Metro West Nursing and Rehab Center
A nursing home in Orlando, Florida 32825
5900 Westgate Drive, Orlando, Florida 32825. (407) 296-8164.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 4of 5 CMS’s overall rating
- 6 health citations at the latest inspection cycle Florida average: 7.1
- 3.71 nurse hours per resident per day Florida average: 3.86
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
6 health citations at the latest inspection cycle
The Florida average is 7.1.
Last standard inspection Aug 28, 2025.
Most serious in three years: E: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
17 citations in 2 months of the last 36. Last cited Aug 2025. Most serious: no actual harm, potential for more than minimal harm (E). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 17 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 2 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 28, 2025: standard inspection6 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Provide routine and 24-hour emergency dental care for each resident.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Feb 22, 2024: standard inspection9 citations
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Ensure each resident receives an accurate assessment.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Provide enough food/fluids to maintain a resident’s health.
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Ensure medication error rates are not 5 percent or greater.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Feb 22, 2024: standard and complaint inspection2 citations
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Oct 21, 1994.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 120 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 2 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.71 nurse hours per resident per day
The Florida average is 3.86.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Florida average |
|---|---|---|
| Nurse hours per resident per day | 3.71 | 3.86 |
| Of which registered nurses | 0.67 | 0.73 |
| At weekends | 3.33 | 3.51 |
| Nursing staff turnover | 43.5% | 41.5% |
| Registered nurse turnover | 50% | 46.1% |
| Administrators who left | 1 | Not given |
Who owns it?
- Sovereign Healthcare Holdings LLC owns 100% directly since May 19, 2009.
- Southern Healthcare Management LLC runs it.
- 20 owners or officers are people: John Mangine (owns a share directly, 3%); Susan Kaar (on the governing body (managing control)); Susan Kaar (additional disclosable party (controls, leases property to, or provides services to the home)); Wendy Stoutjesdijk (runs it (operational or managerial control)); Wendy Stoutjesdijk (additional disclosable party (controls, leases property to, or provides services to the home)); John Mangine (runs it (operational or managerial control)); John Mangine (additional disclosable party (controls, leases property to, or provides services to the home)); Mark Britton (runs it (operational or managerial control)); Mark Britton (additional disclosable party (controls, leases property to, or provides services to the home)); Michelle Kelly (additional disclosable party (controls, leases property to, or provides services to the home)); Donald K Melton (runs it (operational or managerial control)); Donald K Melton (additional disclosable party (controls, leases property to, or provides services to the home)); William Notermann (runs it (operational or managerial control)); William Notermann (additional disclosable party (controls, leases property to, or provides services to the home)); Charles Bell (on the governing body (managing control)); Charles Bell (additional disclosable party (controls, leases property to, or provides services to the home)); Royce M Cronquist (runs it (operational or managerial control)); Royce M Cronquist (additional disclosable party (controls, leases property to, or provides services to the home)); Dawn Chery (on the governing body (managing control)); Dawn Chery (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Sovereign Healthcare Holdings (43 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Sovereign Healthcare Holdings LLC | Owns a share directly | 100% | May 19, 2009 |
| Fl Metro WEST Holdings LLC | Holds 5% or more security interest | 100% | May 19, 2009 |
| Berkadia Commercial Mortgage LLC | Holds 5% or more security interest | 100% | Sep 15, 2014 |
| Health Services Properties LLC | Holds 5% or more security interest | 100% | May 19, 2009 |
| Sovereign Healthcare Disbursements LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 19, 2009 | |
| Southern Healthcare Management LLC | Runs it (operational or managerial control) | May 19, 2009 | |
| Southern Healthcare Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 3, 2025 | |
| Fl Metro WEST Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 19, 2009 | |
| Forvis Mazars LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| Health Services Properties LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 19, 2009 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Florida average 4.3).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 4 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 5.5 miles, this one had the 5th most health citations at the latest inspection cycle (6; the middle value was 4.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Metro West Nursing and Rehab Center This nursing home | 6 | |
| Solaris Healthcare Windermere | 2.6 | 1 |
| Guardian Care Nursing & Rehabilitation Center | 3.0 | 12 |
| Courtyards of Orlando Care Center and Rehab | 3.2 | 5 |
| Orlando Health Center for Rehabilitation | 3.8 | 0 |
| Lake Bennet Center for Rehabilitation & Healing | 4.4 | 2 |
| Orlando Health and Rehabilitation Center | 4.6 | 23 |
| Vivo Healthcare West Orange | 4.9 | 4 |
| South Orange Health and Rehabilitation Center | 5.1 | 4 |
| Westminster Towers | 5.1 | 7 |
| Delaney Park Health and Rehabilitation Center | 5.3 | 10 |
| Commons at Orlando Lutheran Towers | 5.5 | 3 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
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