With a score of 33/100, Dept Of State Hospitals - Metropolitan Snf ranks in the bottom tier of California nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Dept Of State Hospitals - Metropolitan Snf provides above-average staffing with 9.67 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent CMS inspections identified 51 deficiencies at Dept Of State Hospitals - Metropolitan Snf, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide safe, appropriate dialysis care/services for a resident who requires such services..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 9.67 | 3.8 | Above Average |
| Registered Nurses (RN) | 3.88 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 4.76 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.03 | 2.4 | Below Average |
| Weekend Total Nursing | 8.85 | 3.8 | Above Average |
| Weekend RN Hours | 3.79 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0698 Severity JProvide safe, appropriate dialysis care/services for a resident who requires such services.Dec 7, 2025 · Quality of Life and Care Deficiencies
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.Dec 7, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 7, 2025 · Nutrition and Dietary Deficiencies
- Tag 0838 Severity FConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day opeDec 7, 2025 · Administration Deficiencies
- Tag 0865 Severity FHave a plan that describes the process for conducting QAPI and QAA activities.Dec 7, 2025 · Administration Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.3% | 4.5% | Worse |
| Falls with major injury | 0.9% | 3.0% | Better |
| On antipsychotic medication | 62.7% | 14.5% | Worse |
| Urinary tract infections | 5.6% | 2.5% | Worse |
| ADL decline (daily activities) | 9.8% | 14.0% | Better |
| Excessive weight loss | 5.1% | 7.5% | Better |
| New/worsened incontinence | 2.6% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $118,372
How This Grade Was Calculated
This facility's grade of F is based on a score of 33 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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