What is Blue Heron Health and Rehabilitation's Medicare star rating?

CMS rates Blue Heron Health and Rehabilitation 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Blue Heron Health and Rehabilitation get at its last inspection?

3 health deficiencies at the standard inspection on July 31, 2025. The Florida average is 7.1.

Has Blue Heron Health and Rehabilitation been fined?

CMS lists no fines in the last three years.

Does Blue Heron Health and Rehabilitation accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Blue Heron Health and Rehabilitation?

CMS lists 6 owners and managers, and links the home to Tlc Management. Legal business name: BLUE HERON HEALTH AND REHABILITATION LLC.

Blue Heron Health and Rehabilitation: Inspections & Ratings

The record in brief

At its most recent standard inspection, on July 31, 2025, inspectors cited 3 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 18 health citations since July 2021 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.02 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.84 of those hours.

43.2% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Tlc Management, an affiliated group of 20 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

007/21

1304/23

307/25

206/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 18 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

11D

Potential for minimal harm

June 13, 2026Complaint inspection · 2 citations

D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 13, 2026

Inspectors wroteBased on interviews and record review, the facility failed to develop and/or implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime related to an allegation of sexual abuse for one resident (#5) out of three residents sampled.
D

Respond appropriately to all alleged violations.

F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 13, 2026

Inspectors wroteBased on interviews and record review, the facility failed to follow their own policy regarding conducting and documenting their investigation of an allegation of sexual abuse for one resident (#5) out of three sampled residents.

July 31, 2025Standard inspection · 3 citations

E

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 31, 2025

Inspectors wroteBased on record review and interview the facility failed to complete the Pre-admission Screening and Resident Review (PASARR) Level II for residents with qualifying mental health diagnosis for three residents (#17, #16, #8) of five residents reviewed for PASARRS. Review of Resident #17's medical record revealed the resident was admitted to facility on 12/11/2022 with diagnoses to include Alzheimer’s Disease, Unspecified; Dementia in other diseases classified elsewhere, Mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety; unspecified psychosis not due to a substance or known physiological condition; schizoaffective disorder, unspecified, Encephalopathy. Review of Resident #17's PASSAR level I screen dated 12/12/2022 revealed the qualifying diagnoses were not checked and recommendations for a level II PASARR were not acted upon. [...]
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2025

Inspectors wroteBased on interviews, observations, and record review the facility failed to implement a plan of care for a resident at risk for dehydration for one resident (#58) of one resident reviewed.
D

Provide enough food/fluids to maintain a resident's health.

F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2025

Inspectors wroteBased on interviews, observations, and record review the facility failed to ensure proper hydration was provided for one resident (#58) of one resident sampled.

April 27, 2023Standard inspection · 13 citations

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 26, 2023

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain the kitchen in an clean and sanitary manner.
F

Dispose of garbage and refuse properly.

F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 26, 2023

Inspectors wroteBased on observation, interview and record review, the facility failed to dispose of garbage and refuge in an appropriate manner.
E

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

F561 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 26, 2023

Inspectors wroteBased on observations, record reviews, and interviews the facility failed to ensure three (#196, #54, #349) out of 42 sampled residents were assessed for food and drink preferences, received meals as indicated on menu, and five (#21, #23, #52, #97,and #198) of five residents were offered to have meals in the facility's first floor dining room.
E

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.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 26, 2023

Inspectors wroteBased on interviews and record review, the facility failed to ensure behavior monitoring was in place related to psychotropic medication use for five residents (#76, #34, #85, #79, #14) out of five sampled residents.
E

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

F847 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 26, 2023

Inspectors wroteBased on record review and interview, the facility failed to ensure the binding arbitration agreement, explicitly informed the resident or their representative of the right not to sign and nor was contract contents understandable for three residents (#14, #41, and #349) of three residents sampled. The facility failed to offer an option to rescind the agreement within 30 days for one (Resident #14) of three sampled residents.
E

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

F848 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 26, 2023

Inspectors wroteBased on record review and interviews, the facility failed to ensure the arbitration agreement provided for the selection of a venue that was convenient to both parties for three (Resident #14, #41 and #349) of three sampled residents.
D

Reasonably accommodate the needs and preferences of each resident.

F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 26, 2023

Inspectors wroteBased on observations, interviews, and resident record review, it was determined the facility failed to ensure reasonable accommodations were made to ensure one resident (#41) of six residents reviewed was able to get up into a wheelchair instead of remaining bedbound due to the facility not providing an appropriate wheelchair.
D

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.

F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 26, 2023

Inspectors wroteBased on record review and interview, the facility failed to issue a bed-hold notice at the time of transfer to the hospital for 1 of 1 (#94) resident sampled for hospitalization.
D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 26, 2023

Inspectors wroteBased on observations, interview and record review, the facility failed to request a level II PASSR (pre admission screening and resident assessment) screen when documented diagnosis reflected the need for a level II PASSR screen for 1 of 1 (#63) residents sampled.
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 26, 2023

Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to revise the care plan for one (#85) out of four residents who suffered a fall that resulted in a hospitalization.
D

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.

F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 26, 2023

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure physician ordered splints were applied for one dependent resident (#48) of two sampled residents.
D

Ensure medication error rates are not 5 percent or greater.

F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 26, 2023

Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to ensure the medication error rate was less than 5.00%. Twenty-seven medication administration opportunities were observed and four errors were identified for two (#48 and #96) of seven residents observed. These errors constituted a 14.81% medication error rate.
D

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.

F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 26, 2023

Inspectors wroteBased on interview and record review, the facility failed to ensure that the Dietary Manager met the requirements related to Certification for the position of Dietary Manager when a qualified dietitian or nutrition professional was not employed full time.

July 12, 2021Standard inspection · 0 citations

Fire safety inspections

2 fire safety citations on file: 2 on April 27, 2023.

Every fire safety citation2 citations

D
Meet requirements for the installation and maintenance of electrical systems.

K 911 · April 27, 2023 · Corrected (the home has a date of correction)
D
Have proper medical gas storage and administration areas.

K 923 · April 27, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Florida	United States
All nursing staff (RN, LPN and aides)	4.02	3.82	3.86
Registered nurses	0.84	0.73	0.69
All nursing staff on weekends	3.56	3.49	3.42
Nurse aides	2.28
Licensed practical nurses	0.89
Nursing staff turnover (share who left in a year)	43.2%	41.4%	45.8%
Registered nurse turnover	42.9%	46.0%	42.9%
Administrators who left	0

CMS expects 4.17 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.20 on weekdays and 3.56 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.17 in April to June 2025 to 4.02 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	4.02	0.84	4.20	3.56	0.0%	0 of 90	133
Oct to Dec 2025	4.14	0.84	4.31	3.70	0.0%	0 of 92	134
Jul to Sep 2025	4.07	0.85	4.25	3.61	0.0%	0 of 92	131
Apr to Jun 2025	4.17	0.79	4.34	3.73	0.7%	0 of 91	133
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Florida, Jan to Mar 2026	3.76	0.70	3.90	3.44	1.1%	0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Florida	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	6.3	8.7	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.3	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	0.7	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	4.2	2.5	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.0	1.5	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	5.6	9.5	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	4.9	4.5	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	5.2	8.6	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	28.7	26.1	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	10.4	9.1	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	3.5	2.1	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.9	1.1	1.8

Owners and operators

Legal business name: BLUE HERON HEALTH AND REHABILITATION LLC. CMS links this home to Tlc Management, a group of 20 nursing homes averaging 3.8 stars overall.

Name	Role	Type	Since
Smith, Kimberly	W-2 managing employee	Individual	11/30/2020
Smith, Kimberly	Corporate director	Individual	11/30/2020
Ott, Dwight	Corporate officer	Individual	06/28/2017
Ott, Gary	Corporate officer	Individual	06/28/2017
Ott, Ryan	Corporate officer	Individual	06/28/2017
Tender Loving Care Management Inc	Operational/managerial control	Organization	06/28/2017

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on July 31, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on April 27, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on April 27, 2023: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on June 13, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."

Other nursing homes nearby

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Luxe at Lutz Rehabilitation Center (the)
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Tampa Lakes Health and Rehabilitation Center
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Solaris Healthcare Lake Zephyr
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Hillside Health and Rehabilitation Center
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Fairway Oaks Center
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Solaris Healthcare Zephyrhills
Zephyrhills, 11 mi · 5 of 5 stars · 18 citations

Florida contacts for a concern about a nursing home

These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.

Common questions

What is Blue Heron Health and Rehabilitation's Medicare star rating?: CMS rates Blue Heron Health and Rehabilitation 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Blue Heron Health and Rehabilitation get at its last inspection?: 3 health deficiencies at the standard inspection on July 31, 2025. The Florida average is 7.1.
Has Blue Heron Health and Rehabilitation been fined?: CMS lists no fines in the last three years.
Does Blue Heron Health and Rehabilitation accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Blue Heron Health and Rehabilitation?: CMS lists 6 owners and managers, and links the home to Tlc Management. Legal business name: BLUE HERON HEALTH AND REHABILITATION LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.