2, 2024 | Fine | $17,572 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555731 · certified since August 13, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.