The Mission at Blue Skies of Texas East

Nursing home in San Antonio, TX

Medicare-certified5★ overall (CMS)

Call (210) 568-5100 Send a message Map ↗

Public-record details

Address: 4949 Ravenswood Drive, San Antonio, TX 78227
Phone: (210) 568-5100
Listed under: Nonprofit, 4–5 star overall rating, Part of a retirement community
Medicare CCN: 676041
Overall star rating: 5 of 5 ★★★★★
Health inspection rating: 4 of 5
Staffing rating: 4 of 5
Quality measures rating: 5 of 5
Certified beds: 80
Average residents per day: 56
Ownership: Nonprofit, corporation
Legal business name: Bst Health Services Corp
Certified for: Medicare
First approved by Medicare/Medicaid: Jan 5, 2005
Changed ownership in last 12 months: No
Continuing care retirement community: Yes
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 676041. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 11, 2025. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 7, 2023 to Aug 8, 2025): 8 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Aug 8, 2025	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 · complaint inspection	D Potential for more than minimal harm, isolated
Aug 8, 2025	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 · complaint inspection	D Potential for more than minimal harm, isolated
Jul 11, 2025	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights	D Potential for more than minimal harm, isolated
Jul 11, 2025	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	D Potential for more than minimal harm, isolated
Jul 11, 2025	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service	D Potential for more than minimal harm, isolated
Jul 11, 2025	Ensure that residents are free from significant medication errors. Pharmacy Service	D Potential for more than minimal harm, isolated
Jul 11, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	D Potential for more than minimal harm, isolated
Mar 17, 2025	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 · complaint inspection	D Potential for more than minimal harm, isolated
Mar 17, 2025	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights · complaint inspection	E Potential for more than minimal harm, pattern
Mar 17, 2025	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 · complaint inspection	E Potential for more than minimal harm, pattern
Jan 3, 2025	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 · complaint inspection	D Potential for more than minimal harm, isolated
Jan 3, 2025	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	K Immediate jeopardy, pattern

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $17,345 in the last three years.

Jan 3, 2025

Fine: $17,345

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 4.87 hours
Registered nurse (RN) time per resident per day: 0.80 hours
Nurse aide time per resident per day: 2.72 hours
Total nurse staffing on weekends: 3.97 hours
Nursing staff turnover (yearly): 58%
RN turnover (yearly): 50%
Administrators who left in the past year: 1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in San Antonio

All 58 in San Antonio →