Metro West Nursing and Rehab Center
5900 Westgate Drive, Orlando, FL 32825 · Orange County · 120 certified beds · avg 108 residents/day · certified since Oct 21, 1994
Part of chain: SOVEREIGN HEALTHCARE HOLDINGS (43 facilities, chain avg rating 3.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 28, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Aug 28, 2025 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 22, 2024 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Feb 22, 2024 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 22, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 22, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 22, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Feb 22, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Feb 22, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 22, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Feb 22, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Feb 22, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Feb 22, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| May 12, 2022 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| May 12, 2022 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | D |
| 2024 | 11 | 0 | E |
| 2025 | 6 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.66 | 4.03 | 3.95 | bottom 30% in Florida; bottom 45% in the U.S. |
| Registered Nurse hours | 0.67 | 0.76 | 0.69 | top 49% in Florida; top 39% in the U.S. |
| Weekend total nurse staffing | 3.30 | 3.68 | 3.50 | bottom 23% in Florida; bottom 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.53 | 0.48 | bottom 35% in Florida; bottom 47% in the U.S. |
| Total nursing staff turnover (%) | 43.2 | 41.4 | 45.8 | bottom 46% in Florida; top 45% in the U.S. |
| RN turnover (%) | 52.0 | 46.0 | 42.9 | bottom 37% in Florida; bottom 32% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.68, RN 0.67, weekend 3.32. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Mangine, John | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/31/2015 |
| Sovereign Healthcare Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 05/19/2009 |
| Bell, Charles | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/15/2016 |
| Bell, Charles | Individual | ADP of the SNF | NOT APPLICABLE | 09/15/2016 |
| Berkadia Commercial Mortgage LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 09/15/2014 |
| Britton, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/19/2023 |
| Britton, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 10/19/2023 |
| Chery, Dawn | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/08/2017 |
| Chery, Dawn | Individual | ADP of the SNF | NOT APPLICABLE | 06/08/2017 |
| Cronquist, Royce | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2018 |
| Cronquist, Royce | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2018 |
| FL Metro West Holdings LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/19/2009 |
| FL Metro West Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/19/2009 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Health Services Properties LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/19/2009 |
| Health Services Properties LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/19/2009 |
| Kaar, Susan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2003 |
| Kaar, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2003 |
| Kelly, Michelle | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2018 |
| Mangine, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How do residents get routine dental care, and what happens if someone has a dental emergency at night?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Solaris Healthcare Windermere | 2.6 mi | Orlando, FL | ★★★★★ | 5/5 | |
| Guardian Care Nursing & Rehabilitation Center | 3.0 mi | Orlando, FL | ★★☆☆☆ | 2/5 | |
| Courtyards of Orlando Care Center and Rehab | 3.2 mi | Orlando, FL | ★★☆☆☆ | 3/5 | |
| Orlando Health Center for Rehabilitation | 3.8 mi | Ocoee, FL | ★★★★☆ | 5/5 | |
| Lake Bennet Center for Rehabilitation & Healing | 4.4 mi | Ocoee, FL | ★★★☆☆ | 2/5 | |
| Orlando Health and Rehabilitation Center | 4.6 mi | Orlando, FL | ★☆☆☆☆ | 1/5 | abuse |
| Vivo Healthcare West Orange | 4.9 mi | Ocoee, FL | ★★☆☆☆ | 2/5 | |
| South Orange Health and Rehabilitation Center | 5.1 mi | Orlando, FL | ★★★★★ | 4/5 | |
| Westminster Towers | 5.1 mi | Orlando, FL | ★★★☆☆ | 2/5 | |
| Delaney Park Health and Rehabilitation Center | 5.3 mi | Orlando, FL | ★★★☆☆ | 2/5 | |
| Commons at Orlando Lutheran Towers | 5.5 mi | Orlando, FL | ★☆☆☆☆ | 1/5 | abuse |
| Aviata at Rosewood | 5.6 mi | Orlando, FL | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105868.