Blue Heron Health and Rehabilitation

Name: Blue Heron Health and Rehabilitation
Address: 5085 EAGLESTON BLVD, Wesley Chapel, FL, 33544, US
Telephone: 7656645400

5085 Eagleston Blvd, Wesley Chapel, FL 33544 · Pasco County · 141 certified beds · avg 133 residents/day · certified since Jul 12, 2021

Part of chain: TLC MANAGEMENT (20 facilities, chain avg rating 3.8★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.70

Nurse hours/resident/day (adjusted)

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 (18)

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
Jun 13, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jun 13, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Jul 31, 2025	E · Potential for harm, repeated	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.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 31, 2025	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.
Apr 27, 2023	F · Potential for harm, facility-wide	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.
Apr 27, 2023	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Apr 27, 2023	E · Potential for harm, repeated	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Apr 27, 2023	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Apr 27, 2023	E · Potential for harm, repeated	The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.
Apr 27, 2023	E · Potential for harm, repeated	The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location.
Apr 27, 2023	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Apr 27, 2023	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Apr 27, 2023	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.
Apr 27, 2023	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.
Apr 27, 2023	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.
Apr 27, 2023	D · Potential for harm, one-off	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.
Apr 27, 2023	D · Potential for harm, one-off	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 3).

Year	Citations	Worst severity that year
2023	13	F
2025	3	E
2026	2	D

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)	3.70	4.03	3.95	bottom 33% in Florida; bottom 47% in the U.S.
Registered Nurse hours	0.78	0.76	0.69	top 37% in Florida; top 29% in the U.S.
Weekend total nurse staffing	3.28	3.68	3.50	bottom 19% in Florida; bottom 46% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.64	0.53	0.48	top 26% in Florida; top 20% 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 (%)	42.9	46.0	42.9	top 43% in Florida; bottom 49% 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 4.02, RN 0.84, weekend 3.56. Staffing rating: 4/5.

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: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
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
Smith, Kimberly	Individual	W-2 Managing Employee	NOT APPLICABLE	11/30/2020
Smith, Kimberly	Individual	Corporate Director	NOT APPLICABLE	11/30/2020
Tender Loving Care Management INC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/28/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can I see where garbage is stored and how often it's removed?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"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
Baldomero Lopez Memorial Veterans Nursing Home	5.5 mi	Land O Lakes, FL	★★★★★	4/5
Luxe at Lutz Rehabilitation Center (the)	9.2 mi	Lutz, FL	★☆☆☆☆	2/5
Pruitthealth-North Tampa, LLC	9.6 mi	Lutz, FL	★★☆☆☆	1/5
Tampa Lakes Health and Rehabilitation Center	10.5 mi	Lutz, FL	★★★★☆	3/5
Solaris Healthcare Lake Zephyr	10.8 mi	Zephyrhills, FL	★★★☆☆	3/5
Hillside Health and Rehabilitation Center	10.8 mi	Zephyrhills, FL	★★★☆☆	2/5
Fairway Oaks Center	11.0 mi	Tampa, FL	★★☆☆☆	2/5
Solaris Healthcare Zephyrhills	11.0 mi	Zephyrhills, FL	★★★★★	4/5
Palm Garden of Tampa	11.2 mi	Tampa, FL	★★★★☆	3/5
Blue Palms Health and Rehabilitation Center at Fle	11.4 mi	Tampa, FL	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Wesley Chapel →

Facility data as of CMS processing date 2026-08-01. CCN 106147.

The Care File

Visit checklist — Blue Heron Health and Rehabilitation

5085 Eagleston Blvd, Wesley Chapel, FL 33544 · 7656645400

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 106147 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)