Blue Heron Health and RehabilitationCMS ratings, inspections and fines
- Address
- 5085 Eagleston Blvd, Wesley Chapel, FL 33544
- CCN
- 106147
- Ownership type
- For-profit, limited liability company
- Certified beds
- 141
- Chain
- TLC Management
- Residents per day
- 133
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Blue Heron Health and Rehabilitation an overall rating of 4 of 5 stars. The last standard survey was on 31 Jul 2025. The latest survey cycle has 5 health citations. The median for nursing homes in Florida is 6. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Pasco County median | Florida median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 18 homes in the county, 694 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Florida median |
|---|---|---|---|
| Cycle 1 (latest) | 31 Jul 2025 | 5 | 6 |
| Cycle 2 | 27 Apr 2023 | 13 | 6 |
| Cycle 3 | No date | 0 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 13 Jun 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 31 Jul 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard survey | 31 Aug 2025 |
| 31 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 31 Aug 2025 |
| 31 Jul 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 31 Aug 2025 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Apr 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 26 May 2023 |
| 27 Apr 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 26 May 2023 |
| 27 Apr 2023 | F0625 | 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 | Standard survey | 26 May 2023 |
| 27 Apr 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 26 May 2023 |
| 27 Apr 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 26 May 2023 |
| 27 Apr 2023 | F0688 | 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 | Standard survey | 26 May 2023 |
| 27 Apr 2023 | F0758 | 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 | Standard survey | 26 May 2023 |
| 27 Apr 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 26 May 2023 |
| 27 Apr 2023 | F0801 | 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 | Standard survey | 26 May 2023 |
| 27 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 May 2023 |
| 27 Apr 2023 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 26 May 2023 |
| 27 Apr 2023 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 26 May 2023 |
| 27 Apr 2023 | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | E | Standard survey | 26 May 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Florida median | Florida average (CMS) |
|---|---|---|---|
| All nurse staff | 4.02 | 3.60 | 3.82 |
| Registered nurses (RN) | 0.84 | 0.60 | 0.73 |
| Licensed practical nurses (LPN) | 0.89 | 0.78 | |
| Nurse aides | 2.28 | 2.31 | |
| All nurse staff, weekends | 3.56 | 3.30 | 3.49 |
- Nurse staff turnover in a year
- 43.2%
- Nurse staff turnover, Florida median
- 41.8%
- RN turnover in a year
- 42.9%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Florida median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.3% | 7.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.2% | 2.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.6% | 7.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.2% | 7.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Blue Heron Health and Rehabilitation LLC
- Chain
- TLC Management (20 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Tender Loving Care Management Inc | Operational/managerial control | 28 Jun 2017 |
The site shows organisations only. It does not show the names of persons.
Other homes in Pasco County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Baldomero Lopez Memorial Veterans Nursing Home | Land O Lakes | 5 of 5 | 3 | $0 | 25 Jan 2024 | |
| Solaris Healthcare Lake Zephyr | Zephyrhills | 3 of 5 | 5 | $0 | 30 Jul 2024 | |
| Hillside Health and Rehabilitation Center | Zephyrhills | 3 of 5 | 15 | $0 | 20 May 2026 | |
| Solaris Healthcare Zephyrhills | Zephyrhills | 5 of 5 | 3 | $0 | 15 May 2025 | |
| Royal Oak Nursing Center | Dade City | 4 of 5 | 7 | $0 | 28 Mar 2024 | |
| Dade City Health and Rehabilitation CenterSpecial Focus candidate | Dade City | 1 of 5 | 17 | $84,812 | 25 Apr 2024 | |
| Trinity Regional Rehab Center | Trinity | 1 of 5 | 10 | $26,685 | 21 Nov 2024 | |
| Life Care Center of New Port Richey | New Port Richey | 4 of 5 | 10 | $0 | 5 Mar 2025 | |
| Bear Creek Nursing Center | Hudson | 2 of 5 | 6 | $34,053 | 14 Mar 2024 | |
| Nursing & Rehabilitation Center of New Port Richey | New Port Richey | 1 of 5 | 13 | $0 | 5 Dec 2024 | |
| Aspire at Ridge Haven | New Port Richey | 3 of 5 | 8 | $0 | 11 Jan 2024 | |
| Heather Hill Healthcare Center | New Port Richey | 2 of 5 | 10 | $0 | 6 Jun 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Blue Heron Health and Rehabilitation (CCN 106147). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/blue-heron-health-and-rehabilitation-wesley-chapel-fl-106147/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Blue Heron Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 13 Jun 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 27 Apr 2023.
- Who operates Blue Heron Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain TLC Management. The CMS ownership file names Tender Loving Care Management Inc for operational or managerial control. This site does not show the names of persons.
- Is Blue Heron Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Florida as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.