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Bluebonnet Nursing And Rehabilitation

696 Fm 99, Karnes City, TX 78118 · Karnes County

For-profit · 120 certified beds · 31% occupancy · (830) 780-3944

The U.S. government (CMS) rates Bluebonnet Nursing And 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.

CMS quality ratings

Overall★★★★
Health inspections★★★★
Staffing★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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.

TX median 3.27

3.40 nurse hours per resident per day. 4% above the Texas median of 3.27.

Total nurse
3.40 hrs
RN
0.30 hrs
LPN
1.29 hrs
Aide
1.81 hrs

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.

39
total findings
4
immediate jeopardy
1
caused actual harm
24
from complaints
  • 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 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

  • Potential for harmTag F0552 · Aug 22, 2025Corrected Aug 23, 2025

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

    Resident Rights Deficiencies

  • Potential for harmTag F0656 · Aug 22, 2025Corrected Aug 23, 2025

    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 F0657 · Aug 22, 2025Corrected Aug 23, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Resident Assessment and Care Planning Deficiencies

Showing the 10 most recent and serious of 39 findings. See the full inspection history on Medicare.gov.

Ownership

Part of the Creative Solutions In Healthcare chain (149 facilities), chain average overall rating 2.2★.