Bluebonnet Point Wellness
151 Heritage Springs Drive · Bullard, TX · 75757 · 4302052024
119 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $181,649 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 the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$181,649 in federal fines in the last 24 months
5 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.64 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 2.35 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 5 · $181,649 |
Inspection citations (34 in the current record)
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Potential for harm · D January 15, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 16, 2026 · Resident Rights
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Potential for harm · D January 15, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 16, 2026 · Resident Rights
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Potential for harm · D January 15, 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 January 16, 2026 · Pharmacy Service
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Potential for harm · D August 13, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected September 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 13, 2025
Ensure each resident receives an accurate assessment.
Corrected September 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 13, 2025
Provide and implement an infection prevention and control program.
Corrected September 1, 2025 · Infection Control
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Immediate jeopardy · K July 28, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Past Non-Compliance · Resident Rights
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Immediate jeopardy · K July 28, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Past Non-Compliance · Pharmacy Service
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Immediate jeopardy · J July 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 29, 2025 · Quality of Life and Care
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Immediate jeopardy · J July 11, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected June 29, 2025 · Pharmacy Service
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Potential for harm · E July 11, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected July 13, 2025 · Resident Rights
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Actual harm · G April 8, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 9, 2025 · Quality of Life and Care
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Potential for harm · D April 8, 2025 · 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 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 8, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 9, 2025 · Quality of Life and Care
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Potential for harm · D April 8, 2025 · 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 April 9, 2025 · Pharmacy Service
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Potential for harm · D April 8, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 9, 2025 · Infection Control
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Immediate jeopardy · K January 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 25, 2025 · Quality of Life and Care
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Potential for harm · D January 24, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 25, 2025 · Resident Rights
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Potential for harm · D January 24, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 24, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 25, 2025 · Quality of Life and Care
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Potential for harm · E January 24, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 25, 2025 · Infection Control
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Potential for harm · D August 9, 2024 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected September 10, 2024 · Resident Rights
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Potential for harm · D August 9, 2024 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected September 10, 2024 · Resident Rights
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Potential for harm · D August 9, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 9, 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 September 10, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 28, 2025 | Fine | $16,981 |
| July 11, 2025 | Fine | $16,442 |
| July 11, 2025 | Fine | $16,442 |
| April 8, 2025 | Fine | $11,781 |
| January 24, 2025 | Fine | $120,003 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676494 · certified since November 17, 2020. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.