Bluebonnet Nursing & Rehabilitation
Nursing Home · Karnes City, TX
CMS certification number675306
Contact & location
696 FM 99Karnes City, TX 78118
Karnes County
- Phone
- (830) 780-3944
- ZIP code
- 78118 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 37.4 (31% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Karnes I Enterprises, LLC
- Chain
- Creative Solutions in Healthcare (149 facilities, avg 2.1★)
- Medicare certified since
- March 28, 1994
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.40 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.30 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.29 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.81 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.63 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 91.4 (state 55.3 · U.S. 45.8)%
- RN turnover
- 80.0 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 3 in the last year
Inspections
- Last standard inspection
- August 22, 2025
- Health deficiencies (last cycle)
- 21.0 (state 9.3 · U.S. 9.3)
- From complaints
- 14
- Citations on record (3 years)
- 42 health · 11 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-05-20 |
| 2026-06-03 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-04 |
| 2026-06-03 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-04 |
| 2026-04-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-25 |
| 2026-04-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-03-16 |
| 2026-04-09 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-10 |
| 2026-04-09 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-10 |
| 2026-03-25 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-03-26 |
| 2026-03-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-26 |
| 2026-03-25 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-26 |
| 2025-08-22 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-23 |
| 2025-08-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-23 |
| 2025-08-22 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-23 |
| 2025-08-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-23 |
| 2025-08-22 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-23 |
| 2025-08-22 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-23 |
| 2025-08-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-23 |
| 2025-08-22 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-23 |
| 2025-08-22 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-23 |
| 2025-08-06 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-08 |
| 2025-08-06 | 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. F0693 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-08 |
| 2025-06-07 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-10 |
| 2024-11-27 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-28 |
| 2024-11-27 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-28 |
| 2024-11-27 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-28 |
| 2024-11-27 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-28 |
| 2024-07-19 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-07-19 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-07-19 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-07-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-06-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-06-02 |
| 2024-04-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-01-18 |
| 2024-02-26 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-02-27 |
| 2024-02-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-02-27 |
| 2023-12-29 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-30 |
| 2023-12-29 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-27 |
| 2023-12-29 | 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. F0578 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-30 |
| 2023-12-29 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-30 |
| 2023-06-14 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-30 |
| 2023-06-14 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-15 |
| 2023-06-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-15 |
| 2023-06-14 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-15 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
5 penalties in the last three years, including $125,523 in fines.
| 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 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Blake, Gary (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Blake, Malisa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Creative Solutions in Healthcare INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Huggins, Linda (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Bluebonnet Nursing & Rehabilitation?
Bluebonnet Nursing & Rehabilitation has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Bluebonnet Nursing & Rehabilitation have?
It has 120 certified beds and cares for about 37 residents per day.
Has Bluebonnet Nursing & Rehabilitation been fined?
Yes. CMS lists 5 penalties totaling $125,523 in the last three years.
Who owns Bluebonnet Nursing & Rehabilitation?
It is part of Creative Solutions in Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Bluebonnet Nursing & Rehabilitation?
(830) 780-3944. The facility is located at 696 FM 99, Karnes City, TX 78118.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.