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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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. 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 |
|---|---|---|
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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 50m per day |
Occupancy lower than 85% suggests more openings may be available.
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.
Inspections
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This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
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Inspections with citations
Inspections that resulted in at least one regulatory citation.
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1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas 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 average
Texas average: 2
150% worse than Texas average
Texas average: 0.4
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
61% better 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This role is partially covered by contractors.
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 average
Texas average: $80K
60% fewer fines than Texas average
Texas 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 average
Texas 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, 2025
Last 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 average
Texas average: 8.6
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
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%
Percent of long-stay residents whose ability to move independently worsened
13.2%
19% better than Texas average
Texas average: 16.2%
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%
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
105% worse than Texas average
Texas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.9%
34% worse than Texas average
Texas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas average
Texas average: 0.8%
Percent of long-stay residents who lose too much weight
8.2%
136% worse than Texas average
Texas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.7%
76% better than Texas average
Texas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
7.5%
5% better than Texas average
Texas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas average
Texas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas average
Texas average: 97.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas average
Texas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
3.3%
126% worse than Texas average
Texas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
11% better than Texas average
Texas 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
47
Residents 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.
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| 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 | 70.1% | +10% | 4.74 | -10% | +31% | $0 | 18 | 4.5 | - | 53 | - | 6 | Army Retirement Residence Foundation San Antonio | $48.9M | $17.6M | 36% | 675697 | ||||
| Legend Oaks West Rehab |
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 (Far West Side) | 124 | 85.1% | +34% | 3.86 | +28% | +6% | $8.6k | 11 | 2.8 | 1 | 110 | - | 24 | Bertetti Healthcare, Inc. | $14.7M | $8.0M | 54.5% | 676312 | ||||
| Saint Francis Nursing Home |
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.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
San Antonio (Midtown) | 116 | 65.0% | +2% | 6.10 | -66% | +68% | $0 | 17 | 4.3 | - | 75 | - | 71 | Ginger Dixon | $10.2M | $4.9M | 48.5% | 45410 | ||||
| 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) | 80 | 68.3% | +8% | 6.51 | -7% | +79% | $20.2k | 31 | 3.1 | 2 | 46 | - | 47 | Air Force Village Inc | $15.4M | $8.2M | 53% | 676041 | ||||
| Elmcroft of Windcrest |
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.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. |
San Antonio (Northeast Side) | 113 | 61.4% | -3% | 2.41 | -57% | -34% | $81.6k | 64 | 4.0 | 5 | 81 | A+ | 14 | Rj Realty Group LLC | $15.3M | $6.5M | 42.5% | 675171 |
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.
Yes — see the floorplan options available at Blue Skies of Texas East on this page.
Bj Williamson is the administrator of Blue Skies of Texas East.
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