Nursing Homes · Medicare certified
Bluebonnet Nursing & Rehabilitation
696 FM 99 · Karnes City, TX 78118 · 120 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1497356430. Look this up in the CMS NPPES registry (opens in a new tab)
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About Bluebonnet Nursing & Rehabilitation
Bluebonnet Nursing & Rehabilitation is a nursing home in Karnes City, Texas, in Karnes County. Its reported capacity is 120 beds. It is recorded as a for-profit operator, part of Creative Solutions in Healthcare. Federal records list it as Medicare certified. Our copy of the inspection record holds 39 citations, the newest dated 24 April 2026. Federal enforcement records add 5 fine or payment denial actions. Staffing reports put it at 3.40 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
1.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
35
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
35
Staffing rating
1.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
38
Inspection history (39)
Records from June 2023 to April 2026.
November 27, 2024 · D
Citation F0761Federal surveyors cited this nursing home on 2024-11-27 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-11-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-27.GOVNovember 27, 2024 · E
Citation F0583Federal surveyors cited this nursing home on 2024-11-27 under CMS tag F0583 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2024-11-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-27.GOVNovember 27, 2024 · D
Citation F0690Federal surveyors cited this nursing home on 2024-11-27 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2024-11-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-27.GOVJuly 19, 2024 · D
Citation F0550Federal surveyors cited this nursing home on 2024-07-19 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-07-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-19.GOVJuly 19, 2024 · E
Citation F0921Federal surveyors cited this nursing home on 2024-07-19 under CMS tag F0921 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2024-07-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-19.GOVJuly 19, 2024 · E
Citation F0880Federal surveyors cited this nursing home on 2024-07-19 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-07-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-19.GOVJuly 19, 2024 · E
Citation F0584Federal surveyors cited this nursing home on 2024-07-19 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-07-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-19.GOVJune 1, 2024 · J
Citation F0689Federal surveyors cited this nursing home on 2024-06-01 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-06-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-01.GOVApril 9, 2024 · J
Citation F0689Federal surveyors cited this nursing home on 2024-04-09 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-01-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-09.GOVFebruary 26, 2024 · K
Citation F0684Federal surveyors cited this nursing home on 2024-02-26 under CMS tag F0684 (CMS scope/severity K: pattern, immediate jeopardy) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-02-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-26.GOVFebruary 26, 2024 · K
Citation F0580Federal surveyors cited this nursing home on 2024-02-26 under CMS tag F0580 (CMS scope/severity K: pattern, immediate jeopardy) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2024-02-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-26.GOVDecember 29, 2023 · D
Citation F0880Federal surveyors cited this nursing home on 2023-12-29 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-12-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-29.GOVDecember 29, 2023 · E
Citation F0656Federal surveyors cited this nursing home on 2023-12-29 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-12-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-29.GOVDecember 29, 2023 · D
Citation F0578Federal surveyors cited this nursing home on 2023-12-29 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-12-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-29.GOVDecember 29, 2023 · E
Citation F0842Federal surveyors cited this nursing home on 2023-12-29 under CMS tag F0842 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2023-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-29.GOVJune 14, 2023 · D
Citation F0842Federal surveyors cited this nursing home on 2023-06-14 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-14.GOVJune 14, 2023 · D
Citation F0641Federal surveyors cited this nursing home on 2023-06-14 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-14.GOVJune 14, 2023 · D
Citation F0656Federal surveyors cited this nursing home on 2023-06-14 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-14.GOVJune 14, 2023 · E
Citation F0880Federal surveyors cited this nursing home on 2023-06-14 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-14.GOV
Penalties (5)
Total fines on file: $125,523
June 3, 2026 · Fine
Citation FINE-139642CMS recorded a civil money penalty of $19,635 against this nursing home on 2026-06-03 (Fine ID: 139642). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-06-03.GOVApril 9, 2026 · Fine
Citation FINE-138704CMS recorded a civil money penalty of $16,350 against this nursing home on 2026-04-09 (Fine ID: 138704). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-09.GOVJune 1, 2024 · Fine
Citation FINE-112911CMS recorded a civil money penalty of $31,760 against this nursing home on 2024-06-01 (Fine ID: 112911). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-01.GOVApril 9, 2024 · Fine
Citation FINE-112692CMS recorded a civil money penalty of $16,801 against this nursing home on 2024-04-09 (Fine ID: 112692). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-09.GOVFebruary 26, 2024 · Fine
Citation FINE-112476CMS recorded a civil money penalty of $40,977 against this nursing home on 2024-02-26 (Fine ID: 112476). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-26.GOV
Staffing
Latest: 3.40 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.44 hrs/resident/day
- 2026-06-013.44 hrs/resident/day
- 2026-07-013.40 hrs/resident/day
- 2026-08-013.40 hrs/resident/day
- 2026Q13.40 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit
CMS Care Compare chain: Creative Solutions in Healthcare
Chain ID 169 · 149 facilities in chain (CMS)
- Chain average overall rating: 2.1
- Chain average health inspection rating: 2.7
- Chain average staffing rating: 1.1
- Chain average quality measure rating: 3.2
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Creative Solutions in Healthcare INC
parent · PAC 8224049598
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · TX$5,627/moNearby alternatives
No other listed providers in Karnes City yet.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Bluebonnet Nursing & Rehabilitation
Request info and we'll pass it directly to Bluebonnet Nursing & Rehabilitation, or call them at 8307803944 if you'd rather talk now.
Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.