BLUEBONNET NURSING AND REHABILITATION – KARNES CITY, TX

CMS Verified | 2026-03-01

Bluebonnet Nursing And Rehabilitation

696 FM 99, Karnes City, TX 78118
(830) 780-3944
120 beds
All Karnes City facilities
1.0*
Overall
2.0*
Health Inspection
4.0*
Quality Care
1.0*
Staffing
65.78
Score /100
#10027
National Rank

#10027
of 14703 facilities
National
31.8% position
#774
of 1177 in TX
State Rank
#2
of 3 in Karnes
County Rank
#1
of 1 in Karnes City
City Rank
#1
of 1 in ZIP 78118
ZIP Rank






About Bluebonnet Nursing And RehabilitationBluebonnet Nursing And Rehabilitation is located at 696 Fm 99, Karnes City, TX, reachable at (830) 780-3944. This For profit – Corporation facility operates 120.0 certified beds and serves an average of 42 residents per day. It is part of the Creative Solutions In Healthcare network (149 facilities nationwide). Medicare and Medicaid services have been provided since 1994-03-28. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Bluebonnet Nursing And Rehabilitation

Address

696 Fm 99, Karnes City, TX 78118

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 120 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: CREATIVE SOLUTIONS IN HEALTHCARE

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 6 fine(s) over 5 years
5-Year Trend
Declining over 5 years
65.78
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#10027 of 14703 nationally – #774 of 1177 in Texas

Who Is This Facility Best For?

Bluebonnet Nursing And Rehabilitation may be considered for families with limited options in Karnes City, TX, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

2 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightBluebonnet Nursing And Rehabilitation currently provides 3 hours 1 minute of total nurse staffing per resident per day, including 21 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 66.7%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 1 minute
Nurse Aide Hours1 hour 26 minutes
Licensed Practical Nurse (LPN) Hours1 hour 14 minutes
Registered Nurse (RN) Hours21 minutes
Physical Therapist Hours1 minute

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 34 minutes
Weekend Registered Nurse (RN) Hours18 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 3 fine(s) totaling $89,538. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 3
Total Fines Amount $89538.0
Payment Denials 0
Total Penalties 3
Abuse Flag on Record N
Total Weighted Health Survey Score 135.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#10,027
of 14,703
National
Bottom 32%
#774
TX State
Bottom 34% in TX
#2
of 3
️ Karnes County
#2 of 3
#1
of 1
️ Karnes City
Best in city
#1
of 1
ZIP 78118
Best in ZIP

Nationally, Bluebonnet Nursing And Rehabilitation ranks 10027th out of 14,703 facilities (composite score: 65.8/100), placing it in the below average nationwide. Within TX, it ranks 774th out of 1,177 nursing homes. For 2026 staffing: total nurse hours rank #13,059 nationally and RN hours rank #11,926 nationally (#648 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 2.05 #13,913 / 14,703 #1,114 / 1,177 ⚠️ Bottom 10%
2023 2.52 #13,612 / 14,703 #1,051 / 1,177 ⚠️ Bottom 10%
2024 2.56 #13,786 / 14,703 #1,043 / 1,177 ⚠️ Bottom 10%
2025 3.21 #11,590 / 14,703 #604 / 1,177 ⚠️ Bottom 25%
2026 3.02 #13,059 / 14,703 #882 / 1,177 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.36 #11,628 / 14,703 #543 / 1,177 ⚠️ Bottom 25%
2023 0.34 #11,458 / 14,703 #502 / 1,177 ⚠️ Bottom 25%
2024 0.33 #11,873 / 14,703 #578 / 1,177 ⚠️ Bottom 25%
2025 0.28 #12,945 / 14,703 #816 / 1,177 ⚠️ Bottom 25%
2026 0.35 #11,926 / 14,703 #648 / 1,177 ⚠️ Bottom 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Bluebonnet Nursing And Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1994-03-28. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (830) 780-3944 or your local Medicaid office to verify current eligibility.

Bluebonnet Nursing And Rehabilitation holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (1★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 65.8/100, placing it #10027 of 14703 facilities nationally and #774 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Bluebonnet Nursing And Rehabilitation receives a reported average of 3 hours 1 minute of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 21 minutes; Licensed Practical Nurse (LPN) — 1 hour 14 minutes; Nurse Aide — 1 hour 26 minutes. On weekends, total nurse staffing is 2 hours 34 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 66.7%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 3 fine(s) totaling $89,538. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 3 fine(s) totaling $89,538, and 0 Medicare payment denial(s). Total penalties: 3. The Total Weighted Health Survey Score is 135.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Bluebonnet Nursing And Rehabilitation ranks 10027th out of 14,703 facilities (composite score: 65.8/100), placing it in the below average nationwide. Within TX, it ranks 774th out of 1,177 nursing homes. For 2026 staffing: total nurse hours rank #13,059 nationally and RN hours rank #11,926 nationally (#648 in TX). Our composite quality score of 65.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Karnes City, visit: https://nursinghomesnearme.org/texas/karnes-city/

Contact and Location

ADR
Address

696 FM 99, Karnes City, TX 78118
Get directions on Google Maps

TEL
LLC
Legal Name

KARNES I ENTERPRISES, LLC

MAP
Browse by Location

All Texas ·
Karnes County ·
Karnes City ·
ZIP 78118

Facility Details

Number of Certified Beds 120
Average Residents / Day 42 (35% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Karnes County, TX
City Karnes City, TX
ZIP Code 78118
Approved Since March 28, 1994
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 675306
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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