BLUE HERON HEALTH AND REHABILITATION
Grade B — 82/100 composite score
CMS Star Ratings
Certified Beds
141
Ownership
For profit - Limited Liability company
Total Fines
$10,709
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
OTT FAMILY TRUST
15%
OTT, DWIGHT
10%
OTT, GARY
52%
OTT, RYAN
13%
TENDER LOVING CARE MANAGEMENT INC
SMITH, KIMBERLY
OTT, DWIGHT
OTT, GARY
OTT, RYAN
SMITH, KIMBERLY
Penalties & Fines (1)
| Date | Type | Description | Amount |
|---|---|---|---|
| Apr 27, 2023 | Fine | — | $10,709 |
Health Inspection Deficiencies (17)
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
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
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
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
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
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
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
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
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Administration Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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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.