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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasBluebonnet Nursing and Rehabilitation

Bluebonnet Nursing and Rehabilitation

696 Fm 99, Karnes City, TX 781188307803944
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
4/5
Beds
120
certified
3 fine(s) totaling $89,538

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 120 certified beds with an average of 42.2 residents per day (35% occupancy)

• Last health inspection found 12 deficiencies (inspected Aug 22, 2025)

• Has been fined a total of $89,538 across 3 fine(s)

• Total nursing staff: 3.02 hours per resident per day

• Staff turnover rate: 66.7% (high)

• Part of the Creative Solutions in Healthcare chain (149 facilities)

Bluebonnet Nursing and Rehabilitation is a 1-star Medicare and Medicaid certified nursing home in Karnes City, Texas with 120 certified beds. It has been operating since 1994. The facility scored below average compared to Texas facilities.

Beds
120
Avg Residents/Day
42.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 28, 1994
Sprinklers
Yes
Council
Resident
County
Karnes
Last Inspection
Aug 22, 2025
Deficiencies (Cycle 1)
12
Weighted Score
135.0
Infection Citations
0

Deficiency Citations (32)

F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0693Potential for Harm

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.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Jun 7, 2025Corrected: NoCycle: 1
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0657Potential 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.

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0690Potential 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.

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0761Potential 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.

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Nov 27, 2024Corrected: NoCycle: 2
F0690Potential 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.

Survey: Nov 27, 2024Corrected: NoCycle: 2
F0761Potential 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.

Survey: Nov 27, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 27, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 1, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 9, 2024Corrected: NoCycle: 2
F0580Immediate Jeopardy

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Feb 26, 2024Corrected: NoCycle: 2
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Feb 26, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Jul 19, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Jul 19, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 19, 2024Corrected: NoCycle: 2
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Jul 19, 2024Corrected: NoCycle: 2
F0578Potential for Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Dec 29, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Dec 29, 2023Corrected: NoCycle: 3
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Dec 29, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 29, 2023Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jun 14, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jun 14, 2023Corrected: NoCycle: 3

+ 2 more deficiencies

Total Fines
$89,538
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineApr 9, 2024
$16,801
FineJun 1, 2024
$31,760
FineFeb 26, 2024
$40,977

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.44 hrs
National avg: 2.35 hrs
LPN1.24 hrs
National avg: 0.86 hrs
RN0.35 hrs
National avg: 0.68 hrs
Total Nursing3.02 hrs
National avg: 3.89 hrs
Weekend Total2.56 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
66.7%
RN Turnover
0.0%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
HONOR X ENTERPRISES, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jan 1, 2020
BLAKE, GARY5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%Jan 1, 2021
BLAKE, MALISA5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%Jan 1, 2021
CREATIVE SOLUTIONS IN HEALTHCARE INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 1, 2021
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2021
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2021
HUGGINS, LINDAW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2021

Frequently Asked Questions

What is the CMS rating for Bluebonnet Nursing and Rehabilitation?▾
Bluebonnet Nursing and Rehabilitation has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
Has Bluebonnet Nursing and Rehabilitation had any health inspection violations?▾
Bluebonnet Nursing and Rehabilitation had 12 deficiency citations in its most recent health inspection (Aug 22, 2025). The facility has been fined a total of $89,538 across 3 fine(s).
What are the staffing levels at Bluebonnet Nursing and Rehabilitation?▾
Bluebonnet Nursing and Rehabilitation provides 3.02 total nursing staff hours per resident per day, including 0.35 RN hours, 1.24 LPN hours, and 1.44 nurse aide hours. The total staff turnover rate is 66.7%.
How many beds does Bluebonnet Nursing and Rehabilitation have?▾
Bluebonnet Nursing and Rehabilitation has 120 certified beds with an average of 42.2 residents per day, resulting in approximately 35% occupancy. The facility is For profit - Corporation owned and is part of the Creative Solutions in Healthcare chain.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →