Federal inspection record · CMS data as of October 1, 2026
The Mission At Blue Skies Of Texas East
4949 Ravenswood Drive, San Antonio, TX · (210) 568-5100
- CMS high-performer trophy
- Certified beds
- 80
- Residents per day
- 60
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare
- Certified since
- January 5, 2005
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
The Mission At Blue Skies Of Texas East carries 51 inspection points. That is fewer than 66% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
27 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Assessment and Care Planning7E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
Resident Rights5E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care4E
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
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.
- E
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service4E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- D
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.
- E
Ensure medication error rates are not 5 percent or greater.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspection history
2025-07-11
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-05-10
16 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
2023-04-07
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 53 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
4 h 53 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$17,345 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-03 | Fine | $17,345 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.7 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts better | 0.5 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts better | 0.6% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.3 pts worse | 7.6% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts worse | 3.8% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.1 pts worse | 20.9% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.7 pts better | 9.1% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.9 pts better | 9.0% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.6 pts better | 8.2% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 0.6% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts worse | 1.3% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.4 pts better | 12.1% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts better | 2.8% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.7 pts better | 99.4% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts better | 9.3% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts worse | 2.8% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better | 100.0% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.2 pts worse | 26.7% | 25.5% | 23.4% |
·
Who owns and runs it
64 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Air Force Village Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Air Force Village Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Biery, Diane | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Biery, Diane | Corporate Director · Individual | 0% | 1 facilities |
| Biery, Diane | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bryan, Helen | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Bryan, Helen | Corporate Director · Individual | 0% | 1 facilities |
| Bryan, Helen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bst Health Services Corp | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Dubensky, Michael | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Dubensky, Michael | Corporate Director · Individual | 0% | 1 facilities |
| Dubensky, Michael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Flowers, Alfred | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Flowers, Alfred | Corporate Director · Individual | 0% | 1 facilities |
| Flowers, Alfred | Adp Of The SNF · Individual | 0% | 1 facilities |
| Goswami, Sushanta | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Goswami, Sushanta | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hansen, Roger | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Hansen, Roger | Corporate Director · Individual | 0% | 1 facilities |
| Hansen, Roger | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hepburn, Deborah | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Hepburn, Deborah | Corporate Director · Individual | 0% | 1 facilities |
| Hepburn, Deborah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hostage, Katherine | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Hostage, Katherine | Corporate Director · Individual | 0% | 1 facilities |
| Hostage, Katherine | Adp Of The SNF · Individual | 0% | 1 facilities |
| Jones, Darrell | Corporate Officer · Individual | 0% | 2 facilities |
| Jones, Darrell | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Jones, Darrell | Adp Of The SNF · Individual | 0% | 2 facilities |
| Kardys, Richard | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Kardys, Richard | Corporate Director · Individual | 0% | 1 facilities |
| Kardys, Richard | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kelly-Rank, Sally | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kelly-Rank, Sally | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kruger, Robert | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Kruger, Robert | Corporate Director · Individual | 0% | 1 facilities |
| Kruger, Robert | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lyons, Amy | Corporate Officer · Individual | 0% | 1 facilities |
| Lyons, Amy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lyons, Amy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Manzke, Sarah | Corporate Officer · Individual | 0% | 1 facilities |
| Manzke, Sarah | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Manzke, Sarah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Meigs, Stephen | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Meigs, Stephen | Corporate Director · Individual | 0% | 1 facilities |
| Meigs, Stephen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Moran, Joseph | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Moran, Joseph | Corporate Director · Individual | 0% | 1 facilities |
| Moran, Joseph | Adp Of The SNF · Individual | 0% | 1 facilities |
| Olsen, Janice | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Olsen, Janice | Corporate Director · Individual | 0% | 1 facilities |
| Olsen, Janice | Adp Of The SNF · Individual | 0% | 1 facilities |
| Potter, Charles | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Potter, Charles | Corporate Director · Individual | 0% | 1 facilities |
| Potter, Charles | Adp Of The SNF · Individual | 0% | 1 facilities |
| Profenna, Leonardo | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Profenna, Leonardo | Corporate Director · Individual | 0% | 1 facilities |
| Profenna, Leonardo | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ransom, Heather | Corporate Officer · Individual | 0% | 1 facilities |
| Ransom, Heather | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ransom, Heather | Adp Of The SNF · Individual | 0% | 1 facilities |
| Schnelzer, Gary | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Schnelzer, Gary | Corporate Director · Individual | 0% | 1 facilities |
| Schnelzer, Gary | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Smoke1D
- D
Inspect, test, and maintain automatic sprinkler systems.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous1E
- E
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
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Other homes nearby
-
Legend Oaks Healthcare and Rehabilitation - West S
San Antonio, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 33 min
- Fines
- $8,632
-
Harbor Valley Health and Rehabilitation
San Antonio, TX · Fannin County Hospital District
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 30 min
- Fines
- $18,989
-
Lakeside Nursing And Rehabilitation Center
San Antonio, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 17 min
- Fines
- $14,611