Nursing home report
Karnes City, TX · Medicare-certified · 120 beds
Bluebonnet Nursing and Rehabilitation in Karnes City, TX has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing scores and 2-star quality measures. It reports 3.40 nurse staffing hours per resident per day versus the 4.1 federal benchmark, has $35,985 in fines in the last 24 months, and has a recent federal penalty.
Health inspections
Staffing
3.402 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.402.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
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.
F-Tag 684 — 42 CFR §483.25 — S/S: K
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.
F-Tag 580 — 42 CFR §483.10(g)(14) — 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.
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.
F-Tag 755 — 42 CFR §483.45 — S/S: F
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2026 — limited pattern, potential for harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
A federal fine of $19,635 was recorded.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
A federal fine of $16,350 was recorded.
Health inspection found 3 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Health inspection found 9 health deficiencies.
Health inspection found 2 health deficiencies.
A federal fine of $31,760 was recorded.
On record with Medicare: 5 fines · $125,523 in total fines.
Federal fine
Jun 3, 2026
Federal fine
Apr 9, 2026
Federal fine
Jun 1, 2024
Federal fine
Apr 9, 2024
Federal fine
Feb 26, 2024
Now operated by Karnes I Enterprises, LLC, previously Bluebonnet Nursing and Rehabilitation LP.
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.
