Bluebonnet Nursing & Rehabilitation
Nursing home in Karnes City, Texas, CMS certification number 675306
696 FM 99, Karnes City, TX 78118 · Karnes County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 120
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 22, 2025
- Deficiencies at that inspection
- 19
- Fines in 3 years
- $119,801 (5)
Does Bluebonnet Nursing & Rehabilitation take Medicare and Medicaid?
Yes to both. Bluebonnet Nursing & Rehabilitation is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Bluebonnet Nursing & Rehabilitation reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.38
- Registered nurse hours
- 0.43
- Licensed practical nurse hours
- 1.19
- Nurse aide hours
- 1.75
- Weekend total hours
- 2.72
- Nursing staff turnover
- 67.4%
- Registered nurse turnover
- 100%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on August 22, 2025 and cited 19 deficiencies, plus 12 from complaint visits.
The visit before, on July 19, 2024, found 4.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Bluebonnet Nursing & Rehabilitation 5 times in the past 3 years, for $119,801 in total.
Beds and residents
On an average day 38.7 residents live here, about 32% of its 120 certified beds.
- Certified beds
- 120
- Average residents per day
- 38.7
- Certified since
- March 28, 1994
- Resident or family council
- Resident
Who owns Bluebonnet Nursing & Rehabilitation
- Legal business name
- Karnes I Enterprises, LLC
- Ownership type
- For profit - Corporation
- Chain
- 150 homes nationally under Creative Solutions in Healthcare, 2.3-star chain average
Other nursing homes near Bluebonnet Nursing & Rehabilitation
- John Paul II Nursing Home209 S 3rd St, Kenedy 78119
- Kenedy Health & Rehabilitation7882 South Highway 181, Kenedy 78119
- Frank M. Tejeda Texas State Veterans Home200 Veterans Drive, Floresville 78114
- Harmony Care at Floresville1811 6th St, Floresville 78114
- Prairie Meadows Rehabilitation and Healthcare Cent1615 Eleventh St, Floresville 78114
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Bluebonnet Nursing & Rehabilitation, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Bluebonnet Nursing & Rehabilitation
What is the CMS star rating of Bluebonnet Nursing & Rehabilitation?
1 out of 5 stars overall.
Does Bluebonnet Nursing & Rehabilitation accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Bluebonnet Nursing & Rehabilitation?
19 cited at the last standard visit.
Who owns Bluebonnet Nursing & Rehabilitation?
Karnes I Enterprises, LLC, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.