With a score of 68 out of 100, Blue Heron Health And Rehabilitation earns a C grade — placing it near the middle of Florida nursing facilities. Families should review the detailed metrics below when considering this Wesley Chapel location.
Staffing at Blue Heron Health And Rehabilitation is near the national average, with 4.07 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 17 deficiencies at Blue Heron Health And Rehabilitation. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.07 | 3.8 | Average |
| Registered Nurses (RN) | 0.85 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 1.05 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.17 | 2.4 | Average |
| Weekend Total Nursing | 3.61 | 3.8 | Average |
| Weekend RN Hours | 0.64 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0644 Severity ECoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Jul 30, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jul 30, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0692 Severity DProvide enough food/fluids to maintain a resident's health.Jul 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Apr 26, 2023 · Nutrition and Dietary Deficiencies
- Tag 0814 Severity FDispose of garbage and refuse properly.Apr 26, 2023 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.8% | 4.5% | Better |
| Falls with major injury | 6.4% | 3.0% | Worse |
| On antipsychotic medication | 1.5% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 7.1% | 14.0% | Better |
| Excessive weight loss | 0.4% | 7.5% | Better |
| New/worsened incontinence | 28.5% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $10,709
How This Grade Was Calculated
This facility's grade of C is based on a score of 68 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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