Nursing homes › Florida › Blue Heron Health and Rehabilitation
5085 Eagleston Blvd, Wesley Chapel, FL 33544 · 7656645400 · 141 certified beds
Per CMS filings, this facility is affiliated with Tlc Management, a group operating 20 facilities in 3 states. Group record: average rating 3.8/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $8,824 in federal fines. This facility rates above its group average (3.8/5).
Total nurse staffing: 4.02 (Florida median: 3.63). RN hours: 0.84. Weekend total: 3.56. Nursing staff turnover: 43%.
All-time on record: 16 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-07-31 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Health | 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. | D | Health | corrected 2025-08-31 |
| 2025-07-31 | Provide enough food/fluids to maintain a resident's health. | D | Health | 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. | F | Health | corrected 2023-05-26 |
| 2023-04-27 | Dispose of garbage and refuse properly. | F | Health | 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. | E | Health | 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. | E | Health | corrected 2023-05-26 |
| 2023-04-27 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Health | corrected 2023-05-26 |
| 2023-04-27 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | E | Health | corrected 2023-05-26 |
| 2023-04-27 | Reasonably accommodate the needs and preferences of each resident. | D | Health | 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. | D | Health | corrected 2023-05-26 |
| 2023-04-27 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2023-05-26 |
| 2023-04-27 | Ensure medication error rates are not 5 percent or greater. | D | Health | 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. | D | Health | corrected 2023-05-26 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SMITH, KIMBERLY | Corporate Director | Individual | NOT APPLICABLE | since 11/30/2020 |
| OTT, DWIGHT | Corporate Officer | Individual | NOT APPLICABLE | since 06/28/2017 |
| OTT, GARY | Corporate Officer | Individual | NOT APPLICABLE | since 06/28/2017 |
| OTT, RYAN | Corporate Officer | Individual | NOT APPLICABLE | since 06/28/2017 |
| TENDER LOVING CARE MANAGEMENT INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/28/2017 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 106147. Corrections: data@carerecords.org.