Bluebonnet Nursing & Rehabilitation
696 Fm 99, Karnes City, TX 78118 · Karnes County
For-profit · 120 certified beds · 31% occupancy · (830) 780-3944
Bluebonnet Nursing & Rehabilitation reviews: what the government record shows
The U.S. government (CMS) rates Bluebonnet Nursing & Rehabilitation 1 out of 5 stars overall, much below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 4 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 3.40 hrs/resident/day (+4% vs TX median)
- Antipsychotic drug use
- 11.6% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 1.3% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $125,523
- Inspection findings
- 42 cited, 4 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Strengths
- ✓Nurse staffing of 3.40 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Cited for 4 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $125,523 in federal fines in roughly the last three years.
- !Pressure-ulcer (bedsore) rate of 6.9% is well above the Texas median of 3.3%.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
- ·How often are residents repositioned, and who checks skin daily?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Bluebonnet Nursing & Rehabilitation
Is Bluebonnet Nursing & Rehabilitation a good nursing home?
Bluebonnet Nursing & Rehabilitation in Karnes City, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Bluebonnet Nursing & Rehabilitation staffed?
Bluebonnet Nursing & Rehabilitation reports 3.40 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Bluebonnet Nursing & Rehabilitation been fined or flagged for abuse?
Bluebonnet Nursing & Rehabilitation has paid approximately $125,523 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.40 nurse hours per resident per day. 4% above the Texas median of 3.27.
Nursing staff turnover: 91.4% · RN turnover: 80%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Actual harmTag F0689 · Jun 3, 2026ComplaintCorrected May 20, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Actual harmTag F0684 · Apr 9, 2026ComplaintCorrected Mar 16, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Potential for harmTag F0755 · Mar 25, 2026ComplaintCorrected Mar 26, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0686 · Apr 24, 2026ComplaintCorrected Apr 25, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
- Potential for harmTag F0558 · Jun 3, 2026ComplaintCorrected Jun 4, 2026
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
- Potential for harmTag F0842 · Jun 3, 2026ComplaintCorrected Jun 4, 2026
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
- Potential for harmTag F0656 · Apr 9, 2026ComplaintCorrected Apr 10, 2026
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
- Potential for harmTag F0842 · Apr 9, 2026ComplaintCorrected Apr 10, 2026
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
- Potential for harmTag F0656 · Mar 25, 2026ComplaintCorrected Mar 26, 2026
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
- Potential for harmTag F0842 · Mar 25, 2026ComplaintCorrected Mar 26, 2026
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
Showing the 10 most recent and serious of 42 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - corporation). It is part of the Creative Solutions In Healthcare chain, which operates 149 facilities, with a chain-average CMS rating of 2.1 stars.