For profit - Corporation ·
120 certified beds ·
Medicare and Medicaid
· Part of Creative Solutions In Healthcare (149 facilities)
1
Overall CMS Rating
★☆☆☆☆
Bluebonnet Nursing And Rehabilitation is a Medicare-certified nursing home in Karnes City, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.02 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Aug 22, 2025 cited 12 deficiencies.
3 fines totaling $89,538 in CMS records.
3 total penalties
Not SLA EnrolledThis facility hasn't enrolled in resident survey verification. Learn about enrollment →
CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★☆☆☆☆ 1/5
Health Inspections
★★☆☆☆ 2/5
Staffing
★☆☆☆☆ 1/5
Quality Measures
★★★★☆ 4/5
Long-Stay QM
★★★★☆ 4/5
Short-Stay QM
No data
How Bluebonnet Nursing And Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
Metric
This facility
Texas avg
National avg
Total nurse staffing (hrs/resident/day)
3.02
3.40
3.89
below avg
RN staffing (hrs/resident/day)
0.35
0.44
0.68
below avg
Aide staffing (hrs/resident/day)
1.44
2.01
2.34
below avg
Nursing staff turnover
66.7%
51.5%
46.4%
above avg
Deficiencies cited, last inspection
12.0
9.1
9.5
above avg
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
3.02
Total Nurse Hrs/Resident/Day
0.35
RN Hrs/Resident/Day
1.24
LPN Hrs/Resident/Day
1.44
Aide Hrs/Resident/Day
2.56
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
66.7%
Registered Nurses—
Administrator Changes2 in last year
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Aug 22, 2025
Most Recent Inspection Date
12
Total Deficiencies Found
48
Health Inspection Score
3
Number of Fines
What inspectors found at Bluebonnet Nursing And Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies · Mar 25, 2026
Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies · Mar 25, 2026
Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies · Mar 25, 2026
Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies · Aug 22, 2025
Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies · Aug 22, 2025
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Aug 22, 2025
Potential for harm
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.Pharmacy Service Deficiencies · Aug 22, 2025
Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies · Aug 22, 2025
Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care Deficiencies · Aug 22, 2025
Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care Planning Deficiencies · Aug 22, 2025
Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies · Aug 22, 2025
Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.Resident Rights Deficiencies · Aug 22, 2025
About This Facility
Address
696 Fm 99 Karnes City, TX 78118
CMS Certification #
675306
Ownership
For profit - Corporation
Certified Beds
120
Avg Residents/Day
42.2
Provider Type
Medicare and Medicaid
First Certified
1994-03-28
Chain
Creative Solutions In Healthcare (149 facilities)
Setting
Rural
Part of Creative Solutions In Healthcare
149
Facilities Nationwide
Creative Solutions In Healthcare operates 149 nursing facilities across the United States.
CMS gives Bluebonnet Nursing And Rehabilitation an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Bluebonnet Nursing And Rehabilitation reports 3.02 total nurse hours per resident per day, compared with the Texas average of 3.40.
Its most recent CMS inspection cited 12 deficiencies.
Bluebonnet Nursing And Rehabilitation is certified for 120 beds.
Admissions at Bluebonnet Nursing And Rehabilitation
For admissions, availability and rehab questions, call (830) 780-3944. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
