Metro West Nursing And Rehab Center
Orlando, Orange County, Florida · CCN 105868 · For-profit (LLC) · part of Sovereign Healthcare Holdings (43 facilities, chain average 3.7 stars)
CMS rates Metro West Nursing And Rehab Center 4 of 5 overall as of August 2026. 120 certified beds, 108 residents a day on average. 19 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 3.67988 hours per resident per day |
|---|---|
| Registered nurses | 0.67408 hours per resident per day |
| Weekend total | 3.31831 hours per resident per day |
| Nursing staff turnover | 43.2% (registered nurses 52%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-08-28 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-28 |
| 2025-08-28 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-28 |
| 2025-08-28 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-28 |
| 2025-08-28 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-28 |
| 2025-08-28 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · tag F0790 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-28 |
| 2025-08-28 | 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 · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-28 |
| 2024-02-22 | 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 · tag F0623 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-22 |
| 2024-02-22 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-22 |
| 2024-02-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-22 |
| 2024-02-22 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-22 |
| 2024-02-22 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-22 |
| 2024-02-22 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-22 |
| 2024-02-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-22 |
| 2024-02-22 | 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 · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-22 |
| 2024-02-22 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-22 |
| 2024-02-22 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-22 |
| 2024-02-22 | 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 · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-22 |
| 2022-05-12 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-06-08 |
| 2022-05-12 | 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 · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-06-08 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Berkadia Commercial Mortgage LLC Organization | 5% or greater security interest | — | 2014-09-15 |
| Fl Metro West Holdings LLC Organization | 5% or greater security interest | — | 2009-05-19 |
| Health Services Properties LLC Organization | 5% or greater security interest | — | 2009-05-19 |
| Fl Metro West Holdings LLC Organization | adp of the snf | — | 2009-05-19 |
| Forvis Mazars LLP Organization | adp of the snf | — | 2025-01-01 |
| Health Services Properties LLC Organization | adp of the snf | — | 2009-05-19 |
| Southern Healthcare Management LLC Organization | adp of the snf | — | 2025-10-03 |
| Sovereign Healthcare Disbursements LLC Organization | adp of the snf | — | 2009-05-19 |
| Sovereign Healthcare Holdings LLC Organization | direct ownership interest | — | 2009-05-19 |
| Southern Healthcare Management LLC Organization | operational/managerial control | — | 2009-05-19 |
| Bell, Charles Individual | adp of the snf | — | 2016-09-15 |
| Britton, Mark Individual | adp of the snf | — | 2023-10-19 |
| Chery, Dawn Individual | adp of the snf | — | 2017-06-08 |
| Cronquist, Royce Individual | adp of the snf | — | 2018-02-01 |
| Kaar, Susan Individual | adp of the snf | — | 2003-10-01 |
| Kelly, Michelle Individual | adp of the snf | — | 2018-02-01 |
| Mangine, John Individual | adp of the snf | — | 2015-12-31 |
| Melton, Donald Individual | adp of the snf | — | 2009-02-15 |
| Notermann, William Individual | adp of the snf | — | 2025-01-01 |
| Stoutjesdijk, Wendy Individual | adp of the snf | — | 2025-05-20 |
| Mangine, John Individual | direct ownership interest | — | 2015-12-31 |
| Notermann, Brenda Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-08-28 |
| Bell, Charles Individual | managing control - governing body | — | 2016-09-15 |
| Chery, Dawn Individual | managing control - governing body | — | 2017-06-08 |
| Kaar, Susan Individual | managing control - governing body | — | 2003-10-01 |
| Britton, Mark Individual | operational/managerial control | — | 2023-10-19 |
| Cronquist, Royce Individual | operational/managerial control | — | 2018-02-01 |
| Mangine, John Individual | operational/managerial control | — | 2025-01-01 |
| Melton, Donald Individual | operational/managerial control | — | 2009-02-15 |
| Notermann, William Individual | operational/managerial control | — | 2025-01-01 |
| Stoutjesdijk, Wendy Individual | operational/managerial control | — | 2025-05-20 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Metro West Nursing And Rehab Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Orange County.