nursing home in San Antonio, TX
The Mission at Blue Skies of Texas East
4949 Ravenswood Drive, San Antonio, TX 78227 · (210) 568-5100
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★4
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Mission at Blue Skies of Texas East at a glance
The Mission at Blue Skies of Texas East is a 80-bed non-profit nursing home in San Antonio, Texas (Bexar County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 4.9 hours of nursing care per day (0.8 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (July 11, 2025) found 5 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $17,345.
Nursing staff turnover is 57.6% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 80
- Certified for
- Medicare
- Medicare-certified since
- January 5, 2005
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Bexar County
- CMS Certification Number
- 676041
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 1.9 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.87 hrs | 3.39 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.80 hrs | 0.43 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.72 hrs | 2.01 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.97 hrs | 2.98 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 57.6% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 45 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $17,345 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 80 | 113 | 107 | |
| Average residents per day | 56 | 76 | 86 | |
| Occupancy | 69.4% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.3% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.4% | 3.8% | 4.6% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 8.8% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 11.8% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.8% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 2.2% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 24% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 10.8% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.4% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 97.5% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| August 8, 2025 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected September 1, 2025 |
| August 8, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected September 5, 2025 |
| July 11, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected June 27, 2025 |
| July 11, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 27, 2025 |
| July 11, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected June 27, 2025 |
| July 11, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected July 12, 2025 |
| July 11, 2025 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected July 12, 2025 |
| July 11, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected July 12, 2025 |
| July 11, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected July 15, 2025 |
| July 11, 2025 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected July 12, 2025 |
| March 17, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected April 1, 2025 |
| March 17, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | E Potential harm, pattern | Corrected March 20, 2025 |
| March 17, 2025 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected April 10, 2025 |
| January 3, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | K Immediate jeopardy, pattern | Corrected October 18, 2024 |
| January 3, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected October 18, 2024 |
| May 10, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | E Potential harm, pattern | Corrected May 15, 2024 |
| May 10, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected May 15, 2024 |
| May 10, 2024 Standard | 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 · Tag F0656 | E Potential harm, pattern | Corrected May 16, 2024 |
| May 10, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected May 15, 2024 |
| May 10, 2024 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected May 15, 2024 |
| May 10, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected May 15, 2024 |
| May 10, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 15, 2024 |
| May 10, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 15, 2024 |
| May 10, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 15, 2024 |
| March 4, 2024 Complaint · Infection control | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected April 1, 2024 |
| April 7, 2023 Fire safety | Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies · Tag K0700 | E Potential harm, pattern | Corrected May 8, 2023 |
| April 7, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected May 8, 2023 |
| April 7, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 8, 2023 |
| April 7, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 8, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $17,345 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 3, 2025 | Fine | $17,345 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AIR FORCE VILLAGE INC Organization | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| BIERY, DIANE Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| BRYAN, HELEN Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| DUBENSKY, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| FLOWERS, ALFRED Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| GOSWAMI, SUSHANTA Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| HANSEN, ROGER Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| HEPBURN, DEBORAH Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| HOSTAGE, KATHERINE Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| JONES, DARRELL Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| KARDYS, RICHARD Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| KELLY-RANK, SALLY Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| KRUGER, ROBERT Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| LYONS, AMY Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| MANZKE, SARAH Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| MEIGS, STEPHEN Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| MORAN, JOSEPH Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| OLSEN, JANICE Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| POTTER, CHARLES Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| PROFENNA, LEONARDO Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| RANSOM, HEATHER Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| SCHNELZER, GARY Individual | adp of the snf | NOT APPLICABLE | 01/22/2025 |
| BIERY, DIANE Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| BRYAN, HELEN Individual | corporate director | NOT APPLICABLE | 11/09/2023 |
| DUBENSKY, MICHAEL Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| FLOWERS, ALFRED Individual | corporate director | NOT APPLICABLE | 01/01/2022 |
| HANSEN, ROGER Individual | corporate director | NOT APPLICABLE | 01/01/2021 |
| HEPBURN, DEBORAH Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| HOSTAGE, KATHERINE Individual | corporate director | NOT APPLICABLE | 11/01/2016 |
| KARDYS, RICHARD Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| KRUGER, ROBERT Individual | corporate director | NOT APPLICABLE | 11/09/2023 |
| MEIGS, STEPHEN Individual | corporate director | NOT APPLICABLE | 11/09/2023 |
| MORAN, JOSEPH Individual | corporate director | NOT APPLICABLE | 11/09/2023 |
| OLSEN, JANICE Individual | corporate director | NOT APPLICABLE | 05/01/2017 |
| POTTER, CHARLES Individual | corporate director | NOT APPLICABLE | 11/01/2022 |
| PROFENNA, LEONARDO Individual | corporate director | NOT APPLICABLE | 01/01/2018 |
| SCHNELZER, GARY Individual | corporate director | NOT APPLICABLE | 11/01/2022 |
| JONES, DARRELL Individual | corporate officer | NOT APPLICABLE | 01/14/2018 |
| LYONS, AMY Individual | corporate officer | NOT APPLICABLE | 07/01/2024 |
| MANZKE, SARAH Individual | corporate officer | NOT APPLICABLE | 10/01/2023 |
Showing 40 of 64 records.
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Frequently asked questions
What is The Mission at Blue Skies of Texas East's rating?
The Mission at Blue Skies of Texas East has 5 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did The Mission at Blue Skies of Texas East receive?
Its most recent standard health inspection found 5 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does The Mission at Blue Skies of Texas East accept Medicare and Medicaid?
CMS lists it as certified for: Medicare. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Mission at Blue Skies of Texas East?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Mission at Blue Skies of Texas East and how do I contact it?
The Mission at Blue Skies of Texas East is at 4949 Ravenswood Drive, San Antonio, TX 78227. Phone: (210) 568-5100.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.