B82

BLUE HERON HEALTH AND REHABILITATION

Grade B 82/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
4/5
Health Insp.
3/5
Quality
5/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

141

Ownership

For profit - Limited Liability company

Total Fines

$10,709

Last Survey

N/A

5085 EAGLESTON BLVD, WESLEY CHAPEL, FL 33544
7656645400

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.75h
LPN
0.93h
CNA
1.94h
Total
3.63h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

OTT FAMILY TRUST

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2017

15%

OTT, DWIGHT

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2017

10%

OTT, GARY

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2017

52%

OTT, RYAN

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2017

13%

TENDER LOVING CARE MANAGEMENT INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jun 2017

SMITH, KIMBERLY

IndividualCORPORATE DIRECTORSince Nov 2020

OTT, DWIGHT

IndividualCORPORATE OFFICERSince Jun 2017

OTT, GARY

IndividualCORPORATE OFFICERSince Jun 2017

OTT, RYAN

IndividualCORPORATE OFFICERSince Jun 2017

SMITH, KIMBERLY

IndividualW-2 MANAGING EMPLOYEESince Nov 2020

Penalties & Fines (1)

$10,709total fines
DateTypeDescriptionAmount
Apr 27, 2023Fine$10,709

Health Inspection Deficiencies (17)

July 31, 2025Health3 deficiencies
0644EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Aug 31, 2025
0656DMinimal harm, Isolated

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

Corrected Aug 31, 2025
0692DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 31, 2025
April 27, 2023Health13 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected May 26, 2023
0625DMinimal harm, Isolated

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

Corrected May 26, 2023
0644DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected May 26, 2023
0657DMinimal harm, Isolated

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

Corrected May 26, 2023
0688DMinimal harm, Isolated

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

Corrected May 26, 2023
0758EMinimal harm, Pattern

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

Corrected May 26, 2023
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected May 26, 2023
0801DMinimal harm, Isolated

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

Corrected May 26, 2023
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected May 26, 2023
0814FMinimal harm, Widespread

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected May 26, 2023
0847EMinimal harm, Pattern

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

Administration Deficiencies

Corrected May 26, 2023
0848EMinimal harm, Pattern

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

Administration Deficiencies

Corrected May 26, 2023
0561EMinimal harm, Pattern

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

Resident Rights Deficiencies

Corrected May 26, 2023
March 9, 2023Health1 deficiency
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Apr 2, 2023

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Frequently Asked Questions

What is the CareGrader rating for BLUE HERON HEALTH AND REHABILITATION?

BLUE HERON HEALTH AND REHABILITATION in WESLEY CHAPEL, Florida has a CareGrader grade of B (Good), with a composite score of 81.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for BLUE HERON HEALTH AND REHABILITATION?

BLUE HERON HEALTH AND REHABILITATION has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does BLUE HERON HEALTH AND REHABILITATION have?

BLUE HERON HEALTH AND REHABILITATION has 17 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has BLUE HERON HEALTH AND REHABILITATION been fined?

Yes. BLUE HERON HEALTH AND REHABILITATION has $10,709 in total fines from CMS enforcement actions across 1 penalty.

How many beds does BLUE HERON HEALTH AND REHABILITATION have?

BLUE HERON HEALTH AND REHABILITATION has 141 certified beds with approximately 131 current residents (93% occupancy). The facility is located at 5085 EAGLESTON BLVD, WESLEY CHAPEL, Florida 33544. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.