Bluebonnet Nursing & Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 17 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (12 vs median 8.0)
- High staff turnover (67%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $89,538 in fines
What this means for your family
The facility has a strong reputation for excellent physical and occupational therapy and a very friendly staff. However, you must be extremely vigilant about night-shift care, as there is a recent, highly serious allegation of residents being left unattended in soiled linens.
Google Reviews
Google Reviews
17 reviews analyzed“Families can expect a facility with a highly praised rehabilitation team and a warm, friendly atmosphere. However, there are serious, critical reports regarding severe neglect and lack of CNA staffing during night shifts, as well as historical issues with missing belongings and communication.”
Quality Themes
Tap a score for detailsStrengths
- Skilled and attentive rehabilitation therapy
- Friendly and enthusiastic staff
- Clean and well-maintained environment
- Warm, home-like atmosphere
Concerns
- Severe neglect and lack of CNA staffing during night shifts
- Missing resident belongings
- Poor phone communication
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I noticed some wonderful comments about the rehabilitation therapy here; could you tell me more about how the therapists work with residents to regain their independence?
- 2Since we want to ensure everything stays organized, what systems do you have in place to help residents keep track of their personal belongings?
- 3What is the protocol for medical emergencies or urgent care needs during the overnight hours?
- 4How does the facility ensure consistent communication with family members, especially if we have questions or need an update outside of regular business hours?
- 5What kind of daily activities or social events are organized to help residents stay engaged and enjoy that warm, home-like atmosphere mentioned by others?
- 6With the recent inspections, what specific steps is the leadership team taking to increase the number of CNAs available on all shifts, including nights?
Personalized based on this facility's data
Key Review Excerpts
“Therapies (OT and PT) are impressive with their skills and attention to the residents.”
“I’ve been a clinician for 20 years and rarely have I seen the type of care these patients receive. The staff is enthusiastic about what they do.”
“We went to tour the facility with David Sczepanik, who took us on a tour and we were very impressed with the cleanliness, home like atmosphere and general care of the residents.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
8
measures
6
measures
2
measures
Residents whose walking got worse
Residents with depression symptoms
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern with 17 complaint-triggered deficiencies, indicating families have repeatedly reported problems to authorities. The most recurring issues involve infection control, resident rights, and care planning - with infection control violations appearing across six separate surveys from 2023 to 2025, suggesting persistent problems. While the facility corrects deficiencies when cited, the repeated nature of core care issues, especially the ongoing infection control failures, raises significant quality concerns that families should carefully investigate before considering placement.
Mar 25, 2026Complaint3
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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.
Aug 22, 2025Routine18
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 22, 2025Complaint2
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 6, 2025Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Jun 7, 2025Complaint1
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.
Nov 27, 2024Complaint4
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
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.
Federal Penalties
Fine
Jun 1, 2024
$31,760
Fine
Apr 9, 2024
$16,801
Fine
Feb 26, 2024
$40,977
Ownership & Operations
Who Operates This Facility
Karnes I Enterprises, LLC
for profit
CREATIVE SOLUTIONS IN HEALTHCARE, INC
SUSAN PETERS
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 121 of 148 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
17 reviews from families & visitors
Official Website
Visit bluebonnetnursing.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.