Bluebonnet Nursing and Rehabilitation
696 FM 99, Karnes City, TX 78118
Karnes City, Texas · CMS verdict
CMS rates Bluebonnet Nursing and Rehabilitation at 1 of 5 stars overall - below-average on the federal scale, and below the Texas average of 2.8.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Bluebonnet Nursing and Rehabilitation in Karnes City, Texas holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 33 of 100 (grade F). The 120-bed facility operates where a semi-private nursing-home room in Texas runs a median of $5,627 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (heavier deficiency book)
With 32 CMS deficiencies on file, this facility sits in the heavier U.S. deficiency tercile (>31). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 33 is built
Each segment is a dimension's weighted points toward the score, summing to 33.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Bluebonnet Nursing and Rehabilitation's heavier CMS deficiency book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Bluebonnet Nursing and Rehabilitation's overall quality rating at 1 out of 5 stars, a composite of three sub-ratings: health inspection (2/5), staffing (1/5), and quality measures (4/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Karnes City, Texas, this facility operates 120 certified beds with an average daily census of roughly 42 residents - an occupancy rate of about 35%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 35% occupancy, this facility is running well below its certified bed capacity, worth asking why directly.
Same-ownership peers
Within Texas, Bluebonnet Nursing and Rehabilitation is one of 413 for profit - corporation nursing homes CMS rates. Its 1-star overall rating sits below the for profit - corporation-segment average of 2.8 stars, ahead of roughly 0% of same-ownership peers in the state. This ownership-segment comparison controls for business-model differences, so what's left mostly reflects how this facility runs relative to similar operators, not the type of operator it is.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (32 total). CMS has levied 3 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Bluebonnet Nursing and Rehabilitation's lower-tercile stars compare to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where Bluebonnet Nursing and Rehabilitation ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, Bluebonnet Nursing and Rehabilitation’s 1-star overall rating is higher than 0% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
267 Texas homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 120 |
| Residents | 42 |
| Ownership | For profit - Corporation |
| County | Karnes |
| Penalties | 3 |
| Deficiencies | 32 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about Bluebonnet Nursing and Rehabilitation's inspection record
What is the quality rating for Bluebonnet Nursing and Rehabilitation? ▾
Bluebonnet Nursing and Rehabilitation has an overall CMS quality rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 4/5.
How much does a nursing home cost per month in Texas? ▾
CareScout's 2025 survey puts Texas's median semi-private nursing home rate at $5,627 per month ($67,525 per year), with private rooms averaging $7,604 per month.
What services does Bluebonnet Nursing and Rehabilitation offer? ▾
With 120 beds with approximately 42 current residents, Bluebonnet Nursing and Rehabilitation is a skilled nursing facility. It operates under for profit - corporation ownership, and CMS's inspection record shows 32 deficiencies and 3 penalties.
Does Bluebonnet Nursing and Rehabilitation have any deficiencies or penalties? ▾
Bluebonnet Nursing and Rehabilitation has multiple deficiencies (32 total) and 3 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Keep reading
Also see the Texas elder-care overview and highest-rated states. Provider ID: 675306.
Read our methodology - how this data is sourced, computed, and verified.