BLUE HERON HEALTH AND REHABILITATION
5085 EAGLESTON BLVD, WESLEY CHAPEL, FL 33544 · CCN 106147
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 141
- Avg residents/day
- 131.4
- Phone
- 7656645400
Inspection history vs Florida & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Florida avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-31 | 3 | 7.3 | 9.5 | -4.3 better |
| 2 | 2023-04-27 | 13 | 6.3 | 9.8 | +6.7 worse |
| 3 | 2021-07-12 | 1 | 6.0 | 9.3 | -5.0 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.07 | 39.9% |
| RN staffing (reported) | 0.85 | 35.7% |
| Total nurse staffing (adjusted) | 3.63 | — |
Fines & penalties
- Total fines
- $10,709
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- TLC MANAGEMENT
- Facilities in chain
- 20
- Chain avg overall
- 4.00 / 5
Inspection citations (17)
- EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-07-31 · Health · corrected 2025-08-31
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-31 · Health · corrected 2025-08-31
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-07-31 · Health · corrected 2025-08-31
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-04-27 · Health · corrected 2023-05-26
Potential for more than minimal harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-04-27 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0625Notify 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.2023-04-27 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-04-27 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-04-27 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0688Provide 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.2023-04-27 · Health · corrected 2023-05-26
Potential for more than minimal harm
- EF0758Implement 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.2023-04-27 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-04-27 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-04-27 · Health · corrected 2023-05-26
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-27 · Health · corrected 2023-05-26
Potential for more than minimal harm
- FF0814Dispose of garbage and refuse properly.2023-04-27 · Health · corrected 2023-05-26
Potential for more than minimal harm
- EF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2023-04-27 · Health · corrected 2023-05-26
Potential for more than minimal harm
- EF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2023-04-27 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-09 · Health · corrected 2023-04-02
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| OTT, GARY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 52% | 2017-06-28 |
| OTT FAMILY TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | 2017-06-28 |
| OTT, RYAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% | 2017-06-28 |
| OTT, DWIGHT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2017-06-28 |
| OTT, GARY | Individual | CORPORATE OFFICER | — | 2017-06-28 |
| OTT, RYAN | Individual | CORPORATE OFFICER | — | 2017-06-28 |
| SMITH, KIMBERLY | Individual | W-2 MANAGING EMPLOYEE | — | 2020-11-30 |
| TENDER LOVING CARE MANAGEMENT INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-06-28 |
| SMITH, KIMBERLY | Individual | CORPORATE DIRECTOR | — | 2020-11-30 |
| OTT, DWIGHT | Individual | CORPORATE OFFICER | — | 2017-06-28 |
Other facilities in WESLEY CHAPEL
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.