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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

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
2/5
Beds
120
certified
5 fine(s) totaling $125,523

How Bluebonnet Nursing and Rehabilitation Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
1/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.40 hrs/day
TX average
3.39 hrs/day
Close to state average
RN hours per resident
0.30 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
91.4%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 1/5 health inspection rating is below the Texas average of 2.8/5.
Reported RN time is 0.30 hours per resident per day, below the state average of 0.43.
Staff turnover is 91.4%, higher than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
17
deficiency citations
Inspected Jul 19, 2024
Most recent cycle
18
deficiency citations
Inspected Aug 22, 2025
The most recent cycle recorded 1 more deficiency citation than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Karnes County 65+
2,136
14.4% of county
County Population
14,805
Karnes County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 1 out of 5.

Beds
120
Avg Residents/Day
37.4
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)
18
Weighted Score
178.0
Infection Citations
0

Deficiency Citations (39)

F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0684Actual Harm

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

Survey: Apr 9, 2026Corrected: 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: Apr 9, 2026Corrected: 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: Apr 9, 2026Corrected: 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: Mar 25, 2026Corrected: 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: Mar 25, 2026Corrected: 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: Mar 25, 2026Corrected: 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
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
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
F0695Potential for Harm

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

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
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: 2
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

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

Provide and implement an infection prevention and control program.

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
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
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
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: 3
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: 3
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: 3

+ 9 more deficiencies

Total Fines
$125,523
Number of Fines
5
Payment Denials
0
Total Penalties
5

Penalty History

FineApr 9, 2026
$16,350
FineApr 9, 2024
$16,801
FineJun 3, 2026
$19,635
FineJun 1, 2024
$31,760
FineFeb 26, 2024
$40,977

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

Nurse Aide1.81 hrs
National avg: 2.32 hrs
LPN1.29 hrs
National avg: 0.86 hrs
RN0.30 hrs
National avg: 0.69 hrs
Total Nursing3.40 hrs
National avg: 3.86 hrs
Weekend Total2.63 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
91.4%
RN Turnover
80.0%
Administrators Left
3

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (4)

NameRoleTypeOwnership %Since
HUGGINS, LINDAW-2 MANAGING EMPLOYEEIndividualN/AJan 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

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Bluebonnet Nursing and Rehabilitation and nearby alternatives.

All Texas facilities
Bluebonnet Nursing and Rehabilitation
Karnes City, TXCurrent facility
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $125,523
John Paul II Nursing Home
Kenedy, TX10.5 mi
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
Kenedy Health & Rehabilitation
Kenedy, TX10.5 mi
CMS
2/5
Health
4/5
Staffing
1/5
Recorded fines: $8,173
Frank M. Tejeda Texas State Veterans Home
Floresville, TX21.9 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: None
Harmony Care at Floresville
Floresville, TX22.2 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $87,066
Prairie Meadows Rehabilitation and Healthcare Cent
Floresville, TX22.7 mi
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $43,522
Pleasanton North Nursing and Rehabilitation
Pleasanton, TX29.5 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $167,869
FacilityDistanceCMSHealthStaffingRecorded fines
Bluebonnet Nursing and Rehabilitation
Karnes City, TX · Current facility
—1/51/51/5$125,523
John Paul II Nursing Home
Kenedy, TX
10.5 mi5/55/53/5None recorded
Kenedy Health & Rehabilitation
Kenedy, TX
10.5 mi2/54/51/5$8,173
Frank M. Tejeda Texas State Veterans Home
Floresville, TX
21.9 mi5/54/54/5None recorded
Harmony Care at Floresville
Floresville, TX
22.2 mi2/53/51/5$87,066
Prairie Meadows Rehabilitation and Healthcare Cent
Floresville, TX
22.7 mi1/51/53/5$43,522
Pleasanton North Nursing and Rehabilitation
Pleasanton, TX
29.5 mi1/51/52/5$167,869

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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 1/5, staffing rating of 1/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Bluebonnet Nursing and Rehabilitation cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Bluebonnet Nursing and Rehabilitation participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Bluebonnet Nursing and Rehabilitation had any health inspection violations?▾
Bluebonnet Nursing and Rehabilitation had 18 deficiency citations in its most recent health inspection (Aug 22, 2025). The current CMS dataset records 5 fine(s) totaling $125,523.
What are the staffing levels at Bluebonnet Nursing and Rehabilitation?▾
Bluebonnet Nursing and Rehabilitation provides 3.40 total nursing staff hours per resident per day, including 0.30 RN hours, 1.29 LPN hours, and 1.81 nurse aide hours. The total staff turnover rate is 91.4%.
How many beds does Bluebonnet Nursing and Rehabilitation have?▾
Bluebonnet Nursing and Rehabilitation has 120 certified beds with an average of 37.4 residents per day, resulting in approximately 31% occupancy. The facility is For profit - Corporation owned and is part of the Creative Solutions in Healthcare chain.
Are there other nursing homes near Bluebonnet Nursing and Rehabilitation?▾
Yes. This page lists 6 nearby nursing homes in Texas. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →