Nursing homes › Texas › Bluebonnet Nursing and Rehabilitation
696 Fm 99, Karnes City, TX 78118 · 8307803944 · 120 certified beds
Per CMS filings, this facility is affiliated with Creative Solutions in Healthcare, a group operating 149 facilities in 1 states. Group record: average rating 2.2/5, 19 abuse citation icons, 7 facilities on the Special Focus list, $8,699,455 in federal fines. This facility rates below its group average (2.2/5).
Total nurse staffing: 3.40 (Texas median: 3.27). RN hours: 0.30. Weekend total: 2.63. Nursing staff turnover: 91%.
All-time on record: 39 deficiency citations, including 4 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | complaint | corrected 2026-04-25 |
| 2026-04-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | 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. | D | complaint | 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. | D | complaint | 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. | F | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2026-03-26 |
| 2025-08-22 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | complaint | 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. | D | Health | corrected 2025-08-23 |
| 2025-08-22 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | 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. | D | Health | 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. | D | Health | corrected 2025-08-23 |
| 2025-08-22 | Provide and implement an infection prevention and control program. | D | Health | 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. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2025-07-10 |
| 2024-11-27 | Keep residents' personal and medical records private and confidential. | E | complaint | corrected 2024-11-28 |
| 2024-11-27 | Provide and implement an infection prevention and control program. | E | complaint | 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. | D | complaint | 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. | D | complaint | 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. | E | Health | corrected 2024-07-20 |
| 2024-07-19 | Provide and implement an infection prevention and control program. | E | Health | 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. | E | Health | 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. | D | Health | 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. | J | complaint | 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. | J | complaint | 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. | K | complaint | corrected 2024-02-27 |
| 2024-02-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | complaint | 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. | E | complaint | 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. | E | complaint | 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. | D | complaint | corrected 2023-12-30 |
| 2023-12-29 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2023-12-30 |
| 2023-06-14 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-06-30 |
| 2023-06-14 | Ensure each resident receives an accurate assessment. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2023-06-15 |
| 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 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2021 |
| BLAKE, GARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2021 |
| BLAKE, MALISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675306. Corrections: data@carerecords.org.