The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited March 2026 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: L
Nursing home report
DEPT OF STATE HOSPITALS - METROPOLITAN SNF
NORWALK, CA · Medicare-certified · 102 beds
Needs attention
Special Focus candidateAbuse citationGovernment-run
2 of 5 overall
2 out of 5 stars overall. Health inspections are very poor at 1 star, while staffing is strong at 5 stars and above the federal benchmark (10.05 vs 4.1 hours per resident per day); the facility is a Special Focus Facility candidate with $118,372 in fines over the last 24 months and recent citations involving abuse prevention, safe dialysis care, and resident protection.
Facility ratings
Health inspections
Staffing
10.0456 hrs/resident/day
Quality measures
Last inspection: March 7, 2026Penalties, last 24 months: $118,372special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 10.0456.
Staffing detail
- Registered nurses
- 4.41
- Licensed practical nurses
- 4.68
- Nurse aides
- 0.96
- Weekend nursing
- 9.29
Hours per resident per day.
Total staff turnover: 21%
Registered nurse turnover: 21%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
67.6%Steady
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
9.1%Worsening
Residents with a urinary tract infection
4.1%Worsening
Residents who lost too much weight
6.8%Worsening
Residents who were physically restrained
21%Worsening
Residents needing more help with daily activities
11.4%Worsening
Residents whose ability to walk got worse
17.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
15.5%Improving
Residents with a long-term catheter
4.3%Worsening
Residents with new or worsening incontinence
3.5%Worsening
Residents with depressive symptoms
0.5%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
89%Worsening
Short-stay residents given the pneumonia vaccine
40.8%Steady
What the inspectors found
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited December 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to properly train staff about dementia care and how to recognize and report abuse, neglect, and exploitation. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 943 — 42 CFR §483.95 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $100,800 was recorded.
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $17,572 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $118,372 in total fines · 1 payment denial.
- 34 days
Medicare/Medicaid payment denial
Dec 8, 2025
- $100,800
Federal fine
Dec 8, 2025
- $17,572
Federal fine
Jul 2, 2024
Operator & ownership
- Ownership
- Government - State
- Occupancy
- 58.1 residents on an average day (57% of 102 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 27 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.