Blue Skies of Texas East
Nursing Home, Assisted Living, Hospice Care, Independent Living & Memory Care · San Antonio, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Blue Skies of Texas East

Nursing Home, Assisted Living, Hospice Care, Independent Living & Memory Care · San Antonio, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Blue Skies of Texas East accepts Medicare and private pay.

Overview of Blue Skies of Texas East

Blue Skies of Texas East is a 24-bed nursing facility at 4917 Ravenswood Dr in San Antonio, with 14 years of operating history and a current occupancy of 68%. The average length of stay runs 109 days, which is longer than a strictly short-term rehab model but short enough to signal that post-acute recovery defines much of what happens here. Medicare and private pay are both accepted.

Nursing coverage totals 6 hours and 31 minutes per resident per day: 3 hours and 1 minute from nurse aides, 1 hour and 22 minutes from LPN/LVN staff, and 46 minutes of RN time. The service list includes rehabilitation, respite care, and 24-hour staffing. State inspections have addressed themes spanning medication management, infection prevention, emergency preparedness, care planning and documentation, dietary services, resident rights, and staffing and staff credentials; a broad cross-section of operational areas rather than any single concentrated focus.

What distinguishes this community is the amenity picture, which reads like a much larger campus than 24 beds would suggest. Residents have access to a pool, fitness centers, a woodshop and art studio, a dog park, a community garden, a library, a billiard and game room, outdoor walking trails, interdenominational chapels, and 24-hour concierge service. Dining centers on fresh, seasonal, made-from-scratch preparation, and over 70 activity groups are available. For a small nursing unit, the physical environment and activity infrastructure here are substantively above what most facilities at this scale offer.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 78.9% Above TX avg. ▲ 78.9% Above TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 44.7% Above TX avg. ▲ 44.7% Above TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 88.5% Above TX avg. ▲ 88.5% Above TX avg.TX average: 2.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 33.2% Above TX avg. ▲ 33.2% Above TX avg.TX average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Texas state averages

Total nursing care / resident Info This home is ranked 3rd out of 296 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
6h 31m per day
Rank #3 / 296Nurse hours — State benchmarkedThis home is ranked 3rd out of 296 homes in Texas. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 296 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Texas avg (3h 38m per day)
vs Texas avg
+79%

0 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +81% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 46m per day ▲ 81% State avg: 25m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 1h 22m per day ▲ 45% State avg: 57m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 3h 1m per day ▲ 49% State avg: 2h 1m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 4h 17m per day ▲ 42% State avg: 3h 0m per day · National avg: 3h 27m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 6m per day ▲ 61% State avg: 4m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 34m per day ▲ 71% State avg: 20m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay
109 days
Bed community size
24-bed community Rank #798 / 988Bed count — State benchmarkedThis home is ranked 798th out of 988 homes in Texas. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Years in operation
14 years in operation Rank #323 / 583Years in operation — State benchmarkedThis home is ranked 323rd out of 583 homes in Texas. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A community with a solid operating history and experience delivering ongoing care.
Walk Score
Walk Score: 47 / 100 Rank #587 / 1391Walk Score — State benchmarkedThis home is ranked 587th out of 1391 homes in Texas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
68%
Rank #142 / 304Occupancy rate — State benchmarkedThis home is ranked 142nd out of 304 homes in Texas. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 304. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Texas average: 63.5%
Occupied beds
16 / 24
Average occupied beds in Texas homes 75 beds

License Details

Facility TypeType B
StatusLicensed
ExpirationJanuary 10, 2026 Expired
CountyBexar
License Number145570
Year Opened1/3/2012
CMS Certification Number676041
QualificationNursing

Ownership & Operating Entity

Blue Skies of Texas East is legally operated by Bst Health Services Corp., and administered by Bj Williamson.

OwnerBST Health Services Corp.
Ownership TypeNonprofit Organization

Safety & Compliance

Emergency Systems24-hour urgent response system.
Safety FeaturesFire detection systems, gated community.

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMs. Cathie Estrada, Director

Payment & Insurance

1 service
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Memory & Specialized Care

1 service
No Alzheimer's certification

Amenities & Lifestyle

Community Center
Sky Lounge
The Hi-Rise
The Mid-Rise
Pool
Arnold House
Woodshop / Art Studio
The Cottages
Dog Park
Community Garden
Electric Vehicle Charging Stations
The Hills
24-Hour Concierge
Billiard & Game Room
Library
Fitness Centers
Outdoor Walking Trails
Interdenominational Chapels & Religious Programs
Activities
Specific ProgramsRehab Services
Religious ServicesInterdenominational chapels & religious programs available

Contact Blue Skies of Texas East

Inspection History

In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.

Since 2024 · 2 years of data 1 citation 1 inspection

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2024 vs. Texas state average
Overall vs. TX average 0 Worse No metrics in this bucket. 1 At Avg Metrics at Texas average:
• Inspections with citations (at TX avg)
3 Better Metrics better than Texas average:
• Total citations (83% below)
• Health citations (50% below)
• Citations per year (83% below)
Latest Inspection August 9, 2024 Annual Inspection

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTX Averagevs. TX Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 16 This facility has 83% fewer total citations than a typical Texas nursing home (1 vs. TX avg 6).↓ 83% better
Health citations Info Citations related to resident care, clinical practices, and day-to-day operations. 12 This facility has 50% fewer health citations than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better
Citations per year Info Average citations per year since 2024. 0.53 This facility has 83% fewer citations per year than a typical Texas nursing home (0.5 vs. TX avg 3).↓ 83% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityTX Averagevs. TX Avg
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 11 This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The August 9, 2024 annual inspection found no violations of state or life safety codes.
  • No health code deficiencies or complaints were recorded in the most recent inspection.
  • The facility maintained a clean record with no citations or substantiated complaints as of August 2024.

Health Inspection History

Inspections since 2023
Total health inspections 10

Texas average 7.4


Last Health inspection on Aug 2025

Total health citations
31 Rank #224 / 299Health citations — State benchmarkedThis home is ranked 224th out of 299 homes in Texas. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 299 TX facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Texas average 25.9

Citations per inspection
3.1 Rank #133 / 299Citations per inspection — State benchmarkedThis home is ranked 133rd out of 299 homes in Texas. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 299 facilities with citation data. Lower is better.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Texas average 3.67


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

17 of 31 citations resulted from standard inspections; and 14 of 31 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical health citations
1
50% better than Texas average

Texas average: 2


Serious health citations
1
150% worse than Texas average

Texas average: 0.4

1 critical citation Texas average: 2

1 serious citation Texas average: 0.4

29 moderate citations Texas average: 23

0 minor citations Texas average: 0.4
Citations history (last 3 years)
Care Planning moderate citation Aug 08, 2025

Care Planning moderate citation Aug 08, 2025

Nutrition moderate citation Jul 11, 2025
Corrected

Pharmacy moderate citation Jul 11, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 112
Employees 73
Contractors 39
Staff to resident ratio 2.38 : 1
61% more staff per resident than Texas average
Texas average ratio: 1.48 : 1 Texas average ratio: 1.48 : 1See full Texas ranking
Avg staff/day 45
Average shift 7.4 hours
9% worse than Texas average
Texas average: 8.1 hours Texas average shift: 8.1 hoursSee full Texas ranking
Total staff hours (quarter) 30,835

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 27 total: 19 full-time employees and 8 contractors. 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 41 total: 35 full-time employees and 6 contractors. 41
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

14.7%

4,542 contractor hours this quarter

Licensed Practical Nurse: 8 Certified Nursing Assistant: 6 Physical Therapy Aide: 5 Speech Language Pathologist: 5 Occupational Therapy Aide: 5 Respiratory Therapy Technician: 4 Physical Therapy Assistant: 3 Qualified Social Worker: 2 Therapeutic Recreation Specialist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3564113,71992100%7.7
Licensed Practical Nurse198275,34892100%8.2
Registered Nurse8083,33692100%8.6
RN Director of Nursing3031,3286874%7.6
Speech Language Pathologist0551,2226975%6.6
Medication Aide/Technician2029478491%8.2
Physical Therapy Aide0556616975%6.1
Other Dietary Services Staff1015406773%8.1
Respiratory Therapy Technician0445246975%3.4
Administrator1014886166%8
Mental Health Service Worker1014806065%8
Occupational Therapy Aide0554045661%7.1
Nurse Practitioner1013925358%7.4
Therapeutic Recreation Specialist0113835257%7.4
Physical Therapy Assistant0333796773%5.5
Dietitian1013224145%7.9
Qualified Social Worker0222526166%4.1
Dental Services Staff1011101516%7.3
41 Certified Nursing Assistant
% of Days 100%
27 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 100%
3 RN Director of Nursing
% of Days 74%
5 Speech Language Pathologist
% of Days 75%
2 Medication Aide/Technician
% of Days 91%
5 Physical Therapy Aide
% of Days 75%
1 Other Dietary Services Staff
% of Days 73%
4 Respiratory Therapy Technician
% of Days 75%
1 Administrator
% of Days 66%
1 Mental Health Service Worker
% of Days 65%
5 Occupational Therapy Aide
% of Days 61%
1 Nurse Practitioner
% of Days 58%
1 Therapeutic Recreation Specialist
% of Days 57%
3 Physical Therapy Assistant
% of Days 73%
1 Dietitian
% of Days 45%
2 Qualified Social Worker
% of Days 66%
1 Dental Services Staff
% of Days 16%

Penalties and fines

Includes penalties issued in 2025

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $17K Rank #127 / 301Federal fines — State benchmarkedThis home is ranked 127th out of 301 homes in Texas. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 301 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
78% lower than Texas average

Texas average: $80K

Number of fines 1
60% fewer fines than Texas average

Texas average: 2.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Texas average

Texas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $17K
Texas average $80K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jan 3, 2025 · $17K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 3, 2025
$17K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 10.2
19% worse than Texas average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.8
In line with Texas average

Texas average: 16.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 17.2%
7% worse than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.2%
19% better than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 17.0%
9% worse than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.6%
105% worse than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.9%
34% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.2%
136% worse than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.7%
76% better than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 7.5%
5% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Texas average

Texas average: 97.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
11% better than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.3%
126% worse than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.5%
11% better than Texas average

Texas average: 88.0%

Breakdown by payment type

Medicare

74% of new residents, usually for short-term rehab.

Typical stay 27 days

Private pay

26% of new residents, often for short stays.

Typical stay 9 - 10 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 47
Medicare
10
21.3% of residents
Private pay or other
37
78.7% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$10.3M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$3.3M
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$10.3M Rank #63 / 304Revenue — State benchmarkedThis home is ranked 63rd out of 304 homes in Texas. Shows this facility's annual revenue compared to the Texas average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$3.3M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$174.6K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #44 / 304Payroll — State benchmarkedThis home is ranked 44th out of 304 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.4M 52.2% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #84 / 304Payroll % — State benchmarkedThis home is ranked 84th out of 304 homes in Texas. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$8.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$13.6M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (74% of admissions), and a typical Medicare stay runs around 27 days.

Admissions
212 total

Coverage residents most often arrive under.

Medicare 74%
Private pay 26%
Discharges
184 total

Coverage residents most often leave under.

Medicare 68%
Private pay 32%

Managed by Bianca Cardenas

Executive Director

13 years of experience

Bianca Cardenas has dedicated 13 years to senior living, gaining extensive experience in multiple community roles including Sales Director, Culinary Director, Life Engagement Director, and Executive Director. She is passionate about enhancing residents' quality of life and mentoring new executive directors. Bianca is committed to creating a supportive environment where residents and staff feel valued and inspired.

Living Spaces & Floor Plans for Blue Skies of Texas East

Places of interest near Blue Skies of Texas East

Address 9.6 miles from city center Info Estimated distance in miles from San Antonio's city center to Blue Skies of Texas East's address, calculated via Google Maps.

Calculate Travel Distance to Blue Skies of Texas East

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Address

Compare Nursing Homes around San Antonio

The information below is reported by the Texas Health and Human Services Commission.

5 facilities compared · CMS & TX Dept. of Health data

Blue Skies of Texas East
NH
AL
HC
IL
MC
San Antonio (Valley High North)
24
Facility 24
TX AVG 80
Rank #798 / 988
68.3%
Facility 68.3%
TX AVG 63.5%
Rank #142 / 304
+8%
6.51
Facility 6.51
TX AVG 3.63
Rank #3 / 296
-7%+79%
$17.3k
Facility $17.3k
TX AVG $81.8k
Rank #127 / 301
31
Facility 31
TX AVG 25.9
Rank #224 / 299
3.1
Facility 3.1
TX AVG 3.7
Rank #133 / 299
253-
47
Facility 47
TX AVG 41
Rank #587 / 1391
Air Force Village Inc
$10.3M
Facility $10.3M
TX AVG $8.4M
Rank #63 / 304
$5.4M
Facility $5.4M
TX AVG $3.5M
Rank #44 / 304
52.2%
Facility 52.2%
TX AVG 47%
Rank #84 / 304
676041
Mystic Park Nursing and Rehabilitation Center
NH
MC
San Antonio (Far West Side)
119
Facility 119
TX AVG 80
Rank #258 / 988
81.8%
Facility 81.8%
TX AVG 63.5%
Rank #53 / 304
+29%
3.50
Facility 3.50
TX AVG 3.63
Rank #146 / 296
-5%-4%
$111.1k
Facility $111.1k
TX AVG $81.8k
Rank #260 / 301
21
Facility 21
TX AVG 25.9
Rank #152 / 299
4.2
Facility 4.2
TX AVG 3.7
Rank #228 / 299
2108-
59
Facility 59
TX AVG 41
Rank #311 / 1391
Fox Sparrow Healthcare, Inc
$10.8M
Facility $10.8M
TX AVG $8.4M
Rank #81 / 304
$6.7M
Facility $6.7M
TX AVG $3.5M
Rank #70 / 304
62%
Facility 62%
TX AVG 47%
Rank #153 / 304
676012
San Pedro Manor
NH
MC
San Antonio (Monte Vista)
150
Facility 150
TX AVG 80
Rank #63 / 988
--
3.63
Facility 3.63
TX AVG 3.63
Rank #128 / 296
+2%0%
$24.3k
Facility $24.3k
TX AVG $81.8k
Rank #155 / 301
43
Facility 43
TX AVG 25.9
Rank #260 / 299
3.9
Facility 3.9
TX AVG 3.7
Rank #210 / 299
519A+
79
Facility 79
TX AVG 41
Rank #38 / 1391
West Ashby Healthcare, Inc
$9.5M
Facility $9.5M
TX AVG $8.4M
Rank #120 / 304
$6.1M
Facility $6.1M
TX AVG $3.5M
Rank #93 / 304
64.8%
Facility 64.8%
TX AVG 47%
Rank #100 / 304
455689
River City Care Center
NH
San Antonio (Eastside Promise Neighborhood)
92
Facility 92
TX AVG 80
Rank #410 / 988
45.7%
Facility 45.7%
TX AVG 63.5%
Rank #259 / 304
-28%
3.63
Facility 3.63
TX AVG 3.63
Rank #128 / 296
+37%0%
$23.4k
Facility $23.4k
TX AVG $81.8k
Rank #152 / 301
32
Facility 32
TX AVG 25.9
Rank #230 / 299
5.3
Facility 5.3
TX AVG 3.7
Rank #274 / 299
247-
68
Facility 68
TX AVG 41
Rank #158 / 1391
-
$3.0M
Facility $3.0M
TX AVG $8.4M
Rank #292 / 304
$2.1M
Facility $2.1M
TX AVG $3.5M
Rank #294 / 304
69.7%
Facility 69.7%
TX AVG 47%
Rank #128 / 304
675896
Buena Vida Nursing and Rehab Center San Antonio
NH
MC
San Antonio (East Side)
222
Facility 222
TX AVG 80
Rank #10 / 988
27.6%
Facility 27.6%
TX AVG 63.5%
Rank #286 / 304
-57%
3.48
Facility 3.48
TX AVG 3.63
Rank #146 / 296
+31%-4%
$269.1k
Facility $269.1k
TX AVG $81.8k
Rank #293 / 301
44
Facility 44
TX AVG 25.9
Rank #263 / 299
4.4
Facility 4.4
TX AVG 3.7
Rank #241 / 299
361-
26
Facility 26
TX AVG 41
Rank #1005 / 1391
West Wharton County Hospital District
$4.3M
Facility $4.3M
TX AVG $8.4M
Rank #260 / 304
$3.2M
Facility $3.2M
TX AVG $3.5M
Rank #261 / 304
73.8%
Facility 73.8%
TX AVG 47%
Rank #141 / 304
455390

Financial Assistance for
Nursing Home in Texas

Blue Skies of Texas East is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.

Get Financial aid guidance

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled
General Texas resident, Medicaid-eligible, care need (not always nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TX

Large state; rural access challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+
General Texas resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TX

Limited funding; high demand in urban areas.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+
General TX resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TX

28 AAAs; includes Meals on Wheels in some areas.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled
General TX resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TX

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed.
TX

High rural demand; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TX resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
TX

High veteran population; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+
General TX resident, homeowner (homestead).
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed.
TX

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Benefits
Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+
General TX resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
TX

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

Benefits
Vouchers (~$50/season) for produce at farmers’ markets

Frequently Asked Questions about Blue Skies of Texas East

What neighborhood is Blue Skies of Texas East in?

Blue Skies of Texas East is in the Valley High North neighborhood of San Antonio.

Who is the owner of Blue Skies of Texas East?

Blue Skies of Texas East is legally operated by Bst Health Services Corp., and administered by Bj Williamson.

Is Blue Skies of Texas East in a walkable area?

Blue Skies of Texas East has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Blue Skies of Texas East?

According to TX state health department records, Blue Skies of Texas East's license number is 145570.

When does Blue Skies of Texas East's license expire?

According to TX state health department records, Blue Skies of Texas East's license expires on January 10, 2026.

What is the occupancy rate at Blue Skies of Texas East?

Blue Skies of Texas East's occupancy is 68%.

Does Blue Skies of Texas East have different floorplan options?

Yes — see the floorplan options available at Blue Skies of Texas East on this page.

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