Blue Heron Health and Rehabilitation

Nursing Home · Wesley Chapel, FL

CMS overall rating 4/5 For profit - Limited Liability company

CMS certification number106147

Contact & location

5085 Eagleston Blvd
Wesley Chapel, FL 33544
Pasco County

Phone: (765) 664-5400
ZIP code: 33544 – all care providers

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Facility details

Certified beds: 141
Residents per day: 133.3 (95% occupied)
Ownership: For profit - Limited Liability company
Legal name: Blue Heron Health and Rehabilitation LLC
Chain: TLC Management (20 facilities, avg 3.8★)
Medicare certified since: July 12, 2021
Participates in: Medicare and Medicaid
Council: Resident council

CMS star ratings

Overall★★★★★ 4/5

State avg 3.3

Health inspections★★★★★ 3/5

State avg 2.9

Staffing★★★★★ 4/5

State avg 3.3

Quality measures★★★★★ 5/5

State avg 4.2

Long-stay quality★★★★★ 5/5

Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 4.02 (state 3.82 · U.S. 3.86)
Registered nurses (RN): 0.84 (state 0.73 · U.S. 0.69)
Licensed practical nurses: 0.89 (state 0.78 · U.S. 0.86)
Nurse aides: 2.28 (state 2.31 · U.S. 2.32)
Weekend total: 3.56 (state 3.49 · U.S. 3.42)
Nursing staff turnover: 43.2 (state 41.4 · U.S. 45.8)%
RN turnover: 42.9 (state 46.0 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: July 31, 2025
Health deficiencies (last cycle): 5.0 (state 7.1 · U.S. 9.3)
From complaints: 2
Citations on record (3 years): 18 health · 2 fire safety

Date	Citation	Severity	Status
2026-06-13	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2026-06-13	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Deficient, Provider has no plan of correction
2025-07-31	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-08-31
2025-07-31	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-08-31
2025-07-31	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-08-31
2023-04-27	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-05-26
2023-04-27	Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-05-26
2023-04-27	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-05-26
2023-04-27	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. F0758 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-05-26
2023-04-27	Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. F0847 · Administration Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-05-26
2023-04-27	Provide a neutral and fair arbitration process and agree to arbitrator and venue. F0848 · Administration Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-05-26
2023-04-27	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-05-26
2023-04-27	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. F0625 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-05-26
2023-04-27	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-05-26
2023-04-27	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-05-26
2023-04-27	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. F0688 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-05-26
2023-04-27	Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-05-26
2023-04-27	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. F0801 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-05-26

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

Name	Role	Since
Smith, Kimberly (individual)	Corporate Director · NOT APPLICABLE
Ott, Dwight (individual)	Corporate Officer · NOT APPLICABLE
Ott, Gary (individual)	Corporate Officer · NOT APPLICABLE
Ott, Ryan (individual)	Corporate Officer · NOT APPLICABLE
Tender Loving Care Management INC (organization)	Operational/managerial Control · NOT APPLICABLE
Smith, Kimberly (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Blue Heron Health and Rehabilitation?

Blue Heron Health and Rehabilitation has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.3-star average in Florida.

How many beds does Blue Heron Health and Rehabilitation have?

It has 141 certified beds and cares for about 133 residents per day.

Has Blue Heron Health and Rehabilitation been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Blue Heron Health and Rehabilitation?

It is part of TLC Management and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Blue Heron Health and Rehabilitation?

(765) 664-5400. The facility is located at 5085 Eagleston Blvd, Wesley Chapel, FL 33544.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.