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Bluebonnet Nursing & Rehabilitation, Karnes City, TX: 1 star rating, fined $119,801 across 5 fines

Bluebonnet Nursing & Rehabilitation in Karnes City, TX is run by Karnes I Enterprises, LLC, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $119,801 across 5 fines in the three years to October 1, 2026. CMS lists 38 health citations from inspections in that time, the latest survey on June 3, 2026, and 6 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
696 FM 99, Karnes City, TX 78118
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5
Certified beds
120
Residents per day
39 on average
Ownership type
For profit, corporation
Legal business name
Karnes I Enterprises, LLC
Chain
Creative Solutions in Healthcare, 150 facilities
Fines
$119,801 across 5 fines, three years to October 1, 2026
Payment denials
0
Health citations
38, of which 6 with actual harm or immediate jeopardy
Latest survey
June 3, 2026
CMS Certification Number
675306
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
June 3, 2026Fine$19,635Not listeddata.cms.gov
April 9, 2026Fine$10,628Not listeddata.cms.gov
June 1, 2024Fine$31,760Not listeddata.cms.gov
April 9, 2024Fine$16,801Not listeddata.cms.gov
February 26, 2024Fine$40,977Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 3, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmPast noncomplianceMay 20, 2026data.cms.gov
June 3, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 4, 2026data.cms.gov
June 3, 2026F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 4, 2026data.cms.gov
April 24, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 25, 2026data.cms.gov
April 9, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmPast noncomplianceMarch 16, 2026data.cms.gov
April 9, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 10, 2026data.cms.gov
April 9, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 10, 2026data.cms.gov
March 25, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 26, 2026data.cms.gov
March 25, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 26, 2026data.cms.gov
March 25, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 26, 2026data.cms.gov
August 22, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 23, 2025data.cms.gov
August 22, 2025F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 23, 2025data.cms.gov
August 22, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 23, 2025data.cms.gov
August 22, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 23, 2025data.cms.gov
August 22, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 23, 2025data.cms.gov
August 22, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 23, 2025data.cms.gov
August 22, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 23, 2025data.cms.gov
August 22, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 23, 2025data.cms.gov
August 22, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 23, 2025data.cms.gov
August 6, 2025F693Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2025data.cms.gov
August 6, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2025data.cms.gov
June 7, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
November 27, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 28, 2024data.cms.gov
November 27, 2024F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 28, 2024data.cms.gov
November 27, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 28, 2024data.cms.gov
November 27, 2024F583Keep residents' personal and medical records private and confidential.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 28, 2024data.cms.gov
July 19, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
July 19, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
July 19, 2024F584Honor 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: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
July 19, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
June 1, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedJune 2, 2024data.cms.gov
April 9, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceJanuary 18, 2024data.cms.gov
February 26, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K: pattern, immediate jeopardyCorrectedFebruary 27, 2024data.cms.gov
February 26, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.K: pattern, immediate jeopardyCorrectedFebruary 27, 2024data.cms.gov
December 29, 2023F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2023data.cms.gov
December 29, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmPast noncomplianceDecember 27, 2023data.cms.gov
December 29, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2023data.cms.gov
December 29, 2023F578Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 3 individual or personal trusts (3 managers). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Creative Solutions in Healthcare IncOperational or managerial controlNot listedJanuary 1, 2021data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.