Elder Care Record

Florida › Orange County › Orlando

Metro West Nursing and Rehab Center

5900 Westgate Drive, Orlando, FL 32825

CCN 105868 · For-profit, limited liability company · 120 certified beds · chain Sovereign Healthcare Holdings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 120 beds, Metro West Nursing and Rehab Center serves Orlando in Orange County, Florida and has taken Medicare and Medicaid residents since 1994.

CMS gives it 4 of 5 stars overall, above the Florida median of 3; the health inspection rating is 3, staffing 3 and quality measures 5.

Inspectors recorded 19 health deficiencies across the three most recent survey cycles (6, 11, 2 by cycle, most recent first), none at the actual-harm level. That is 15.8 per 100 beds, about the same as the state median of 15.8.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.7 hours per resident per day (0.7 RN), close to the Florida median of 3.6; nursing staff turnover is 43.2%.

19health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.7nurse hours per resident per daystate median 3.6
90%occupancy (residents ÷ beds)108 residents a day

Compared with county, state and nation

MeasureThis facilityOrange Co. medianFlorida medianUS average
Overall star rating4333.0
Health citations, 3 cycles19201828.7
Citations per 100 beds15.817.515.826.8
Total nurse hours per resident day3.73.73.63.9
RN hours per resident day0.70.70.60.7
Nursing staff turnover43.2%41.7%41.8%45.8%
Fines listed$0$3,282$0—

County and state figures are medians across facilities (36 in the county, 694 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)6
Cycle 211
Cycle 32

Dark bar: this facility. Grey bar: Florida average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Aug 2025, 22 Feb 2024.

Severity mix: D ×14 E ×5

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
28 Aug 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey28 Sep 2025
28 Aug 2025F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard survey28 Sep 2025
28 Aug 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey28 Sep 2025
28 Aug 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey28 Sep 2025
28 Aug 2025F0790Provide routine and 24-hour emergency dental care for each resident.DStandard survey28 Sep 2025
28 Aug 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey28 Sep 2025
22 Feb 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey22 Mar 2024
22 Feb 2024F0759Ensure medication error rates are not 5 percent or greater.EStandard survey22 Mar 2024
22 Feb 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey22 Mar 2024
22 Feb 2024F0641Ensure each resident receives an accurate assessment.DStandard survey22 Mar 2024
22 Feb 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey22 Mar 2024
22 Feb 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation22 Mar 2024
22 Feb 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey22 Mar 2024
22 Feb 2024F0688Provide 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.DStandard survey22 Mar 2024
22 Feb 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey22 Mar 2024
22 Feb 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation22 Mar 2024
22 Feb 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey22 Mar 2024
12 May 2022F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey8 Jun 2022
12 May 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey8 Jun 2022

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.68 h
Nurse aides2.25 h
LPN0.76 h
RN0.67 h
Weekend total3.32 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Florida average. Turnover: nursing staff 43.2%, RNs 52.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityFlorida medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay3.3%7.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.3%0.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.4%2.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.6%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay7.7%7.7%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.6%4.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.0%7.0%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Sovereign Healthcare Of Metro West Llc. Chain: Sovereign Healthcare Holdings (43 facilities).

OrganisationRole in the CMS recordInterestSince
Sovereign Healthcare Holdings LLCDirect ownership interestNOT APPLICABLE05/19/2009
Berkadia Commercial Mortgage LLC5% or greater security interestNOT APPLICABLE09/15/2014
Fl Metro West Holdings LLC5% or greater security interestNOT APPLICABLE05/19/2009
Health Services Properties LLC5% or greater security interestNOT APPLICABLE05/19/2009
Southern Healthcare Management LLCOperational/managerial controlNOT APPLICABLE05/19/2009
Fl Metro West Holdings LLCAdp of the snfNOT APPLICABLE05/19/2009
Forvis Mazars LLPAdp of the snfNOT APPLICABLE01/01/2025
Health Services Properties LLCAdp of the snfNOT APPLICABLE05/19/2009
Southern Healthcare Management LLCAdp of the snfNOT APPLICABLE10/03/2025
Sovereign Healthcare Disbursements LLCAdp of the snfNOT APPLICABLE05/19/2009

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Orange County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Life Care Center of OrlandoOrlando1325441410.6—18 Dec 2025
Mayflower Healthcare CenterWinter Park6055546.7—20 Feb 2025
Parkview Rehabilitation Center At Winter ParkWinter Park1385431410.1—6 Feb 2025
Solaris Healthcare ApopkaApopka12055443.3—6 Apr 2023
Solaris Healthcare East OrlandoOrlando110544109.1—5 Jun 2025
Solaris Healthcare WindermereOrlando12055443.3—18 Jun 2026
South Orange Health and Rehabilitation CenterOrlando1155441513.0$14K13 Feb 2025
Westminster Baldwin ParkOrlando40545820.0—22 Jan 2026

All 36 facilities in Orange County

Questions and answers

How many deficiencies has Metro West Nursing and Rehab Center been cited for?

19 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Florida median is 18 per facility.

Has Metro West Nursing and Rehab Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Metro West Nursing and Rehab Center compare?

Reported total nurse staffing is 3.7 hours per resident per day against a Florida median of 3.6 and a national average of 3.9.

Who operates Metro West Nursing and Rehab Center?

It is part of the Sovereign Healthcare Holdings chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Sovereign Healthcare Holdings LLC and Southern Healthcare Management LLC. Individual owners and managers are not listed on this site.

When was Metro West Nursing and Rehab Center last inspected?

The most recent survey or investigation in the CMS record is dated 28 Aug 2025; the most recent standard health survey was 28 Aug 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.