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The Mission at Blue Skies of Texas East

All states › Texas › San Antonio › The Mission at Blue Skies of Texas East

4949 Ravenswood Drive San Antonio, TX 78227 · Bexar County

(210) 568-5100

All 58 nursing homes in San Antonio, TX (53 take Medicaid)

Accepts Medicare 80 certified beds Non profit Continuing care retirement community

CMS certification number 676041 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is The Mission at Blue Skies of Texas East a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Mission at Blue Skies of Texas East as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 27 citations in the last three years. CMS imposed 1 penalty, including $17,345 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 4.88 hours per resident per day at The Mission at Blue Skies of Texas East, above the Texas median of 3.30 (US median: 3.72). About 0.62 of those hours are from registered nurses. On weekends it falls to 4.07 hours, 17% below its all-week average. Ask how weekends are staffed. 49.4% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 4.88 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.62 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.07 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 49.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 33.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds80
Residents per day 60 About 75% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare
Certified sinceJanuary 2005
Legal business nameBST HEALTH SERVICES CORP

Paying for care at The Mission at Blue Skies of Texas East: Medicare and Medicaid

The Mission at Blue Skies of Texas East is certified for Medicare but not Medicaid. It can provide short-term skilled nursing and rehab covered by Medicare Part A, but if long-term care is needed and Medicaid becomes the payer, a move to a Medicaid-certified home would be needed. 53 other homes in San Antonio accept Medicaid. Nursing homes that accept Medicaid in Texas.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on July 11, 2025 and found 5 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 27 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 27 citations at The Mission at Blue Skies of Texas East across 8 inspection dates, 10 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 3, 2025 (complaint inspection). The most common areas cited were resident assessment and care planning (7) and quality of life and care (6). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level K, January 3, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.

August 6, 2026 · 2 citations · includes complaint inspection

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Aug 24, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Aug 31, 2026)

August 8, 2025 · 2 citations · includes complaint inspection

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Sep 1, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Sep 5, 2025)

July 11, 2025 · 5 citations

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Jul 12, 2025)

DEnsure 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Jul 12, 2025)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Jul 15, 2025)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (Jul 12, 2025)

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jul 12, 2025)

March 17, 2025 · 3 citations · includes complaint inspection

EImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Mar 20, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Apr 1, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Apr 10, 2025)

January 3, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection

KProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Past Non-Compliance (Oct 18, 2024)

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Oct 18, 2024)

May 10, 2024 · 9 citations

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (May 16, 2024)

EEnsure 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (May 15, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (May 15, 2024)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (May 15, 2024)

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (May 15, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (May 15, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (May 15, 2024)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (May 15, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 15, 2024)

March 4, 2024 · 1 citation, includes actual harm · includes complaint inspection

GProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Infection control · Deficient, Provider has date of correction (Apr 1, 2024)

April 7, 2023 · 3 citations

EEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (May 8, 2023)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (May 8, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 8, 2023)

Questions to ask on a tour of The Mission at Blue Skies of Texas East

  1. Inspectors cited the home at the immediate-jeopardy level on January 3, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on January 3, 2025. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 17% below the all-week average. Who is on duty on Saturday nights?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $17,345 in fines.

DateTypeAmount or length
Jan 3, 2025 Fine $17,345

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 4/5 5/5
August 2026 5/5 4/5 4/5 5/5
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Location

Hospitals near The Mission at Blue Skies of Texas East

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Legend Oaks Healthcare and Rehabilitation - West Skilled San Antonio · 1.2 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 124 beds · Medicaid
Harbor Valley Health and Rehabilitation San Antonio · 3.2 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 120 beds · Medicaid
Lakeside Nursing and Rehabilitation Center San Antonio · 3.5 mi away ★★★★★ Inspection 4/5 · Staffing 2/5 118 beds · Medicaid
Westover Hills Rehabilitation and Healthcare San Antonio · 4.9 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 124 beds · Medicaid
Windemere at Westover Hills San Antonio · 5.5 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 112 beds · Medicaid

More nursing homes near The Mission at Blue Skies of Texas East ›   All nursing homes in San Antonio ›

Compare The Mission at Blue Skies of Texas East with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/san-antonio/the-mission-at-blue-skies-of-texas-east/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.