METRO WEST NURSING AND REHAB CENTER

5900 WESTGATE DRIVE
ORLANDO, FL, 32825
4072968164
CCN: 105868
3
Overall
3
Health
2
Staffing
4
Quality
ChainSOVEREIGN HEALTHCARE HOLDINGS
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
BERKADIA COMMERCIAL MORTGAGE LLC5% OR GREATER SECURITY INTERESTNOT APPLICABLE
FL METRO WEST HOLDINGS, LLC5% OR GREATER SECURITY INTERESTNOT APPLICABLE
HEALTH SERVICES PROPERTIES LLC5% OR GREATER SECURITY INTERESTNOT APPLICABLE
MANGINE, JOHNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MELTON, DONALDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SOUTHERN HEALTHCARE MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
STOUTJESDIJK, WENDYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NOTERMANN, WILLIAMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BRITTON, MARKOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CRONQUIST, ROYCEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (19)
2025-08-28 · Health
E
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F790 · Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
E
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-02-22 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F688 · Quality of Life and Care Deficiencies
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.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
E
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
2022-05-12 · Health
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.73
3.68
RN Hrs/Resident/Day
0.67
0.54
LPN Hrs/Resident/Day
0.82
0.81
CNA Hrs/Resident/Day
2.23
2.33
PT Hrs/Resident/Day
0.11
0.12
Data as of 2026-03-01