Provider Name: METRO WEST NURSING AND REHAB CENTER
Address: 5900 WESTGATE DRIVE, ORLANDO, FL 32825
Phone: (407) 296-8164
County: Orange (470)
Ownership Type: For profit - Corporation
Certified Beds: 120
Average Residents Per Day: 111. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: SOVEREIGN HEALTHCARE OF METRO WEST LLC
First Approved Date: October 21, 1994
Affiliated Entity: SOVEREIGN HEALTHCARE HOLDINGS (482)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.18486, LPN Staff Hours Per Day: 0.7471, RN Staff Hours Per Day: 0.6119, Licensed Staff Hours Per Day: 1.3591
Total Nurse Staff Hours Per Day, per resident: 3.54400
Weekend Nurse Staff Hours: 3.21003, Weekend RN Staff Hours: 0.4231
PT Staff Hours Per Day, per resident: 0.1298
Nurse Staff Turnover: 54.5, Nurse Turnover Note:
RN Turnover: 73.7, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0716, Case Mix LPN Hours Per Day: 0.7319, Case Mix RN Hours Per Day: 0.3531
Adjusted Nurse Aide Hours Per Day, per resident: 2.14857, Adjusted LPN Hours Per Day: 0.7533, Adjusted RN Hours Per Day: 0.6529
Total Adjusted Nurse Hours Per Day, per resident: 3.53869
Adjusted Weekend Nurse Hours Per Day, per resident: 3.20522
Health Survey Dates and Scores: Cycle 1: 2022-05-12 (Score: 8), Cycle 2: 2020-12-18 (Score: 8), Cycle 3: 2019-04-05 (Score: 12)
Total Weighted Health Score: 8.667
Reported Incidents: 0, Substantiated Complaints: 2
Infection Control Citations: 1
Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 8733.92, Payment Denials Number: 0, Total Penalties Number: 2
Location and GPS: 5900 WESTGATE DRIVE,ORLANDO,FL,32825 (28.5320, -81.463)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-06-08
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-06-08
Type: Health, Deficiency: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-07-13
Type: Health, Deficiency: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-12-08
Type: Health, Deficiency: Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-09-29
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-05
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0006, Version: New
Description: Conduct risk assessment and an All-Hazards approach.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-12-21