Assisted Living
Liberty House at Blue Skies of Texas West
5200 John D Ryan Blvd, San Antonio, TX 78245 · Map
Licensed for 51 residents · BST HEALTH SERVICES CORP
Liberty House at Blue Skies of Texas West is a state-licensed assisted living community in San Antonio, Texas. It is licensed for 51 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Care and services
From the community’s website
What Liberty House at Blue Skies of Texas West says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
Five-Star rated, 24/7 skilled nursing provides compassionate and professional long-term care, short-term rehab, rehab-to-home, and hospice care.
(page, checked Oct 15, 2026) - Apartment types named: studio, two-bedroom.
Located in the campus hub, these apartments range from cozy studios to spacious two bedroom apartments, and offer an amazing blend of privacy with the convenience of urban-style living.
(page, checked Oct 15, 2026) - Entrance fee: charged.
A portion of your entrance fee and monthly services fees are tax-deductible.
(page, checked Oct 12, 2026)
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Most recent comprehensive inspection: Sep 25, 2025. See the record
License
Active, 51 residents
Assisted Living Facility TYPE B 145683, current license dated Oct 1, 2026. Licensee BST HEALTH SERVICES CORP.
Nearest emergency room
6.6 miles
Christus Santa Rosa Medical Center, rated 3 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Liberty House at Blue Skies of Texas West this community | 51 | Not published | Active | 10 violations, 0 penalties | |
| Alzheimer's Care and Research Center Foundation | 0.2 mi | 72 | Not published | Active | 3 violations, 0 penalties |
| Boarding With Tender Care | 4.3 mi | 9 | Not published | Active | 37 violations, 0 penalties |
| Arnold House at Blue Skies of Texas East | 5.5 mi | 24 | Not published | Active | 3 violations, 0 penalties |
| The Ridge at Westover Hills | 5.9 mi | 38 | Not published | Active | 0 violations, 0 penalties |
State inspection record10 violations, 0 penalties
- Most recent comprehensive inspection
- September 25, 2025
- Health violations cited
- 1
- Life Safety Code violations cited
- 9
- Administrative penalties
- 0
Violations cited, most recent first
- September 25, 2025, Life Safety Code: The facility failed to have and enforce a smoking policy.
- September 25, 2025, Life Safety Code: The facility failed to inspect, test, and maintain fire sprinkler system components.
- September 25, 2025, Life Safety Code: The facility failed to ensure flammable and combustible liquids were not stored in buildings used by residents.
- September 25, 2025, Life Safety Code: The facility failed to provide required exit signs.
- September 25, 2025, Life Safety Code: The facility failed to provide smoke compartmentation where required.
Show all 9
- September 25, 2025, Life Safety Code: The facility failed to ensure the building electrical system met the referenced codes and standards.
- September 25, 2025, Life Safety Code: The facility failed to provide the minimum levels of illumination required in the facility.
- September 25, 2025, Life Safety Code: The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.
- and 2 more on the state’s site
Read the full record on the state’s site →
HHSC lists each state violation cited at the provider's inspections and investigations, with the date the visit ended and the date HHSC recorded it as corrected. HHSC notes the list “may include findings from previous inspections.” Health visits check care and services; Life Safety Code visits check fire safety and the building. Enforcement actions are administrative penalties HHSC imposed under Texas Health and Safety Code Chapter 247, with the rule cited and HHSC's description of the violation. HHSC: “Data is subject to change through normal business processes such as the state IDR process.” This community is licensed for 51 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Texas Health and Human Services Commission, Long-term Care Regulation, Long Term Care Provider Search, data as of October 15, 2026. Always visit in person and ask the community about anything listed here.
License and ownershipActive license, licensee BST HEALTH SERVICES CORP
- License type
- Assisted Living Facility TYPE B
- License number
- 145683
- License status
- Active
- Current license dated
- 2026-10-01
- Licensed capacity
- 51
- Licensee
- BST HEALTH SERVICES CORP
- County
- Bexar County
- Administrator
- Marsha Lloyd
Source: Texas state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the Texas licensing record, as of Sep 8, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Texas, and other programs
How Medicaid pays for care in Texas
- STAR+PLUS Home and Community Based Services (STAR+PLUS HCBS) Waiver Program. Texas Medicaid can help pay for assisted living for people enrolled in the STAR+PLUS HCBS waiver, which helps people who would otherwise need to be in a nursing home. HHSC checks whether you need this program when you apply for Medicaid. (state page)
- Waitlist. STAR+PLUS HCBS uses an interest list. People already on Medicaid with a STAR+PLUS plan may bypass it, and nursing facility residents can use Money Follows the Person. (source)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 6.6 mi, nursing home 3.4 mi, pharmacy 3.4 mi
- Nearest hospital with an emergency room
- Christus Santa Rosa Medical Center, San Antonio. 6.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Medina Valley Health & Rehabilitation Center, Castroville. 3.4 miles away, straight line.
- Nearest home health agency office
- Titan Health Services LLC, San Antonio. 6.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 3.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78245 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Gateway Dialysis, San Antonio, 5.5 miles away, straight line (CMS rating 4 of 5 stars)
Davita Roadrunner Dialysis, San Antonio, 6.1 miles away, straight line (CMS rating 3 of 5 stars)
Usrc Dialysis At Home West Tcu, San Antonio, 6.6 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 107 Medicare hospices tell CMS they serve ZIP code 78245.
Blue Skies Hospice, office in San Antonio, 0.2 miles away, straight line
Bexar Hospice, office in San Antonio, 3.6 miles away, straight line
All Faith Hospice Care, Inc, office in San Antonio, 12.0 miles away, straight line - Nearest geriatric medicine practice
- Wellmed Medical Group Pa, San Antonio. 9.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk very high; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Bexar County, TX, risk to homes is greater than 16% of communities in Texas and 64% of communities nationwide. USDA rates the whole county, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: very high. By hazard: hurricane relatively low, inland flooding very high, wildfire relatively moderate, tornado very high, heat wave very high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in September 2025. What was it, and how was it fixed?
- The current license dates from 2026. Has the owner or operator changed recently?
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
What we checked13 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Texas Health and Human Services Commission, Long-term Care Regulation inspection records | Oct 15, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Common questionsAnswers to 4 questions families ask
What type of care does Liberty House at Blue Skies of Texas West provide?
Liberty House at Blue Skies of Texas West is licensed by the state of Texas for assisted living in San Antonio, Texas. Its licensed capacity is 51 residents.
Does Lilisity rate Liberty House at Blue Skies of Texas West?
No. We publish state licensing details for Liberty House at Blue Skies of Texas West but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Liberty House at Blue Skies of Texas West cost?
Assisted Living in Texas typically starts at $3,400 to $4,850 a month. Based on 260 communities that publish prices. These are area figures, not this community's price. Liberty House at Blue Skies of Texas West does not publish its prices.
How do I contact Liberty House at Blue Skies of Texas West?
Use Liberty House at Blue Skies of Texas West's website, blueskiesoftexas.org/west-campus, or visit at 5200 John D Ryan Blvd, San Antonio, TX 78245.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid