BLUEBONNET NURSING AND REHABILITATION (KARNES CITY, TX) has a 1-star overall rating, with 1-star staffing and 2-star health inspection ratings. It also has a recent federal penalty, $31,760 in fines over the last 24 months, and reported nurse staffing of 3.44 hours per resident per day, below the 4.1 federal benchmark.
Last inspection: March 25, 2026Penalties, last 24 months: $31,760recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4416.
Staffing detail
Registered nurses
0.22
Licensed practical nurses
1.22
Nurse aides
2.01
Weekend nursing
2.84
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
4.2%16%Worsening
Residents with a fall causing major injury
2.7%0%Improving
Residents with pressure ulcers (bedsores)
11.8%8.6%Improving
Residents with a urinary tract infection
2.7%0%Improving
Residents who lost too much weight
6.1%13.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24.1%32.4%Worsening
Residents whose ability to walk got worse
—29%—
Long-stay residents on antianxiety or sleep medication
24.2%23.7%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%2.5%Worsening
Residents with new or worsening incontinence
13.5%26.7%Worsening
Residents with depressive symptoms
0%2.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited February 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $31,760 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $89,538 in total fines.
Federal fine
Jun 1, 2024
$31,760
Federal fine
Apr 9, 2024
$16,801
Federal fine
Feb 26, 2024
$40,977
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
Occupancy
38.9 residents on an average day (32% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.