Bluebonnet Nursing & Rehabilitation
Nursing Home Facility
696 Fm 99, Karnes City, TX 78118
Bluebonnet Nursing & Rehabilitation is a senior care community located in Karnes City, TX. It provides nursing home care and senior living for older adults in the Karnes City area. To learn more or schedule a tour, call (830) 780-3944.
Operated by Creative Solutions in Healthcare, which runs 121 communities in our directory.
With 120 beds, Bluebonnet Nursing & Rehabilitation is one of the larger communities in the area, senior care communities in Karnes County average about 76 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 31% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Karnes County average of roughly 49%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Karnes County average about 2.3 stars. Its most recent standard health inspection was in August 2025 and recorded 21 deficiencies.
Residents receive about 3.4 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Nursing staff turnover over the past year was about 91%, which is high and can affect continuity of care.
The community is located in Karnes County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 42 problems at Bluebonnet Nursing & Rehabilitation. 6 findings involved harm to a resident, including 4 that put residents in immediate danger. 27 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 5 times, a total of $125,523.
Findings from the most recent inspection cycle
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, widespread
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Show 13 more
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Ensure that residents are fully informed and understand their health status, care and treatments.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
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.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Bluebonnet Nursing & Rehabilitation offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 120
- Occupancy 31%
- Nursing hours per resident/day 3.4
- Annual staff turnover 91%
- Last health inspection August 2025
Resident & family reviews
No one has shared a review of Bluebonnet Nursing & Rehabilitation yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.