Nursing HomeInspections

Blue Heron Health and Rehabilitation

Nursing home in Wesley Chapel, FL

Medicare & Medicaid certified4★ overall (CMS)

Call (765) 664-5400Send a messageMap ↗

Public-record details

Address
5085 Eagleston Blvd, Wesley Chapel, FL 33544
Phone
(765) 664-5400
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
106147
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
141
Average residents per day
133
Ownership
For-profit, limited Liability company
Legal business name
Blue Heron Health and Rehabilitation LLC
Chain
Tlc Management (20 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 12, 2021
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 106147. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 31, 2025. CMS lists 18 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 27, 2023 to Jun 13, 2026): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 13, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 13, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 31, 2025Develop 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		D
Potential for more than minimal harm, isolated
Jul 31, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 31, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Apr 27, 2023Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 27, 2023Notify 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		D
Potential for more than minimal harm, isolated
Apr 27, 2023Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 27, 2023Develop 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		D
Potential for more than minimal harm, isolated
Apr 27, 2023Provide 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		D
Potential for more than minimal harm, isolated
Apr 27, 2023Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 27, 2023Employ 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		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 18. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.02 hours
Registered nurse (RN) time per resident per day
0.84 hours
Nurse aide time per resident per day
2.28 hours
Total nurse staffing on weekends
3.56 hours
Nursing staff turnover (yearly)
43%
RN turnover (yearly)
43%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.