C79

METRO WEST NURSING AND REHAB CENTER

Grade C 79/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
4/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

120

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

5900 WESTGATE DRIVE, ORLANDO, FL 32825
4072968164

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.66h
LPN
0.80h
CNA
2.19h
Total
3.66h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

SOUTHERN HEALTHCARE MANAGEMENT LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince May 2009

BRITTON, MARK

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2023

CRONQUIST, ROYCE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2018

MANGINE, JOHN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

MELTON, DONALD

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2009

NOTERMANN, WILLIAM

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

STOUTJESDIJK, WENDY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2025

BERKADIA COMMERCIAL MORTGAGE LLC

Organization5% OR GREATER SECURITY INTERESTSince Sep 2014

FL METRO WEST HOLDINGS, LLC

Organization5% OR GREATER SECURITY INTERESTSince May 2009

HEALTH SERVICES PROPERTIES LLC

Organization5% OR GREATER SECURITY INTERESTSince May 2009

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (19)

August 28, 2025Health6 deficiencies
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Sep 28, 2025
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Sep 28, 2025
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Sep 28, 2025
0790DMinimal harm, Isolated

Provide routine and 24-hour emergency dental care for each resident.

Quality of Life and Care Deficiencies

Corrected Sep 28, 2025
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 28, 2025
0867EMinimal harm, Pattern

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Sep 28, 2025
February 22, 2024Health11 deficiencies
0623EMinimal harm, Pattern

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Mar 22, 2024
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 22, 2024
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 22, 2024
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Mar 22, 2024
0688DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Mar 22, 2024
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Mar 22, 2024
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Mar 22, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Mar 22, 2024
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 22, 2024
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Mar 22, 2024
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Mar 22, 2024
May 12, 2022Health2 deficiencies
0640DMinimal harm, Isolated

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 8, 2022
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 8, 2022

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Frequently Asked Questions

What is the CareGrader rating for METRO WEST NURSING AND REHAB CENTER?

METRO WEST NURSING AND REHAB CENTER in ORLANDO, Florida has a CareGrader grade of C (Average), with a composite score of 78.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for METRO WEST NURSING AND REHAB CENTER?

METRO WEST NURSING AND REHAB CENTER has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does METRO WEST NURSING AND REHAB CENTER have?

METRO WEST NURSING AND REHAB CENTER has 19 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does METRO WEST NURSING AND REHAB CENTER have?

METRO WEST NURSING AND REHAB CENTER has 120 certified beds with approximately 113 current residents (94% occupancy). The facility is located at 5900 WESTGATE DRIVE, ORLANDO, Florida 32825. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.