Bluebonnet Nursing And Rehabilitation
696 Fm 99, Karnes City, TX, 78118
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 120 · avg 39 residents/day
- Administrators who left
- 4 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $105,888 total
Medicare certification
- CMS Certification Number
- 675306
- Certified beds
- 120 beds · avg 39 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Karnes I Enterprises, Llc
- Chain affiliation
- Creative Solutions In Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (5 on record)
- Creative Solutions in Healthcare Inc
Operational/managerial Control · 100% · since 2021
- Gary r Blake
5% or Greater Indirect Ownership Interest · 50% · since 2021
- Linda f Huggins
W-2 Managing Employee · since 2021
- Malisa a Blake
5% or Greater Indirect Ownership Interest · 50% · since 2021
- Honor x Enterprises, Llc
5% or Greater Direct Ownership Interest · 100% · since 2020
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 39)
- E0686·Apr 24, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D0842·Apr 9, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- G0684·Apr 9, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0656·Apr 9, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0842·Mar 25, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F0755·Mar 25, 2026Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0656·Mar 25, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0695·Aug 22, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Federal penalties
By year
- 20261 fine · $16K
- 20243 fines · $90K
Most recent events
- Apr 9, 2026Fine · $16K
- Jun 1, 2024Fine · $32K
- Apr 9, 2024Fine · $17K
- Feb 26, 2024Fine · $41K
Largest single fine on record: $41K.
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Aug 22, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Bluebonnet Nursing And Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.