Bluebonnet Nursing and Rehabilitation
696 Fm 99, Karnes City TX 78118 · (830) 780-3944 · 40% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Bluebonnet Nursing and Rehabilitation is an average-sized nursing home located in Karnes City, Texas. This is a well below average facility, with an overall grade of D. If you are not satisfied with this facility's pedestrian overall grade, you may have to look in other cities as this is the only nursing home in Karnes City. If you aren't deterred by this nursing home's report card, feel free to continue reading to find out about its category grades. Inspection reports are discussed in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 120 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
Although we did not rate this facility highly overall, we want to point out its nearly flawless government inspections in recent years. We awarded them an impressive grade of A- in this category. We weigh several aspects of a nursing home's inspection report in computing our inspection scores. One critical factor is health deficiencies. You should keep in mind that the severity of these deficiencies is arguably more important than the quantity of deficiencies, as some deficiencies are quite insignificant. While this facility had some deficiencies on its report, none of them were major deficiencies based on CMS' deficiency scale. A few minor deficiencies aren't necessarily the end of the world.
Long-term Care Quality
This facility was awarded its next best category score in the category of long-term care. We gave this nursing home a B- in this category, which is a respectable score. In determining our long-term care ratings, we assess the nursing home's ability to maintain its permanent residents' health and quality of life. On top of considering the amount of care provided by aids and other staff, we analyzed the number of residents vaccinated against pneumonia. Thankfully, this nursing home gave the vaccine to 100 percent of its patients, which is a very respectable figure. Finally, this nursing home was able to limit hospitalizations. With only 1.61 hospitalizations per 1,000 long-term resident days, this facility had fewer hospitalizations than the average nursing home.
Nurse Quality
This facility's next best category was nursing, but even there it received a grade of just D. This is still a well below average grade. The nursing grade features many subcategories. The most important variable is the amount of time nurses spent with residents. This nursing home averaged just 2.8 hours of nursing care per patient on a daily basis. This is a very low total compared to most nursing homes. To pair with its low totals in the area of nursing hours per patient, this place had really poor marks in some of the quality-based metrics we looked at in computing our nursing grades. We looked at the percent of patients sustaining falls leading to major injury. This facility was at more than 1.5 times the national average in this statistic.
Short-term Care Quality
The next category we scored was short-term care, which is this facility's weakest category. We gave this nursing home a grade of D in that category. In determining our short-term care scores, we look at the facility's levels of highly skilled nursing, which includes registered nurses, physical therapists occupational therapists and other highly trained professionals. This grade is generally a fair assessment of the facility's rehabilitation. Based on its poor score in this area, we weren't stunned to learn this nursing home offered far fewer physical therapist and registered nurse hours per resident than most other nursing homes. Lastly, we considered the percentage of patients that ultimately returned home from this facility. This place fared better in this area, with 49.2 percent of its patients returning home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Bluebonnet Nursing and Rehabilitation Quality Metrics
Minimizes Pressure Ulcers
This is the percent of residents that have had a pressure ulcer. Pressure ulcers are skin damage due to remaining in the same position for too long.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percentage of residents who sustained a major fall. Falls leading to serious injuries are considered to be a barometer of the quality of nursing care . Major falls which result in injury are often caused by poor nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percentage of residents who have had a urinary tract infection. These infections are sometimes associated with poor hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percent of residents who were given antipsychotic medications. These medications are sometimes used for several medical conditions, including dementia.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percent of residents prescribed antianxiety medications. Antianxiety drugs are administered to residents suffering from anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percent of patients showing symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This datapoint is a measure of the percent of long-term patients that were vaccinated against pneumonia and flu.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
Measures the percentage of long-term residents who needed additional assistance with activities of daily living over time. ADL's include activities such as taking medications and taking a bath. Many argue that this is a reliable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of patients that were able to retain mobility over time. Retaining mobility is often a great sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This metric tracks the number of hospitalizations per 1,000 days of patient care. Staying out of the hospital is critical to the physical health of nursing home residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This indicates the number of times residents are rehospitalized per thousand days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric measures the number of times residents are sent to the emergency room per 1,000 days of short-term patient care. Staying out of the emergency room is one way to assess the well-being of patients during rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is a measure of the percentage of short-term care patients who experienced functional improvements.
Percentage of Resident
Higher is Better