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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.
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.
Situated in the Air Force Base, Blues Skies – East Campus provides independent living and assisted living that promotes resort-like living with resort-like hospitality. On the other hand, residents of assisted living are nestled in the Arnold House– where seniors get exceptional assistance and care while striving to get as much freedom as possible. Blue Skies East Campus provides endless opportunities in their fifty-acres of space, which is ideal for seniors to feel free and happy in their elderly years.
Blue Skies East Campus is an independent living, assisted living, and memory care community– with residents that come from all over the country and those that are local. Seniors that currently occupy Blue Skies are around the ages of 60, averaging. The ratio of men to women is about 40% to 60%, respectively. To further give more details of what the community offers, there is a weekly visit from physicians in their very own on-site clinic; as well housing their own Broadway Bank. If residents want to feel a little more cozy at their own apartment or cottages, they can enjoy streaming channels with their HS Basic Plus Cable TV; each home is provided with electric and water utilities that include an emergency call system. Their respective homes, whether cottage or apartment, are provided with housekeeping services. For over fifty-years of service in the hospitality industry, Blue Skies of Texas has decades of experience ensuring a vibrant and youthful community.
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.
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.
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.
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.
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.
This home is ranked 3rd out of 289 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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
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
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
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
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
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 |
Higher than the Texas average: 63.5%Blue Skies of Texas East is legally operated by Bst Health Services Corp., and administrated by Bj Williamson.
Key information about the people who lead and staff this community.
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.
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.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 1 | 6 | This facility has 83% fewer total citations than a typical Texas nursing home (1 vs. TX avg 6).↓ 83% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 1 | 2 | This facility has 50% fewer health citations than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better |
|
Citations per year
Average citations per year since 2024.
| 0.5 | 3 | This facility has 83% fewer citations per year than a typical Texas nursing home (0.5 vs. TX avg 3).↓ 83% better |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Texas average 7.4
Last Health inspection on Aug 2025
Texas average 25.9
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.
50% better than Texas averageTexas average: 2
150% worse than Texas averageTexas average: 0.4
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
61% more staff per resident than Texas average
9% worse than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursAssists with medical care and medications.
27 total: 19 full-time employees and 8 contractors.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
41 total: 35 full-time employees and 6 contractors.
41
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,542 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 35 | 6 | 41 | 13,719 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 19 | 8 | 27 | 5,348 | 92 | 100% | 8.2 |
| Registered Nurse | 8 | 0 | 8 | 3,336 | 92 | 100% | 8.6 |
| RN Director of Nursing | 3 | 0 | 3 | 1,328 | 68 | 74% | 7.6 |
| Speech Language Pathologist | 0 | 5 | 5 | 1,222 | 69 | 75% | 6.6 |
| Medication Aide/Technician | 2 | 0 | 2 | 947 | 84 | 91% | 8.2 |
| Physical Therapy Aide | 0 | 5 | 5 | 661 | 69 | 75% | 6.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 540 | 67 | 73% | 8.1 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 524 | 69 | 75% | 3.4 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Occupational Therapy Aide | 0 | 5 | 5 | 404 | 56 | 61% | 7.1 |
| Nurse Practitioner | 1 | 0 | 1 | 392 | 53 | 58% | 7.4 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 383 | 52 | 57% | 7.4 |
| Physical Therapy Assistant | 0 | 3 | 3 | 379 | 67 | 73% | 5.5 |
| Dietitian | 1 | 0 | 1 | 322 | 41 | 45% | 7.9 |
| Qualified Social Worker | 0 | 2 | 2 | 252 | 61 | 66% | 4.1 |
| Dental Services Staff | 1 | 0 | 1 | 110 | 15 | 16% | 7.3 |
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)
78% lower than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 3, 2025 · $17K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 3, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.8
In line with Texas averageTexas average: 16.0
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
7% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
13.2%
19% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.0%
9% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
105% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.9%
34% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
8.2%
136% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.7%
76% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
7.5%
5% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
3.3%
126% worse than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
11% better than Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
74% of new residents, usually for short-term rehab.
26% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
47Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Blue Skies of Texas East based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #42 / 297Payroll — State benchmarkedThis home is ranked 42nd out of 297 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
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.
9.6 miles from city center
Estimated distance in miles from San Antonio's city center to Blue Skies of Texas East's address, calculated via Google Maps.
— 5.34 miles to nearest hospital (Urology San Antonio (Westover Hills))
Add your location
Blue Skies of Texas East is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| The Army Residence Community Health Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Northeast Side) | 30
Facility
30
TX AVG
80
Rank
#782 / 988 |
70.1%
Facility
70.1%
TX AVG
63.5%
Rank
#128 / 297 | +10% | 4.74
Facility
4.74
TX AVG
3.63
Rank
#34 / 289 | -10% | +31% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 294 | 18
Facility
18
TX AVG
25.9
Rank
#101 / 292 | 4.5
Facility
4.5
TX AVG
3.7
Rank
#241 / 292 | - | 59 | - |
6
Facility
6
TX AVG
41
Rank
#1286 / 1391 | Army Retirement Residence Foundation San Antonio | $48.9M
Facility
$48.9M
TX AVG
$8.4M
Rank
#6 / 297 | $17.6M
Facility
$17.6M
TX AVG
$3.5M
Rank
#6 / 297 | 36%
Facility
36%
TX AVG
47%
Rank
#262 / 297 | 675697 | ||||
| Blue Skies of Texas East |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Valley High North) | 24
Facility
24
TX AVG
80
Rank
#798 / 988 |
68.3%
Facility
68.3%
TX AVG
63.5%
Rank
#136 / 297 | +8% | 6.51
Facility
6.51
TX AVG
3.63
Rank
#3 / 289 | -7% | +79% | $17.3k
Facility
$17.3k
TX AVG
$81.8k
Rank
#133 / 294 | 31
Facility
31
TX AVG
25.9
Rank
#217 / 292 | 3.1
Facility
3.1
TX AVG
3.7
Rank
#130 / 292 | 2 | 53 | - |
47
Facility
47
TX AVG
41
Rank
#587 / 1391 | Air Force Village Inc | $15.4M
Facility
$15.4M
TX AVG
$8.4M
Rank
#61 / 297 | $8.2M
Facility
$8.2M
TX AVG
$3.5M
Rank
#42 / 297 | 53%
Facility
53%
TX AVG
47%
Rank
#80 / 297 | 676041 | ||||
| The Village at Incarnate Word |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Willshire Terrace) | 60
Facility
60
TX AVG
80
Rank
#583 / 988 |
90.5%
Facility
90.5%
TX AVG
63.5%
Rank
#15 / 297 | +43% | 4.38
Facility
4.38
TX AVG
3.63
Rank
#49 / 289 | -46% | +21% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 294 | 13
Facility
13
TX AVG
25.9
Rank
#47 / 292 | 4.3
Facility
4.3
TX AVG
3.7
Rank
#227 / 292 | - | 55 | A+ |
75
Facility
75
TX AVG
41
Rank
#67 / 1391 | Incarnate Word Retirement Community, Inc. | $20.9M
Facility
$20.9M
TX AVG
$8.4M
Rank
#36 / 297 | $8.5M
Facility
$8.5M
TX AVG
$3.5M
Rank
#36 / 297 | 40.7%
Facility
40.7%
TX AVG
47%
Rank
#217 / 297 | 676498 | ||||
| Wurzbach Nursing and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Northwest Side) | 140
Facility
140
TX AVG
80
Rank
#86 / 988 |
38.6%
Facility
38.6%
TX AVG
63.5%
Rank
#267 / 297 | -39% | 3.23
Facility
3.23
TX AVG
3.63
Rank
#215 / 289 | -69% | -11% | $34.9k
Facility
$34.9k
TX AVG
$81.8k
Rank
#259 / 294 | 57
Facility
57
TX AVG
25.9
Rank
#283 / 292 | 4.4
Facility
4.4
TX AVG
3.7
Rank
#235 / 292 | 4 | 54 | C |
75
Facility
75
TX AVG
41
Rank
#67 / 1391 | E&R Cunningham Investments LP | $8.3M
Facility
$8.3M
TX AVG
$8.4M
Rank
#223 / 297 | $3.8M
Facility
$3.8M
TX AVG
$3.5M
Rank
#226 / 297 | 46%
Facility
46%
TX AVG
47%
Rank
#155 / 297 | 455824 | ||||
| Heritage Creek | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Northwest Side) | 52
Facility
52
TX AVG
80
Rank
#664 / 988 | - | - | 3.90
Facility
3.90
TX AVG
3.63
Rank
#76 / 289 | - | - | - | +25% | +7% | $312.5k
Facility
$312.5k
TX AVG
$81.8k
Rank
#293 / 294 | 110
Facility
110
TX AVG
25.9
Rank
#292 / 292 | 3.1
Facility
3.1
TX AVG
3.7
Rank
#130 / 292 | 13 | 65 | A+ |
9
Facility
9
TX AVG
41
Rank
#1241 / 1391 | Heritage Creek Assisted Living Inc | $7.6M
Facility
$7.6M
TX AVG
$8.4M
Rank
#237 / 297 | $4.3M
Facility
$4.3M
TX AVG
$3.5M
Rank
#195 / 297 | 57.2%
Facility
57.2%
TX AVG
47%
Rank
#48 / 297 | 675112 |
Blue Skies of Texas East is in the Valley High North neighborhood of San Antonio.
The legal owner and operator of Blue Skies of Texas East is Bst Health Services Corp..
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.
According to TX state health department records, Blue Skies of Texas East's license number is 145570.
According to TX state health department records, Blue Skies of Texas East's license expires on January 10, 2026.
Blue Skies of Texas East's occupancy is 68%.
Yes — see the floorplan options available at Blue Skies of Texas East on this page.
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