Senior Care Records.

Blue Heron Health and Rehabilitation

5085 EAGLESTON BLVD, Wesley Chapel, FL, 33544

Nursing home141 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 3 deficiencies against Blue Heron Health and Rehabilitation in Wesley Chapel, Florida at its most recent standard inspection on 2025-07-31. Medicare rates it 4 out of 5 overall.

4 / 5Medicare overall rating
141certified beds
3deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.16
Potential for minimal harmThe least serious band.0
Most recent

The last 16 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

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

Resident Assessment and Care Planning Deficiencies · F0644 · 2025-07-31 · standard survey · No actual harm, potential for more than minimal harm

E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · F0656 · 2025-07-31 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0692 · 2025-07-31 · standard survey · No actual harm, potential for more than minimal harm

D

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

Nutrition and Dietary Deficiencies · F0812 · 2023-04-27 · standard survey · No actual harm, potential for more than minimal harm

F

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies · F0814 · 2023-04-27 · standard survey · No actual harm, potential for more than minimal harm

F

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Resident Rights Deficiencies · F0561 · 2023-04-27 · standard survey · No actual harm, potential for more than minimal harm

E

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies · F0758 · 2023-04-27 · standard survey · No actual harm, potential for more than minimal harm

E

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Administration Deficiencies · F0847 · 2023-04-27 · standard survey · No actual harm, potential for more than minimal harm

E

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Administration Deficiencies · F0848 · 2023-04-27 · standard survey · No actual harm, potential for more than minimal harm

E

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies · F0558 · 2023-04-27 · standard survey · No actual harm, potential for more than minimal harm

D

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Resident Rights Deficiencies · F0625 · 2023-04-27 · standard survey · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0644 · 2023-04-27 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0657 · 2023-04-27 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0688 · 2023-04-27 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · F0759 · 2023-04-27 · standard survey · No actual harm, potential for more than minimal harm

D

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Nutrition and Dietary Deficiencies · F0801 · 2023-04-27 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below4 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS4.01841
Nursing staff turnoverShare of nursing staff who left in a year43.2%
Ownership

Who owns Blue Heron Health and Rehabilitation

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
SMITH, KIMBERLYIndividualNOT APPLICABLEsince 11/30/2020
SMITH, KIMBERLYIndividualNOT APPLICABLEsince 11/30/2020
OTT, DWIGHTIndividualNOT APPLICABLEsince 06/28/2017
OTT, GARYIndividualNOT APPLICABLEsince 06/28/2017
OTT, RYANIndividualNOT APPLICABLEsince 06/28/2017
TENDER LOVING CARE MANAGEMENT INCOrganizationNOT APPLICABLEsince 06/28/2017

Part of the TLC MANAGEMENT group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Blue Heron Health and Rehabilitation a question

This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.

What is needed

Blue Heron Health and Rehabilitation has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 7656645400 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 106147.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction