BLUEBONNET NURSING AND REHABILITATION in KARNES CITY, TX was fined $89,538 by CMS across 3 separate penalties following 32 deficiency citations identified during federal surveys.

BLUEBONNET NURSING AND REHABILITATION (KARNES CITY, TX) — $89,538 in CMS Fines

Outcome: BLUEBONNET NURSING AND REHABILITATION in KARNES CITY, TX was fined $89,538 by CMS across 3 separate penalties following 32 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.


• 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.


• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.


• Ensure that residents are fully informed and understand their health status, care and treatments.


• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.


• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.


• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.


• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.