The Mission at Blue Skies of Texas East
4949 Ravenswood Dr · San Antonio, TX · 78227 · 2105685100
80 certified beds Non profit - Corporation Part of a CCRC
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 5.15 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.77 | 0.55–0.75 |
| Weekend hours / resident-day | 4.28 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 1 · $17,345 |
Inspection citations (25 in the current record)
-
Potential for harm · D August 8, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 1, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D August 8, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 5, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D July 11, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 12, 2025 · Resident Rights
-
Potential for harm · D July 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.
Corrected July 12, 2025 · Quality of Life and Care
-
Potential for harm · D July 11, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 15, 2025 · Pharmacy Service
-
Potential for harm · D July 11, 2025
Ensure that residents are free from significant medication errors.
Corrected July 12, 2025 · Pharmacy Service
-
Potential for harm · D July 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 12, 2025 · Nutrition and Dietary
-
Potential for harm · E March 17, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 20, 2025 · Resident Rights
-
Potential for harm · D March 17, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E March 17, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 1, 2025 · Resident Assessment and Care Planning
-
Immediate jeopardy · K January 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 18, 2024 · Quality of Life and Care
-
Potential for harm · D January 3, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 10, 2024
Honor 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.
Corrected May 15, 2024 · Resident Rights
-
Potential for harm · D May 10, 2024
Keep residents' personal and medical records private and confidential.
Corrected May 15, 2024 · Resident Rights
-
Potential for harm · D May 10, 2024
Ensure each resident receives an accurate assessment.
Corrected May 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E May 10, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 16, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D May 10, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 15, 2024 · Quality of Life and Care
-
Potential for harm · E May 10, 2024
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.
Corrected May 15, 2024 · Quality of Life and Care
-
Potential for harm · D May 10, 2024
Ensure 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.
Corrected May 15, 2024 · Pharmacy Service
-
Potential for harm · E May 10, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D May 10, 2024
Provide and implement an infection prevention and control program.
Corrected May 15, 2024 · Infection Control
-
Actual harm · G March 4, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 1, 2024 · Quality of Life and Care
-
Potential for harm · D April 7, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 8, 2023 · Resident Rights
-
Potential for harm · E April 7, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected May 8, 2023 · Pharmacy Service
-
Potential for harm · D April 7, 2023
Provide and implement an infection prevention and control program.
Corrected May 8, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 3, 2025 | Fine | $17,345 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676041 · certified since January 5, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.