Bluebonnet Nursing & Rehabilitation
Bluebonnet Nursing & Rehabilitation is a 120-bed nursing home in Karnes City, Texas. CMS has certified it for Medicare and Medicaid since 1994-03-28. It averages 37.4 residents a day.
What harm was found in the violations cited at Bluebonnet Nursing & Rehabilitation?
CMS lists 42 health-inspection deficiencies for Bluebonnet Nursing & Rehabilitation since 2023-06-14, 38 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-03.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-03 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2026-06-03 | F0558, F0842 | Reasonably accommodate the needs and preferences of each resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-04-24 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E |
| 2026-04-09 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2026-04-09 | F0656, F0842 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-03-25 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F |
| 2026-03-25 | F0656, F0842 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-08-22 | F0552, F0656, F0657, F0689, F0690, F0695, F0755, F0761, F0880 | Ensure that residents are fully informed and understand their health status, care and treatments. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Provide and implement an infection prevention and control program. | D |
| 2025-08-06 | F0550, F0693 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. | D |
| 2025-06-07 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-11-27 | F0583, F0880 | Keep residents' personal and medical records private and confidential. / Provide and implement an infection prevention and control program. | E |
| 2024-11-27 | F0690, F0761 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. | D |
| 2024-07-19 | F0584, F0880, F0921 | 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. / Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2024-07-19 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2024-06-01 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-04-09 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-02-26 | F0580, F0684 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K |
| 2023-12-29 | F0656, F0842 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2023-12-29 | F0578, F0880 | 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. / Provide and implement an infection prevention and control program. | D |
| 2023-06-14 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2023-06-14 | F0641, F0656, F0842 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
Why was Bluebonnet Nursing & Rehabilitation fined 5 times?
| Date | Type | Amount |
|---|---|---|
| 2026-06-03 | Fine | $19,635 |
| 2026-04-09 | Fine | $16,350 |
| 2024-06-01 | Fine | $31,760 |
| 2024-04-09 | Fine | $16,801 |
| 2024-02-26 | Fine | $40,977 |
How is Bluebonnet Nursing & Rehabilitation staffed?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.40196 | 3.38539 |
| Total nursing staff turnover (%) | 91.4 | 55.3 |
| Average number of residents per day | 37.4 | 75.8 |
Who owns Bluebonnet Nursing & Rehabilitation, and what chain is it in?
Bluebonnet Nursing & Rehabilitation is registered with CMS as For profit - Corporation, operates under the legal business name KARNES I ENTERPRISES, LLC and belongs to the CREATIVE SOLUTIONS IN HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| W-2 MANAGING EMPLOYEE | HUGGINS, LINDA | since 01/01/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | CREATIVE SOLUTIONS IN HEALTHCARE INC, BLAKE, GARY, BLAKE, MALISA | since 01/01/2021 |
Were you or a family member harmed at Bluebonnet Nursing & Rehabilitation?