nursing home in Wesley Chapel, FL
Blue Heron Health and Rehabilitation
5085 Eagleston Blvd, Wesley Chapel, FL 33544 · (765) 664-5400
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Blue Heron Health and Rehabilitation at a glance
Blue Heron Health and Rehabilitation is a 141-bed for-profit nursing home in Wesley Chapel, Florida (Pasco County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Florida average of 3.3.
Residents receive about 4 hours of nursing care per day (0.8 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (July 31, 2025) found 5 health citations. The Florida average is 7.1.
It has not received a federal fine in the past three years.
Nursing staff turnover is 43.2% per year (state average 41.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 141
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Tlc Management
- Medicare-certified since
- July 12, 2021
- Resident/family council
- Resident
- County
- Pasco County
- CMS Certification Number
- 106147
Ratings
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.2 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.02 hrs | 3.82 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.84 hrs | 0.73 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.28 hrs | 2.31 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.56 hrs | 3.49 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 43.2% | 41.4% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 42.9% | 46% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 41 | 63 | 80.6 | Better |
Penalties
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $24,361 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 141 | 122 | 107 | |
| Average residents per day | 133 | 109 | 86 | |
| Occupancy | 94.5% | 88.9% | 80.9% |
Long-stay residents
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.2% | 2.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.9% | 4.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 5.2% | 8.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.7% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.3% | 8.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 5.6% | 9.5% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.2% | 5.5% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 5.7% | 4.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 25.9% | 14.4% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 23.5% | 10.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.1% | 99.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.8% | 98.2% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 88.1% | 94.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.4% | 95.2% | 82% | Better |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 2 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 13, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected July 13, 2026 |
| June 13, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 13, 2026 |
| July 31, 2025 Standard | 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 | E Potential harm, pattern | Corrected August 31, 2025 |
| July 31, 2025 Standard | 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 · Tag F0656 | D Potential harm, isolated | Corrected August 31, 2025 |
| July 31, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected August 31, 2025 |
| April 27, 2023 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected May 19, 2023 |
| April 27, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected May 19, 2023 |
| April 27, 2023 Standard | 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 | F Potential harm, widespread | Corrected May 26, 2023 |
| April 27, 2023 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | F Potential harm, widespread | Corrected May 26, 2023 |
| April 27, 2023 Standard | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Tag F0848 | E Potential harm, pattern | Corrected May 26, 2023 |
| April 27, 2023 Standard | 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 · Tag F0758 | E Potential harm, pattern | Corrected May 26, 2023 |
| April 27, 2023 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | E Potential harm, pattern | Corrected May 26, 2023 |
| April 27, 2023 Standard | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | E Potential harm, pattern | Corrected May 26, 2023 |
| April 27, 2023 Standard | 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 Potential harm, isolated | Corrected May 26, 2023 |
| April 27, 2023 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected May 26, 2023 |
| April 27, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected May 26, 2023 |
| April 27, 2023 Standard | 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 · Tag F0801 | D Potential harm, isolated | Corrected May 26, 2023 |
| April 27, 2023 Standard | 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 Potential harm, isolated | Corrected May 26, 2023 |
| April 27, 2023 Standard | 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 Potential harm, isolated | Corrected May 26, 2023 |
| April 27, 2023 Standard | 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 · Tag F0625 | D Potential harm, isolated | Corrected May 26, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SMITH, KIMBERLY Individual | corporate director | NOT APPLICABLE | 11/30/2020 |
| OTT, DWIGHT Individual | corporate officer | NOT APPLICABLE | 06/28/2017 |
| OTT, GARY Individual | corporate officer | NOT APPLICABLE | 06/28/2017 |
| OTT, RYAN Individual | corporate officer | NOT APPLICABLE | 06/28/2017 |
| TENDER LOVING CARE MANAGEMENT INC Organization | operational/managerial control | NOT APPLICABLE | 06/28/2017 |
| SMITH, KIMBERLY Individual | w-2 managing employee | NOT APPLICABLE | 11/30/2020 |
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Frequently asked questions
What is Blue Heron Health and Rehabilitation's rating?
Blue Heron Health and Rehabilitation has 4 out of 5 stars on the CMS overall star rating. The average for Florida nursing homes is 3.3 stars.
How many inspection citations did Blue Heron Health and Rehabilitation receive?
Its most recent standard health inspection found 5 citations, compared with a Florida average of 7.1. Every citation is listed on this page with its severity.
Does Blue Heron Health and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Blue Heron Health and Rehabilitation?
It is for profit - limited liability company and part of Tlc Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Blue Heron Health and Rehabilitation and how do I contact it?
Blue Heron Health and Rehabilitation is at 5085 Eagleston Blvd, Wesley Chapel, FL 33544. Phone: (765) 664-5400.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.