BLUE HERON HEALTH AND REHABILITATION
5085 EAGLESTON BLVD
WESLEY CHAPEL, FL, 33544
7656645400
CCN: 106147
4
Overall3
Health3
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (5)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
1ST REHABILITATION OF PORT ST
1128b8
Excluded 2002-09-19
GATEWAY TO HEALTH REHABILITATI
1128b8
Excluded 2006-05-18
MT ZION MEDICAL REHABILITATION
1128Aa
Excluded 1998-01-31
NEUROMUSCULAR REHABILITATION
1128b8
Excluded 1998-01-20
REHABILITATION CENTER AT HOLLY
1128b5
Excluded 2018-11-20
Ownership
| Name | Role | % |
|---|---|---|
| OTT FAMILY TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% |
| OTT, DWIGHT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| OTT, GARY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 52% |
| OTT, RYAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% |
| SMITH, KIMBERLY | CORPORATE DIRECTOR | NOT APPLICABLE |
| OTT, DWIGHT | CORPORATE OFFICER | NOT APPLICABLE |
| OTT, GARY | CORPORATE OFFICER | NOT APPLICABLE |
| OTT, RYAN | CORPORATE OFFICER | NOT APPLICABLE |
| TENDER LOVING CARE MANAGEMENT INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SMITH, KIMBERLY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2023-04-27 | Fine | $11K |
Health Deficiencies (17)
2025-07-31 · Health
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
2023-04-27 · Health
E
F848 · Administration Deficiencies
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
E
F847 · Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F801 · Nutrition and Dietary Deficiencies
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
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
E
F758 · Pharmacy Service Deficiencies
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.
D
F688 · Quality of Life and Care Deficiencies
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
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F625 · Resident Rights Deficiencies
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.
E
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2023-03-09 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.07
RN Hrs/Resident/Day0.54
0.85
LPN Hrs/Resident/Day0.81
1.05
CNA Hrs/Resident/Day2.33
2.17
PT Hrs/Resident/Day0.12
0.07
Data as of 2026-03-01