Blue Heron Health And Rehabilitation

Name: Blue Heron Health And Rehabilitation: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Wesley Chapel, Pasco County, Florida · CCN 106147 · For-profit (LLC) · part of Tlc Management (20 facilities, chain average 3.8 stars)

CMS rates Blue Heron Health And Rehabilitation 4 of 5 overall as of August 2026. 141 certified beds, 133 residents a day on average. 18 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	★★★★☆ 4 of 5
Health inspections	★★★☆☆ 3 of 5
Staffing	★★★★☆ 4 of 5
Quality measures	★★★★★ 5 of 5
Quality: long-stay / short-stay	5 / 4 of 5

Staffing

Total nurse staffing	4.01841 hours per resident per day
Registered nurses	0.84462 hours per resident per day
Weekend total	3.56432 hours per resident per day
Nursing staff turnover	43.2% (registered nurses 42.9%)
Administrators who left	0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2026-06-13 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has no plan of correction
2026-06-13 complaint survey	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610	D No actual harm, with potential for more than minimal harm; isolated	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. Resident Assessment and Care Planning Deficiencies · tag F0644	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-31
2025-07-31	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2023-05-26
2023-04-27	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0561	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0758	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-05-26
2023-04-27	Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · tag F0847	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-05-26
2023-04-27	Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · tag F0848	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-05-26
2023-04-27	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0625	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-05-26
2023-04-27	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0657	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 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. Quality of Life and Care Deficiencies · tag F0688	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-05-26
2023-04-27	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0801	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-05-26

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
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
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

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Blue Heron Health And Rehabilitation.

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Pasco County.