The Mission At Blue Skies Of Texas East
4949 Ravenswood Drive, San Antonio, TX 78227 · Bexar County
Non-profit · 80 certified beds · 69% occupancy · (210) 568-5100
The Mission At Blue Skies Of Texas East reviews: what the government record shows
The U.S. government (CMS) rates The Mission At Blue Skies Of Texas East 5 out of 5 stars overall, much above average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 5 of 5 stars
- Nurse staffing
- 4.87 hrs/resident/day (+49% vs TX median)
- Antipsychotic drug use
- Not reported
- Falls with major injury
- 1.3% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $17,345
- Inspection findings
- 25 cited, 1 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Strengths
- ✓Earns 5 of 5 stars overall from CMS.
- ✓Nurse staffing of 4.87 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about The Mission At Blue Skies Of Texas East
Is The Mission At Blue Skies Of Texas East a good nursing home?
The Mission At Blue Skies Of Texas East in San Antonio, Texas holds a 5 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is The Mission At Blue Skies Of Texas East staffed?
The Mission At Blue Skies Of Texas East reports 4.87 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has The Mission At Blue Skies Of Texas East been fined or flagged for abuse?
The Mission At Blue Skies Of Texas East has paid approximately $17,345 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
4.87 nurse hours per resident per day. 49% above the Texas median of 3.27.
Nursing staff turnover: 57.6% · RN turnover: 50%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0656 · Aug 8, 2025ComplaintCorrected Sep 1, 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 Deficiencies
- Potential for harmTag F0842 · Aug 8, 2025ComplaintCorrected Sep 5, 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 Deficiencies
- Potential for harmTag F0580 · Jul 11, 2025Corrected Jul 12, 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 Deficiencies
- Potential for harmTag F0693 · Jul 11, 2025Corrected Jul 12, 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 Deficiencies
- Potential for harmTag F0755 · Jul 11, 2025Corrected Jul 15, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0760 · Jul 11, 2025Corrected Jul 12, 2025
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
- Potential for harmTag F0812 · Jul 11, 2025Corrected Jul 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Immediate jeopardyTag F0684 · Jan 3, 2025ComplaintCorrected Oct 18, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Potential for harmTag F0580 · Mar 17, 2025ComplaintCorrected Mar 20, 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 Deficiencies
- Potential for harmTag F0842 · Mar 17, 2025ComplaintCorrected Apr 1, 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 Deficiencies
Showing the 10 most recent and serious of 25 findings. See the full inspection history on Medicare.gov.
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is non-profit (non profit - corporation). It is independently operated, not part of a multi-facility chain.