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Nursing homeFAID #14041

Bluebonnet Nursing & Rehabilitation

696 FM 99, KARNES CITY, TX, 78118
(830) 780-3944
www.bluebonnetnursing.com
120 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Photo via Google · Bluebonnet Nursing & Rehabilitation

Public record summary

What we can show you for free.
Bed capacity
120
CMS facility ID
675306
Care type
Nursing home
County
Karnes
Facility name
Bluebonnet Nursing & Rehabilitation
Street address
696 FM 99
City / state / ZIP
Karnes City, TX 78118
Phone
(830) 780-3944
Website
www.bluebonnetnursing.com

About this facility — Bluebonnet Nursing & Rehabilitation

Bluebonnet Nursing & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Karnes City, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Karnes City and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Bluebonnet Nursing & Rehabilitation 53 times across 18 inspections in the last three years, and CMS has imposed $125,523 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Creative Solutions In Healthcare
Ownership type
For profit - Corporation

Registered owners & officers

Blake, Gary
Operational control — since 2021
Blake, Malisa
Operational control — since 2021
Creative Solutions In Healthcare Inc
Operational control — since 2021
Huggins, Linda
Managing employee — since 2021

Regulatory standing

Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1994-03-28
CMS overall rating
1 of 5 stars
Health deficiencies
21 at the last standard inspection
Federal fines
$125,523 total
Last standard inspection
2025-08-22
Nurse staffing
3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$205 per day (≈ $6,230/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
74% Medicaid · 6% Medicare · 20% private/other
Occupancy
44% (fiscal year 2023)
Vs. state median
26% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-06-03Health inspectionComplaint-triggered3 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-06-04
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-05-20
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-06-04
2026-04-24Health inspectionComplaint-triggered1 citation
F-0686
E · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-04-25
13 earlier / fire-safety inspections (49 citations)
2026-04-09Health inspectionComplaint-triggered3 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-04-10
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-03-16
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-04-10
2026-03-25Health inspectionComplaint-triggered3 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-03-26
F-0755
F · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-03-26
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-03-26
2025-08-22Health inspectionComplaint-triggered9 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-08-23
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-23
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-08-23
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-23
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-08-23
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-23
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-23
F-0761
D · No harm found
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.
Corrected 2025-08-23
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-08-23
2025-08-06Health inspectionComplaint-triggered2 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-08
F-0693
D · No harm foundFrom a complaint
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.
Corrected 2025-08-08
2025-06-07Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-07-10
2024-11-27Health inspectionComplaint-triggered4 citations
F-0583
E · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2024-11-28
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-11-28
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2024-11-28
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-11-28
2024-07-19Health inspection4 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-07-20
F-0584
E · No harm found
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.
Corrected 2024-07-20
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-07-20
F-0921
E · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-07-20
2024-06-01Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-02
2024-04-09Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-18
2024-02-26Health inspectionComplaint-triggered2 citations
F-0580
K · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-27
F-0684
K · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-27
2023-12-29Health inspectionComplaint-triggered4 citations
F-0578
D · No harm foundFrom a complaint
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.
Corrected 2023-12-30
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-30
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-27
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-12-30
2023-06-14Health inspection4 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-06-15
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-15
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-06-15
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-06-30
2025-08-22Fire-safety inspection11 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-10-03
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-10-03
K-0281
F · No harm found
Install proper backup exit lighting.
Corrected 2025-10-03
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2025-10-03
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-10-30
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-03
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-03
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-10-03
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-10-03
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-10-03
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-03

Federal penalties

2026-06-03Fine$19,635
2026-04-09Fine$16,350
2024-06-01Fine$31,760
2024-04-09Fine$16,801
2024-02-26Fine$40,977
Total fines$125,523
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675306.

Visitor reviews

What people say on Google.
4.318 ratings on Google
★★★★★Veronica Garcia · 2024-10-10 · via Google

“I had the pleasure of accepting the Director of Rehab position at Bluebonnet N&R back in July of this year. I’ve worked here over 3 months and absolutely love the facility, residents and staff. I appreciate that nursing and therapy work together to provide quality care for our residents. This facility is special because we genuinely love our residents. We do our absolute best to provide quality c…”

★★★★★brenda gregory · 2023-09-20 · via Google

“Our family member fell, with injuries requiring further rehab after hospitalization. We are very happy with care we are receiving at Bluebonnet. Building is clean. Residents appear well cared for. Staff is friendly,happy, and attentive, with a 'can do' attitude (including the administrator). Therapies (OT and PT) are impressive with their skills and attention to the residents.”

★★★★★Loraine Miller · 2023-09-26 · via Google

“We have been looking for a nursing home for our son since the one he was in has had the quality of care decreasing for some time. Bluebonnet in Karnes City was recommended by someone who had their father there until he died. We went to tour the facility with David Sczepanik, who took us on a tour and we were very impressed with the cleanliness, home like atmosphere and general care of the resident…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 53 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered