Nursing home
The Mission at Blue Skies of Texas East
4949 Ravenswood Dr, San Antonio, TX 78227 · Map
Non profit - Corporation · 80 certified beds
The Mission at Blue Skies of Texas East is a Medicare-certified nursing home in San Antonio, Texas. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 5.29 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Jul 11, 2025 cited 10 deficiencies.
- 1 fine totaling $17,345In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Mission at Blue Skies of Texas East compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.29 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.89 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.06 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 63.0% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 10.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the August 8, 2025 inspection was corrected by September 5, 2025
Penalties in CMS records: 1 fine totaling $17,345, 1 total penalty.
What inspectors found at The Mission at Blue Skies of Texas East
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 Deficiencies · Aug 8, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Aug 8, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 11, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jul 11, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jul 11, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 Deficiencies · Jul 11, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Jul 11, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Mar 17, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Mar 17, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Mar 17, 2025 · Full report (PDF) - Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jan 3, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Jan 3, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4949 Ravenswood Dr
San Antonio, TX 78227 - CMS certification #
- 676041
- Ownership
- Non profit - Corporation
- Certified beds
- 80
- Avg residents/day
- 47.1
- Provider type
- Medicare
- First certified
- 2005-01-05
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Mission at Blue Skies of Texas East using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2016
Full public records, with dates and sources
Care and services
From the community’s website
What The Mission at Blue Skies of Texas East says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- 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)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Nov 20, 2016 to Nov 19, 2018. Violations found: Wages on federal service contracts. Employer as DOL recorded it: Blue Skies of Texas (BST Health Services Corp). Case 1849819.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Christus Santa Rosa Medical Center, San Antonio. 5.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Legend Oaks Healthcare and Rehabilitation - West S, San Antonio. 1.2 miles away, straight line.
- Nearest home health agency office
- Soft Touch Home Care Inc, San Antonio. 5.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78227 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Gateway Dialysis, San Antonio, 0.7 miles away, straight line (CMS rating 4 of 5 stars)
Fmc Dialysis Services Of Ingram, San Antonio, 5.3 miles away, straight line (CMS rating 4 of 5 stars)
Usrc Dialysis At Home West Tcu, San Antonio, 5.8 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 97 Medicare hospices tell CMS they serve ZIP code 78227.
Bexar Hospice, office in San Antonio, 4.1 miles away, straight line
Blue Skies Hospice, office in San Antonio, 5.7 miles away, straight line
American Medical Hospice & Palliative Care, office in San Antonio, 8.2 miles away, straight line - Nearest geriatric medicine practice
- Wellmed Medical Group Pa, San Antonio. 6.3 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 risk
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)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively moderate, 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.
What we checked
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 |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| 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 | Not shown: FEMA rates wildfire risk here very low |
| 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 |
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Frequently asked questions
Is The Mission at Blue Skies of Texas East a good nursing home?
CMS gives The Mission at Blue Skies of Texas East an overall rating of 3 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Mission at Blue Skies of Texas East staffed?
The Mission at Blue Skies of Texas East reports 5.29 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has The Mission at Blue Skies of Texas East had inspection problems?
Its most recent CMS inspection cited 10 deficiencies.
How many beds does The Mission at Blue Skies of Texas East have?
The Mission at Blue Skies of Texas East is certified for 80 beds.