Inspection Reports for Blue Heron Assisted Living

5071 EAGLESTON BLVD, WESLEY CHAPEL, FL, 33544

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Inspection Report Summary

The most recent inspection on May 15, 2025, identified multiple Class 3 deficiencies related to admissions, resident care, medication, staffing, training, records, and background screening. Earlier inspections showed fewer issues, with a complaint investigation in March 2024 noting two Class 3 deficiencies involving medication storage and labeling, while routine inspections in 2023 and 2021 found no deficiencies. The main themes across citations involved medication management and staff training. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports, and no substantiated complaints were noted. The inspection history suggests an increase in identified deficiencies in the most recent report compared to prior mostly clean inspections.

Deficiencies (last 4 years)

Deficiencies (over 4 years) 3.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

28% better than Florida average
Florida average: 4.6 deficiencies/year

Deficiencies per year

12 9 6 3 0
2021
2023
2024
2025

Inspection Report

Routine
Deficiencies: 11 Date: May 15, 2025

Visit Reason
Multiple Class 3 deficiencies related to admissions, resident care, medication, staffing, training, records, and background screening.

Findings
Multiple Class 3 deficiencies related to admissions, resident care, medication, staffing, training, records, and background screening.

Deficiencies (11)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0160 — RECORDS - FACILITY
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Tag CZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Mar 26, 2024

Visit Reason
Two Class 3 deficiencies related to medication storage, disposal, and labeling.

Findings
Two Class 3 deficiencies related to medication storage, disposal, and labeling.

Deficiencies (2)
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0056 — MEDICATION - LABELING AND ORDERS

Inspection Report

Routine
Deficiencies: 0 Date: May 9, 2023

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Deficiencies: 0 Date: Dec 20, 2021

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Report

Reports Summary

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