About Bluebonnet Nursing and Rehabilitation
Bluebonnet Nursing And Rehabilitation, located in KARNES CITY, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Bluebonnet Nursing and Rehabilitation
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.44 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the CREATIVE SOLUTIONS IN HEALTHCARE network. This chain operates 149 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Mixed Staffing Levels
Bluebonnet Nursing and Rehabilitation provides more care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 2 |
|
| Quality Measures | 3 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 72 | Aug 22, 2025 |
| Weighted Average | 153 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | N/A |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | N/A |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 21.6% |
| Percentage of long-stay residents who lose too much weight (QM404) | 5.3% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.7% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.7% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 2.8% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 1.3% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 100.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 98.6% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 29.0% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 24.1% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | N/A |
| Percentage of long-stay residents with pressure ulcers (QM479) | 8.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 20.3% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 8.4% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 4 complaints
- 2024: 8 complaints
- 2025: 5 complaints
- 2026: 3 complaints
- Total: 20 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Mar 26, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Mar 26, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Mar 26, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Aug 23, 2025 | Provide safe and appropriate respiratory care for a resident when needed. |
| Aug 23, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Aug 08, 2025 | 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. |
| Aug 08, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Jul 10, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Nov 28, 2024 | Keep residents' personal and medical records private and confidential. |
| Nov 28, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Nov 28, 2024 | 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. |
| Nov 28, 2024 | Provide and implement an infection prevention and control program. |
| Jun 02, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Feb 27, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Feb 27, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jan 18, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Dec 30, 2023 | 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. |
| Dec 30, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Dec 30, 2023 | Provide and implement an infection prevention and control program. |
| Dec 27, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
Nearby Hospitals
CONNALLY MEMORIAL MEDICAL CENTER
FLORESVILLE, TX
OTTO KAISER MEMORIAL HOSPITAL
KENEDY, TX
Owner & Operator Information
Business Entity
KARNES I ENTERPRISES, LLC
Ownership Structure
Management & Direction
- GARY BLAKE OPERATIONAL/MANAGERIAL CONTROL
- MALISA BLAKE OPERATIONAL/MANAGERIAL CONTROL
- CREATIVE SOLUTIONS IN HEALTHCARE INC OPERATIONAL/MANAGERIAL CONTROL
- LINDA HUGGINS W-2 MANAGING EMPLOYEE
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| John Paul Ii Nursing Home | N/A | 5 |
| Frank M Tejeda Texas State Veterans Home | N/A | 5 |
| Kenedy Health and Rehabilitation | N/A | 3 |
| Harmony Care at Floresville | N/A | 3 |
| Bluebonnet Nursing and Rehabilitation | N/A | 1 |
| Prairie Meadows Rehabilitation and Healthcare Cent | N/A | 1 |
Related Analysis
Best Nursing Homes in KARNES CITY, TX
Compare Bluebonnet Nursing and Rehabilitation to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Bluebonnet Nursing and Rehabilitation directly at 8307803944. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.