Bluebonnet Nursing & Rehabilitation: Staffing, Turnover, and Inspection Record
Bluebonnet Nursing & Rehabilitation is a 120-bed for-profit nursing home in Karnes City, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.81 nurse aide hours per resident per day, 9% below the Texas average of 2.00, and 91.4% nursing staff turnover (Texas average 55.3%).
Bluebonnet Nursing & Rehabilitation
696 FM 99Karnes City, TX 78118
Karnes County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Bluebonnet Nursing & Rehabilitation, nurse aides logged 1.81 hours per resident per day, 9% below the Texas average. With about 37 residents a day, that works out to roughly 68 aide hours a day, or about 8 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 23% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.81 | 2.00 | 2.32 |
| Licensed practical nurses | 1.29 | 0.95 | 0.86 |
| Registered nurses | 0.30 | 0.43 | 0.69 |
| All nursing staff | 3.40 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.63 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
91.4% of nursing staff at Bluebonnet Nursing & Rehabilitation left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 80.0%. 3 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 22, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 21 health deficiencies (Texas average 9.3). CMS lists 5 fines totaling $125,523 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 3, 2026 | Fine | $19,635 |
| Apr 9, 2026 | Fine | $16,350 |
| Jun 1, 2024 | Fine | $31,760 |
| Apr 9, 2024 | Fine | $16,801 |
| Feb 26, 2024 | Fine | $40,977 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Bluebonnet Nursing & Rehabilitation holds 1 of 5 overall; the Texas average is 2.6.
About Bluebonnet Nursing & Rehabilitation
- Ownership: For profit - Corporation
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: Karnes I Enterprises, LLC
- Medicare and Medicaid certified since: Mar 28, 1994
- Councils: resident council
- Area: rural
Nursing homes near Bluebonnet Nursing & Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| John Paul II Nursing Home Kenedy | 10.5 | 58 | 1.99 | 3.30 | 24.1% | 5 | None |
| Kenedy Health & Rehabilitation Kenedy | 10.7 | 60 | 1.51 | 3.13 | — | 1 | $8,173 |
| Frank M. Tejeda Texas State Veterans Home Floresville · abuse citation | 21.9 | 160 | 1.91 | 3.09 | 27.8% | 3 | None |
| Harmony Care at Floresville Floresville | 22.2 | 144 | 1.94 | 2.90 | 50.8% | 2 | $87,066 |
| Prairie Meadows Rehabilitation and Healthcare Cent Floresville | 22.7 | 120 | 2.53 | 3.87 | 30.6% | 1 | $33,059 |
| Pleasanton North Nursing and Rehabilitation Pleasanton | 29.5 | 46 | 1.37 | 2.68 | 42.3% | 1 | $167,869 |
| Pleasanton South Nursing and Rehabilitation Pleasanton | 29.8 | 88 | 1.58 | 2.78 | 47.3% | 4 | $8,827 |
| The Heights of Atascosa Pleasanton | 31.7 | 100 | 2.22 | 3.42 | 41.2% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.