Texas › Karnes County › Karnes City
Bluebonnet Nursing & Rehabilitation
696 Fm 99, Karnes City, TX 78118
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Bluebonnet Nursing & Rehabilitation is a For-profit, corporation nursing home in Karnes City, Texas, certified for 120 beds and caring for about 37 residents a day.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 2.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (21, 9, 12 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 35.0 per 100 beds, more than the state median of 22.5.
CMS lists 5 penalties in the period covered: fines totalling $126K.
Reported nurse staffing is 3.4 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 91.4%.
Compared with county, state and nation
| Measure | This facility | Karnes Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 42 | 20 | 25 | 28.7 |
| Citations per 100 beds | 35.0 | 33.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 91.4% | 91.4% | 52.1% | 45.8% |
| Fines listed | $125,523 | $8,173 | $16,801 | — |
County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Aug 2025, 19 Jul 2024.
Severity mix: J ×2 K ×2 G ×2 D ×26 E ×9 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 20 May 2026 |
| 3 Jun 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 4 Jun 2026 |
| 3 Jun 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 4 Jun 2026 |
| 24 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 25 Apr 2026 |
| 9 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 16 Mar 2026 |
| 9 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 10 Apr 2026 |
| 9 Apr 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 10 Apr 2026 |
| 25 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Complaint investigation | 26 Mar 2026 |
| 25 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 26 Mar 2026 |
| 25 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 26 Mar 2026 |
| 22 Aug 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 23 Aug 2025 |
| 22 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 23 Aug 2025 |
| 22 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 23 Aug 2025 |
| 22 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 Aug 2025 |
| 22 Aug 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 23 Aug 2025 |
| 22 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 23 Aug 2025 |
| 22 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 23 Aug 2025 |
| 22 Aug 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 23 Aug 2025 |
| 22 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Aug 2025 |
| 6 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 8 Aug 2025 |
| 6 Aug 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 8 Aug 2025 |
| 7 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 10 Jul 2025 |
| 27 Nov 2024 | F0583 | Keep residents' personal and medical records private and confidential. | E | Complaint investigation | 28 Nov 2024 |
| 27 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 28 Nov 2024 |
| 27 Nov 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 28 Nov 2024 |
| 27 Nov 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 28 Nov 2024 |
| 19 Jul 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 20 Jul 2024 |
| 19 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Jul 2024 |
| 19 Jul 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 20 Jul 2024 |
| 19 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 20 Jul 2024 |
| 1 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 2 Jun 2024 |
| 9 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 18 Jan 2024 |
| 26 Feb 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | Complaint investigation | 27 Feb 2024 |
| 26 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint investigation | 27 Feb 2024 |
| 29 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 30 Dec 2023 |
| 29 Dec 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 27 Dec 2023 |
| 29 Dec 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Complaint investigation | 30 Dec 2023 |
| 29 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 30 Dec 2023 |
| 14 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Jun 2023 |
| 14 Jun 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Jun 2023 |
| 14 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Jun 2023 |
| 14 Jun 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 15 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Jun 2026 | Fine | $19,635 | |
| 9 Apr 2026 | Fine | $16,350 | |
| 1 Jun 2024 | Fine | $31,760 | |
| 9 Apr 2024 | Fine | $16,801 | |
| 26 Feb 2024 | Fine | $40,977 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 91.4%, RNs 80.0%; 3 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.2% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.6% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Karnes I Enterprises, Llc. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Creative Solutions In Healthcare Inc | Operational/managerial control | NOT APPLICABLE | 01/01/2021 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Karnes County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| John Paul II Nursing Home | Kenedy | 58 | 5 | 5 | 3 | 9 | 15.5 | — | 12 Sep 2025 |
| Kenedy Health & Rehabilitation | Kenedy | 60 | 1 | 3 | 1 | 20 | 33.3 | $8K | 28 Jun 2026 |
All 3 facilities in Karnes County
Questions and answers
How many deficiencies has Bluebonnet Nursing & Rehabilitation been cited for?
42 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Bluebonnet Nursing & Rehabilitation been fined?
Yes. CMS lists fines totalling $126K in the period covered.
How does staffing at Bluebonnet Nursing & Rehabilitation compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Bluebonnet Nursing & Rehabilitation?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Creative Solutions In Healthcare Inc. Individual owners and managers are not listed on this site.
When was Bluebonnet Nursing & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 3 Jun 2026; the most recent standard health survey was 22 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.