Bluebonnet Nursing And Rehabilitation
Inspection Findings
F-Tag F0552
Federal health inspectors cited BLUEBONNET NURSING AND REHABILITATION in KARNES CITY, TX for a deficiency under regulatory tag F-F0552 during a standard health inspection conducted on 2025-08-22.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Ensure that residents are fully informed and understand their health status, care and treatments.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of BLUEBONNET NURSING AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-23.
F-Tag F0656
Federal health inspectors cited BLUEBONNET NURSING AND REHABILITATION in KARNES CITY, TX for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-22.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of BLUEBONNET NURSING AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-23.
F-Tag F0657
Federal health inspectors cited BLUEBONNET NURSING AND REHABILITATION in KARNES CITY, TX for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-08-22.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of BLUEBONNET NURSING AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-23.
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm
the resident.This procedure may require two (2) persons.Position a gait belt around the resident's waist and clasp it.If the resident requires, two persons (one on each side) should grasp the gait belt and gently stand and turn the resident and sit him or her in the chair.Support the resident by placing a gait belt around the resident's waist for you to hold and steady the resident.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/22/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Bluebonnet Nursing and Rehabilitation
696 Fm 99 Karnes City, TX 78118
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0690
Federal health inspectors cited BLUEBONNET NURSING AND REHABILITATION in KARNES CITY, TX for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of BLUEBONNET NURSING AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-23.
F-Tag F0695
F 0695 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
sheet dated 8/21/25 revealed a [AGE] year-old female admitted to the facility on [DATE REDACTED] and re-admitted on [DATE REDACTED] and 7/31/25 with diagnoses that included acute and chronic respiratory failure with hypoxia (a sudden onset of when the lungs cannot provide enough oxygen to the blood or cannot remove enough carbon dioxide), acute pulmonary edema (sudden buildup of fluid in the lungs' air sacs which makes it very difficult to breathe), heart failure, and chronic obstructive pulmonary disease (a long-term lung disease that makes it hard to breath). Record review of Resident #8's most recent comprehensive MDS assessment dated [DATE REDACTED] revealed the resident was cognitively intact for daily decision- making skills and required oxygen therapy. Record review of Resident #8's Order Summary Report dated 8/21/25 revealed the following orders:- Oxygen 3 liters per minute via nasal cannula every shift with order date 8/1/25 and no end date. Record review of Resident #8's comprehensive care plan with revision date 8/13/25 revealed the resident used oxygen therapy related to heart failure and ineffective gas exchange with interventions that included to give medications as ordered by the physician and provide oxygen therapy per nasal cannula.
Observation on 8/21/25 at 10:43 a.m. revealed Resident #8 sitting up in bed and the oxygen concentrator operating via nasal cannula with the oxygen tubing touching the floor. During an observation and interview
on 8/21/25 at 10:54 a.m., Resident #8 stated the oxygen tubing was replaced, last evening (8/20/25). LVN F observed Resident #8's oxygen tubing touching the floor and stated the oxygen tubing was not supposed to be touching the floor because it was contaminated because the floor was dirty. During an interview on 8/21/25 at 7:28 p.m., the DON stated, the oxygen tubing on the oxygen concentrator touching the floor meant the tubing was dirty because the floor was dirty. Record review of the facility document titled, Oxygen Administration, undated, revealed in part, .Oxygen therapy includes the administration of oxygen in liters/minute by cannula or face mask to treat hypoxemic conditions caused by pulmonary or cardiac diseases.Goals.The resident will be free from infection.Procedure.Attach the tubing to the regulator and the delivery device to be used.Change the tubing (including any nasal prongs or mask) that is in use on one patient when it malfunctions or becomes visibly contaminated.
Event ID:
Facility ID:
If continuation sheet
F-Tag F0755
Federal health inspectors cited BLUEBONNET NURSING AND REHABILITATION in KARNES CITY, TX for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-08-22.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of BLUEBONNET NURSING AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-23.
F-Tag F0761
Federal health inspectors cited BLUEBONNET NURSING AND REHABILITATION in KARNES CITY, TX for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-22.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of BLUEBONNET NURSING AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-23.
F-Tag F0880
Federal health inspectors cited BLUEBONNET NURSING AND REHABILITATION in KARNES CITY, TX for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-22.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of BLUEBONNET NURSING AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-23.
BLUEBONNET NURSING AND REHABILITATION in KARNES CITY, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in KARNES CITY, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BLUEBONNET NURSING AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.