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.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
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.