Bluebonnet Nursing and Rehabilitation

696 FM 99, Karnes City, TX 78118 · CCN 675306 · 120 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2026-04-09 ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-06-01 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-04-09 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-02-26 IMMEDIATE JEOPARDY (tag F0580, severity K)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-02-26 IMMEDIATE JEOPARDY (tag F0684, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Staffing, from payroll records

Nursing hours / resident / day

2.21

state median 2.67

Weekend staffing gap

−26%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.16

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

38

with residents present

Nursing staff turnover

91%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

Keep an eye on this facility

Monitoring alerts are launching soon: new citations, penalties, ownership changes, and staffing drops for facilities you follow. Leave your email and we'll notify you when it goes live for Bluebonnet Nursing and Rehabilitation.

Penalties and enforcement

5 enforcement action(s), totaling $125,523 in fines.

DateTypeAmount
2026-06-03Fine$19,635
2026-04-09Fine$16,350
2024-06-01Fine$31,760
2024-04-09Fine$16,801
2024-02-26Fine$40,977

Ownership

Ownership type: For profit - Corporation. Part of the CREATIVE SOLUTIONS IN HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 34 · Immediate jeopardy: 4

Survey dateTagCategorySeverityCorrected
2026-04-24F0686Quality of Life and Care DeficienciesEnot recorded
2026-04-09F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2026-04-09F0684Quality of Life and Care DeficienciesGnot recorded
2026-04-09F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2026-03-25F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2026-03-25F0755Pharmacy Service DeficienciesFnot recorded
2026-03-25F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-22F0552Resident Rights DeficienciesDnot recorded
2025-08-22F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-22F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-22F0689Quality of Life and Care DeficienciesDnot recorded
2025-08-22F0690Quality of Life and Care DeficienciesDnot recorded
2025-08-22F0695Quality of Life and Care DeficienciesDnot recorded
2025-08-22F0755Pharmacy Service DeficienciesDnot recorded
2025-08-22F0761Pharmacy Service DeficienciesDnot recorded
2025-08-22F0880Infection Control DeficienciesDnot recorded
2025-08-06F0550Resident Rights DeficienciesDnot recorded
2025-08-06F0693Quality of Life and Care DeficienciesDnot recorded
2025-06-07F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-27F0583Resident Rights DeficienciesEnot recorded
2024-11-27F0690Quality of Life and Care DeficienciesDnot recorded
2024-11-27F0761Pharmacy Service DeficienciesDnot recorded
2024-11-27F0880Infection Control DeficienciesEnot recorded
2024-07-19F0550Resident Rights DeficienciesDnot recorded
2024-07-19F0584Resident Rights DeficienciesEnot recorded
2024-07-19F0880Infection Control DeficienciesEnot recorded
2024-07-19F0921Environmental DeficienciesEnot recorded
2024-06-01F0689Quality of Life and Care DeficienciesJnot recorded
2024-04-09F0689Quality of Life and Care DeficienciesJnot recorded
2024-02-26F0580Resident Rights DeficienciesKnot recorded
2024-02-26F0684Quality of Life and Care DeficienciesKnot recorded
2023-12-29F0578Resident Rights DeficienciesDnot recorded
2023-12-29F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2023-12-29F0842Resident Assessment and Care Planning DeficienciesEnot recorded
2023-12-29F0880Infection Control DeficienciesDnot recorded
2023-06-14F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2023-06-14F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-06-14F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2023-06-14F0880Infection Control DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Bluebonnet Nursing and Rehabilitation, Karnes City” at medicare.gov/care-compare.