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Complaint Investigation

Dept Of State Hospitals - Metropolitan Snf

November 14, 2025 · Norwalk, CA · 11401 South Bloomfield Avenue
Citations 2
CMS Rating 2/5
Beds 102
Provider ID 555731
Healthcare Facility
Dept Of State Hospitals - Metropolitan Snf
Norwalk, CA  ·  View full profile →
Inspection Summary

DEPT OF STATE HOSPITALS - METROPOLITAN SNF in NORWALK, CA — inspection on November 14, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

while being confined in a local custody facility, they shall immediately: notify a physician in all cases of any suspected physical . complete a report of Suspected Dependent Adult/Elder Abuse (Form SOC 341) . if an allegation was never reported . forward a courtesy report . report to California Department of Public Health. verify notifications have been made; to include Program Management, Standards Compliance, and the Office of Law Enforcement Support.During a review of the facility's policy and procedure (P&P) titled, Rape or Sexual Assault of Elder/Dependent Adult (Actual or Alleged), dated 4/1/2025, the P&P indicated, Procedures to be implemented immediately upon the discovery of a case of alleged sexual assault.

The unit supervisor or designee will notify the patient's Program Director or designee and the Department of Protective Services (DPS) immediately, and complete form SOC-341. An incident report must be prepared by the reporting treatment unit. is required to report the facts to a local law enforcement agency.

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IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/14/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Dept of State Hospitals - Metropolitan Snf

11401 South Bloomfield Avenue Norwalk, CA 90650

SUMMARY STATEMENT OF DEFICIENCIES

Based on interview and record review, the facility failed to complete an annual performance evaluation on Psychiatric Technician (PT 1) for eight years.

This failure had the potential to prevent PT 1 and other employees from acquiring the necessary skills to meet their job expectations.Findings:During a concurrent interview and record review on 9/23/2025 at 2:15 p.m. with the Staff Services Manager HR (SSMHR), PT 1's employee file was reviewed. PT 1 was hired in November 2017 and never had an employee performance evaluation completed. SSMHR stated there should have been eight employee performance evaluations for PT 1 and it was not normal for the evaluations to be missing. SSMHR further stated the performance evaluations were to be completed annually.

During an interview on 9/25/2025 at 11:37 a.m. with the Unit Supervisor (US), US confirmed she did not complete any performance evaluations for PT 1.

US stated, it was an oversight. US further stated performance evaluations were necessary to provide feedback and education to an employee.During a review of the facility's policy and procedure (P&P) titled, Performance Appraisal and Employee Development, dated 11/28/2023, the P&P indicated, All supervisors and managers will prepare Form 638 (Performance Appraisal Summary) on employees assigned to them at least once each year.

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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 NORWALK, 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 DEPT OF STATE HOSPITALS - METROPOLITAN SNF or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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