All states › Texas › San Antonio › The Mission at Blue Skies of Texas East
4949 Ravenswood Drive San Antonio, TX 78227 · Bexar County
All 58 nursing homes in San Antonio, TX (53 take Medicaid)
CMS certification number 676041 · See this home on Medicare Care Compare
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.
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%).
About this nursing home
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.
DProvide and implement an infection prevention and control program.
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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
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.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure that residents are free from significant medication errors.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
January 3, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
KProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
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.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
DKeep residents' personal and medical records private and confidential.
DEnsure each resident receives an accurate assessment.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
DProvide and implement an infection prevention and control program.
March 4, 2024 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
April 7, 2023 · 3 citations
EEnsure medication error rates are not 5 percent or greater.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of The Mission at Blue Skies of Texas East
- 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?
- CMS cited the home under its abuse and neglect rules on January 3, 2025. How are staff trained, and how are concerns reported?
- Weekend staffing is 17% below the all-week average. Who is on duty on Saturday nights?
- 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.
| Date | Type | Amount or length |
|---|---|---|
| Jan 3, 2025 | Fine | $17,345 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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6.9 mi
Westover Hills Baptist Hospital San AntonioEmergency roomMedian ER visit 3h 11m for patients treated and sent home
- 9.0 mi
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9.3 mi
San Antonio VA Medical Center (VA South Texas Healthcare System) San AntonioEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 43m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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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.