Bluebonnet Rehab at Ennis

In the surveyor’s words

From the most serious findings on record at Bluebonnet Rehab at Ennis, in the surveyor’s own words.

• Immediate jeopardy, patternF689Oct 22, 2022

  45831 Based on observations, interviews, and record review, the facility failed to provide adequate supervision to prevent accidents for 10 of 11 residents (Resident #11, Resident #15, Resident #24, Resident #27, Resident #34, Resident #36, Resident #50, Resident #53, Resident #55, and Resident #68) while smoking in designated smoking areas. The facility did not provide adequate supervision to 10 residents that smoke outside in the designated smoking area. The facility failed to ensure adequate supervision was provided to Resident #11, Resident #15, Resident #24, Resident #27, Resident #34, Resident #36, Resident #50, Resident #53, Resident #55, and Resident #68 to ensure safe smoking and smoking materials were maintained by facility staff for all 10 residents and while they smoked outside… […]

• Actual harm, isolatedF689Aug 20, 2026

  Based on observation, interview, and record review, the facility failed to provide adequate supervision and assistance devices to prevent accidents for 1 (Resident #1) of 12 residents reviewed for quality of care. The facility failed, when TD A did not ensure Resident #1 was properly secured in her wheelchair on 05/04/26, which resulted in Resident #1 being thrown from her wheelchair to the front of the vehicle and suffering a closed fracture of shaft of right radius and ulna (broken right forearm, but the skin over the break is not torn open). […]

• No harm, potential for more than minimal, widespreadF812Apr 23, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for sanitation. 1.The facility failed to ensure sanitation practices (cleaning the ice machine, cleaning the juice machine dispenser, cleaning the inside of the microwave, storing the ice scoop in an ice scoop receptacle that was free from food debris buildup, cleaning the refrigerator unit shelving to ensure they are free of mold). 2.The facility failed to ensure cleaning logs were being completed. 3.The facility failed to ensure all items were covered and stored properly. 4.The facility failed to label and date all food items in the kitchen. […]

• No harm, potential for more than minimal, widespreadF812Feb 26, 2025

  Based on observations, interviews, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for dietary services. 1. The facility failed to ensure that the dry storage items were free from expired foods. 2. The facility failed to ensure kitchen staff followed proper hand hygiene during meal preparations. 3. The facility failed to ensure that the puree blender was cleaned between menu items. These failures could place residents at risk for food contamination and foodborne illness. Findings included: An observation was made on [DATE] at 10:49 AM in the kitchen. The observation in the kitchen's dry storage area revealed expired food. […]

• No harm, potential for more than minimal, widespreadF812Jan 4, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the facility's only kitchen, which was observed for dietary services. The facility failed to: 1. Clean and sanitize kitchen surfaces and kitchen equipment to reduce food-borne pathogens. 2. Ensure snack refrigerators and individual resident refrigerators maintained adequate temperature to reduce food borne pathogens. […]