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The Mission at Blue Skies of Texas East
4949 Ravenswood Drive, San Antonio, TX 78227 · CMS Certification Number (CCN) 676041
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At a glance
- CMS overall rating
- ★★★★★ 5 of 5
- Health inspection citations
- 25 in the last 3 inspection cycles (1 immediate jeopardy, 1 actual harm, 8 from complaints)
- Fire safety citations
- 4
- Fines (last 3 years)
- 1 fine, total $17,345
- Payment denials
- 0
- Most recent standard inspection
- July 11, 2025
- Official record
- Medicare Care Compare page for this facility
Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
CMS star ratings
CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide
| Rating | This facility | Texas average | U.S. average |
|---|---|---|---|
| Overall | ★★★★★ 5 of 5 | 2.7 | 3 |
| Health inspections | ★★★★☆ 4 of 5 | 2.8 | 2.8 |
| Staffing | ★★★★☆ 4 of 5 | 1.9 | 2.9 |
| Quality measures | ★★★★★ 5 of 5 | 3.7 | 3.6 |
| Long-stay quality | ★★★★★ 5 of 5 | Not published | Not published |
| Short-stay quality | ★★★★☆ 4 of 5 | Not published | Not published |
Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Health inspections
| Inspection cycle | Standard survey date | Health citations | From standard survey | From complaints |
|---|---|---|---|---|
| Cycle 1 (most recent) | July 11, 2025 | 5 | 5 | 0 |
| Cycle 2 | May 10, 2024 | 17 | 9 | 8 |
CMS weighted health inspection score: 45 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: 1. How to read these citations
25 health citations across 7 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.
August 8, 2025: 2 citations (Complaint)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0842 | 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 | Complaint | Deficient, Provider has date of correction Corrected 09/05/2025 |
| D | F-0656 | 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 | Complaint | Deficient, Provider has date of correction Corrected 09/01/2025 |
July 11, 2025: 5 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | Deficient, Provider has date of correction Corrected 07/12/2025 |
| D | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies | Standard | Deficient, Provider has date of correction Corrected 07/12/2025 |
| D | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies | Standard | Deficient, Provider has date of correction Corrected 07/15/2025 |
| D | F-0693 | 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 | Standard | Deficient, Provider has date of correction Corrected 07/12/2025 |
| D | F-0580 | 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 | Standard | Deficient, Provider has date of correction Corrected 07/12/2025 |
March 17, 2025: 3 citations (Complaint)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| E | F-0842 | 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 | Complaint | Deficient, Provider has date of correction Corrected 04/01/2025 |
| D | F-0656 | 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 | Complaint | Deficient, Provider has date of correction Corrected 04/10/2025 |
| E | F-0580 | 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 | Complaint | Deficient, Provider has date of correction Corrected 03/20/2025 |
January 3, 2025: 2 citations (Complaint)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| K | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Complaint | Past Non-Compliance Corrected 10/18/2024 |
| D | F-0600 | 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 | Complaint | Past Non-Compliance Corrected 10/18/2024 |
May 10, 2024: 9 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/15/2024 |
| E | F-0842 | 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 | Standard | Deficient, Provider has date of correction Corrected 05/15/2024 |
| D | F-0761 | 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. Pharmacy Service Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/15/2024 |
| E | F-0693 | 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 | Standard | Deficient, Provider has date of correction Corrected 05/15/2024 |
| D | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/15/2024 |
| E | F-0656 | 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 | Standard | Deficient, Provider has date of correction Corrected 05/16/2024 |
| D | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/15/2024 |
| D | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/15/2024 |
| D | F-0578 | 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. Resident Rights Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/15/2024 |
March 4, 2024: 1 citation (Complaint + Infection control)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| G | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 04/01/2024 |
April 7, 2023: 3 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/08/2023 |
| E | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/08/2023 |
| D | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/08/2023 |
Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Fire safety inspections
4 fire safety citations across 2 inspection dates
| Date | Severity | Tag | What was cited | Status |
|---|---|---|---|---|
| 07/11/2025 | F | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies | Deficient, Provider has date of correction Corrected 06/27/2025 |
| 07/11/2025 | D | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies | Deficient, Provider has date of correction Corrected 06/27/2025 |
| 07/11/2025 | D | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 06/27/2025 |
| 04/07/2023 | E | K-0700 | Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies | Deficient, Provider has date of correction Corrected 05/08/2023 |
Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.
Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Penalties
| Date | Type | Fine amount | Payment denial |
|---|---|---|---|
| January 3, 2025 | Fine | $17,345 | — |
Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Staffing
| Measure | This facility | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staff hours per resident per day | 4.87 | 3.39 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.8 | 0.43 | 0.69 |
| LPN/LVN hours per resident per day | 1.35 | Not published | Not published |
| Nurse aide hours per resident per day | 2.72 | Not published | Not published |
| Total nurse staff hours per resident per day, weekends | 3.97 | Not published | Not published |
| RN hours per resident per day, weekends | 0.59 | Not published | Not published |
| Total nursing staff turnover (%) | 57.6 | 55.3 | 45.8 |
| Registered nurse turnover (%) | 50 | Not published | Not published |
| Administrators who have left | 1 | Not published | Not published |
Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.
Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Facility details
- Legal business name
- Bst Health Services Corp
- Ownership type
- Non profit - Corporation
- Chain
- Not published
- Ownership changed in last 12 months
- No
- Certified beds
- 80
- Average residents per day
- 55.5
- Participates in
- Medicare
- Located inside a hospital
- No
- Continuing care retirement community
- Yes
- Resident and family council
- Resident
- First approved for Medicare/Medicaid
- January 5, 2005
- County/parish
- Bexar
Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Owners and managers reported to CMS
64 ownership and management records
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| BIERY, DIANE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| BRYAN, HELEN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| DUBENSKY, MICHAEL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| FLOWERS, ALFRED | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| HANSEN, ROGER | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| HEPBURN, DEBORAH | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| HOSTAGE, KATHERINE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| KARDYS, RICHARD | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| KRUGER, ROBERT | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MEIGS, STEPHEN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MORAN, JOSEPH | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| OLSEN, JANICE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| POTTER, CHARLES | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| PROFENNA, LEONARDO | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| SCHNELZER, GARY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| BIERY, DIANE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| BRYAN, HELEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| DUBENSKY, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| FLOWERS, ALFRED | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| HANSEN, ROGER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| HEPBURN, DEBORAH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| HOSTAGE, KATHERINE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| KARDYS, RICHARD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| KRUGER, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MEIGS, STEPHEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MORAN, JOSEPH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| OLSEN, JANICE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| POTTER, CHARLES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| PROFENNA, LEONARDO | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| SCHNELZER, GARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| JONES, DARRELL | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| LYONS, AMY | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MANZKE, SARAH | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| RANSOM, HEATHER | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| AIR FORCE VILLAGE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | undefined undefined, NaN |
| BST HEALTH SERVICES CORP | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | undefined undefined, NaN |
| GOSWAMI, SUSHANTA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| JONES, DARRELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| KELLY-RANK, SALLY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| LYONS, AMY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MANZKE, SARAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| RANSOM, HEATHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| AIR FORCE VILLAGE INC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| BIERY, DIANE | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| BRYAN, HELEN | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| DUBENSKY, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| FLOWERS, ALFRED | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| GOSWAMI, SUSHANTA | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| HANSEN, ROGER | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| HEPBURN, DEBORAH | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| HOSTAGE, KATHERINE | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| JONES, DARRELL | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| KARDYS, RICHARD | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| KELLY-RANK, SALLY | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| KRUGER, ROBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| LYONS, AMY | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MANZKE, SARAH | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MEIGS, STEPHEN | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MORAN, JOSEPH | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| OLSEN, JANICE | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| POTTER, CHARLES | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| PROFENNA, LEONARDO | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| RANSOM, HEATHER | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| SCHNELZER, GARY | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Check it yourself
- Medicare Care Compare: The Mission at Blue Skies of Texas East. Full inspection reports, quality measures and staffing.
- HHSC long-term care complaint portal (TULIP). The state agency also takes nursing home complaints.
- Ask the facility to show you its most recent inspection report and plan of correction.
Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.