Bluebonnet Nursing and Rehabilitation
696 Fm 99 · Karnes City, TX · 78118 · 8307803944
120 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $16,350 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 2.84 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 4 · $105,888 |
Inspection citations (39 in the current record)
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Potential for harm · E April 24, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 25, 2026 · Quality of Life and Care
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Actual harm · G April 9, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 16, 2026 · Quality of Life and Care
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Potential for harm · D April 9, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 9, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 25, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · F March 25, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 26, 2026 · Pharmacy Service
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Potential for harm · D March 25, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · D August 22, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 23, 2025 · Resident Rights
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Potential for harm · D August 22, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 22, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 22, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 23, 2025 · Quality of Life and Care
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Potential for harm · D August 22, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 23, 2025 · Pharmacy Service
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Potential for harm · D August 22, 2025
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.
Corrected August 23, 2025 · Pharmacy Service
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Potential for harm · D August 22, 2025
Provide and implement an infection prevention and control program.
Corrected August 23, 2025 · Infection Control
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Potential for harm · D August 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 23, 2025 · Quality of Life and Care
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Potential for harm · D August 22, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 23, 2025 · Quality of Life and Care
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Potential for harm · D August 6, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 8, 2025 · Resident Rights
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Potential for harm · D August 6, 2025 · found via complaint
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.
Corrected August 8, 2025 · Quality of Life and Care
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Potential for harm · D June 7, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 27, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected November 28, 2024 · Resident Rights
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Potential for harm · D November 27, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 28, 2024 · Quality of Life and Care
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Potential for harm · D November 27, 2024 · found via complaint
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.
Corrected November 28, 2024 · Pharmacy Service
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Potential for harm · E November 27, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 28, 2024 · Infection Control
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Potential for harm · D July 19, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 20, 2024 · Resident Rights
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Potential for harm · E July 19, 2024
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.
Corrected July 20, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 9, 2026 | Fine | $16,350 |
| June 1, 2024 | Fine | $31,760 |
| April 9, 2024 | Fine | $16,801 |
| February 26, 2024 | Fine | $40,977 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675306 · certified since March 28, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.