BLUEBONNET NURSING AND REHABILITATION
696 FM 99, KARNES CITY, TX 78118 · CCN 675306
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 42.2
- Phone
- 8307803944
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-22 | 12 | 9.1 | 9.5 | +2.9 worse |
| 2 | 2024-07-19 | 10 | 9.4 | 9.8 | +0.6 worse |
| 3 | 2023-06-14 | 10 | 8.1 | 9.3 | +1.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 3 |
| Resident rights | 2 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.02 | 66.7% |
| RN staffing (reported) | 0.35 | — |
| Total nurse staffing (adjusted) | 3.31 | — |
Fines & penalties
- Total fines
- $89,538
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- Facilities in chain
- 149
- Chain avg overall
- 2.70 / 5
Inspection citations (32)4 immediate jeopardy
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-08-22 · Health · corrected 2025-08-23
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-22 · Health · corrected 2025-08-23
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-08-22 · Health · corrected 2025-08-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-22 · Health · corrected 2025-08-23
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-08-22 · Health · corrected 2025-08-23
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-08-22 · Health · corrected 2025-08-23
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-22 · Health · corrected 2025-08-23
Potential for more than minimal harm
- DF0761Ensure 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.2025-08-22 · Health · corrected 2025-08-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-08-22 · Health · corrected 2025-08-23
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-06 · Health · corrected 2025-08-08
Potential for more than minimal harm
- DF0693Ensure 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.2025-08-06 · Health · corrected 2025-08-08
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-07 · Health · corrected 2025-07-10
Potential for more than minimal harm
- EF0583Keep residents' personal and medical records private and confidential.2024-11-27 · Health · corrected 2024-11-28
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-11-27 · Health · corrected 2024-11-28
Potential for more than minimal harm
- DF0761Ensure 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.2024-11-27 · Health · corrected 2024-11-28
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-11-27 · Health · corrected 2024-11-28
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-19 · Health · corrected 2024-07-20
Potential for more than minimal harm
- EF0584Honor 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.2024-07-19 · Health · corrected 2024-07-20
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-07-19 · Health · corrected 2024-07-20
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-07-19 · Health · corrected 2024-07-20
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-01 · Health · corrected 2024-06-02
Immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-09 · Health · corrected 2024-01-18
Immediate jeopardy
- KF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-26 · Health · corrected 2024-02-27
Immediate jeopardy
- KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-26 · Health · corrected 2024-02-27
Immediate jeopardy
- DF0578Honor 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.2023-12-29 · Health · corrected 2023-12-30
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-29 · Health · corrected 2023-12-30
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-29 · Health · corrected 2023-12-27
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-12-29 · Health · corrected 2023-12-30
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-06-14 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-14 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-14 · Health · corrected 2023-06-15
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-06-14 · Health · corrected 2023-06-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HONOR X ENTERPRISES, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-01-01 |
| BLAKE, GARY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2021-01-01 |
| BLAKE, MALISA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2021-01-01 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-01 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-01 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-01 |
| HUGGINS, LINDA | Individual | W-2 MANAGING EMPLOYEE | — | 2021-01-01 |
Other facilities in KARNES CITY
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.