Dept Of State Hospitals - Metropolitan Snf
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.
Inspection Findings
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:
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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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.