Senior Care Records.

Bluebonnet Nursing and Rehabilitation

696 FM 99, Karnes City, TX, 78118

Nursing home120 licensed beds0 citations on record
No mapped location on the state record.
LocationOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 18 deficiencies against Bluebonnet Nursing and Rehabilitation in Karnes City, Texas at its most recent standard inspection on 2025-08-22, 11 of them arising from complaints. 4 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 5 times, totalling $125,523. Medicare rates it 1 out of 5 overall.

1 / 5Medicare overall rating
120certified beds
18deficiencies at the last inspection
4immediate-jeopardy findings on record
1actual-harm findings on record
5federal fines, $125,523
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.4
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.34
Potential for minimal harmThe least serious band.0
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

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

Quality of Life and Care Deficiencies · F0686 · 2026-04-24 · from a complaint · No actual harm, potential for more than minimal harm

E

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

Quality of Life and Care Deficiencies · F0684 · 2026-04-09 · from a complaint · Actual harm to a resident

G

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 · F0656 · 2026-04-09 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · F0842 · 2026-04-09 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Pharmacy Service Deficiencies · F0755 · 2026-03-25 · from a complaint · No actual harm, potential for more than minimal harm

F

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 · F0656 · 2026-03-25 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · F0842 · 2026-03-25 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Resident Rights Deficiencies · F0552 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0656 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0657 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0689 · 2025-08-22 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies · F0690 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0695 · 2025-08-22 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Pharmacy Service Deficiencies · F0755 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Pharmacy Service Deficiencies · F0761 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm

D

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

Resident Rights Deficiencies · F0550 · 2025-08-06 · from a complaint · No actual harm, potential for more than minimal harm

D

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.

Quality of Life and Care Deficiencies · F0693 · 2025-08-06 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · F0842 · 2025-06-07 · from a complaint · No actual harm, potential for more than minimal harm

D

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies · F0583 · 2024-11-27 · from a complaint · No actual harm, potential for more than minimal harm

E
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.40196
Nursing staff turnoverShare of nursing staff who left in a year91.4%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS5
Total fined$125,523
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one5
Ownership

Who owns Bluebonnet Nursing and Rehabilitation

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
HUGGINS, LINDAIndividualNOT APPLICABLEsince 01/01/2021
CREATIVE SOLUTIONS IN HEALTHCARE INCOrganizationNOT APPLICABLEsince 01/01/2021
BLAKE, GARYIndividualNOT APPLICABLEsince 01/01/2021
BLAKE, MALISAIndividualNOT APPLICABLEsince 01/01/2021

Part of the CREATIVE SOLUTIONS IN HEALTHCARE group.

Contact

Ask Bluebonnet Nursing and Rehabilitation a question

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What is needed

Bluebonnet Nursing and Rehabilitation has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 8307803944 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 675306.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction