Bluebonnet Nursing And Rehabilitation has received an F grade based on CMS data, with a score of 11/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Karnes City facility should carefully review its inspection history and quality metrics.
With 3.02 total nurse hours per resident per day, Bluebonnet Nursing And Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 32 deficiencies at Bluebonnet Nursing And Rehabilitation, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that residents are fully informed and understand their health status, care and treatments..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.02 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.35 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.24 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.44 | 2.4 | Below Average |
| Weekend Total Nursing | 2.56 | 3.8 | Below Average |
| Weekend RN Hours | 0.30 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0552 Severity DEnsure that residents are fully informed and understand their health status, care and treatments.Aug 21, 2025 · Resident Rights Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Aug 21, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Aug 21, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0690 Severity DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventAug 21, 2025 · Quality of Life and Care Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Aug 21, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.0% | 4.5% | Worse |
| Falls with major injury | 2.7% | 3.0% | Average |
| On antipsychotic medication | 9.0% | 14.5% | Better |
| Urinary tract infections | 0.7% | 2.5% | Better |
| ADL decline (daily activities) | 17.2% | 14.0% | Worse |
| Excessive weight loss | 3.2% | 7.5% | Better |
| New/worsened incontinence | 16.7% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $89,538
How This Grade Was Calculated
This facility's grade of F is based on a score of 11 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -8 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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