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Nursing home report

BLUEBONNET NURSING AND REHABILITATION

KARNES CITY, TX · Medicare-certified · 120 beds

Needs attention
For-profitChain member
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.4416 hrs/resident/day

Quality measures

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).

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).

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.

View the original federal record

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. 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.