Blue Skies of Texas East

Blue Skies of Texas East is a Nursing Home in Texas

Blue Skies of Texas… is a Nursing Home in Texas

Blue Skies of Texas East

4917 Ravenswood Dr, San Antonio, TX 78227 View Map

Blue Skies of Texas East is a Nursing Home in Texas

Blue Skies of Texas… is a Nursing Home in Texas

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Overview of Blue Skies of Texas East

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.

210-673-2761

Managed by Bianca Cardenas

Executive Director

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 6.51/day
Overall rating Info Based on health inspections, staffing and quality measures.
3/5
Health Inspection Info Based on deficiencies found during state health inspections.
3/5
Staffing Info Based on nurse staffing hours per resident per day.
4/5
Quality Measures Info Based on clinical outcomes for residents.
4/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 24

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Texas average
Occupancy rate 67.8%
Residents per day (avg) 46
Occupancy rate
67.8%
Residents per day (avg)
46

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

46% of new residents, usually for short-term rehab.

Typical stay 29 days

Private pay

54% of new residents, often for short stays.

Typical stay 3 months

Finances and operations

Governmental home
City
Home revenue
$13.7M
Deficit of revenue
-$3.5M
Governmental home City
Home revenue
$13,741,291.00
Deficit of revenue
$-3,529,622.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.1M
30.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.3M
Total costs $14.5M
Bed community size
24-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Years in operation
14 years in operation
A community with a solid operating history and experience delivering ongoing care.
Walk Score
Walk Score: 47 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

License Status
LICENSED
Facility Type
Assisted Living
License Expiration
January 10, 2026

Additional licensing details

License number: 145570
Year opened: 1/3/2012
County: BEXAR

Ownership & operating entity

Blue Skies of Texas East is legally operated by BST HEALTH SERVICES CORP., and administrated by BJ WILLIAMSON.

Owner: BST HEALTH SERVICES CORP
Ownership type: Nonprofit Organization

Staffing

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

Leadership

Contact: Ms. Cathie Estrada, Director

Care Services

Provides Memory Care
Alzheimer's Certification
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.

1 visit/inspection

Results

1 with citations

0 without citations

Texas average: 45 visits/inspections

Texas average: 9 complaint visits

Texas average: 28 inspections

1 citation

1 health citation

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Texas average: 6 citations

Texas average: 2 health citations

0 enforcement actions

Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.

Texas average: 1 enforcement action

Inspection Report Summary for Blue Skies of Texas East

The Arnold House at Blue Skies of Texas East underwent its most recent comprehensive inspection on September 27, 2023, resulting in one violation of state standards. The sole Health Code deficiency cited was related to the facility's failure to have a written admission agreement that included details about services and charges, as well as information regarding possible Medicare benefits. This issue was corrected by October 2, 2023. No Life Safety Code deficiencies were identified during this inspection. As a result of the inspection findings, no enforcement actions were taken against the facility.

Comparison Chart

The information below is reported by the Texas Health and Human Services Commission.
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Blue Skies of Texas East
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

San Antonio
80
No
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47
AIR FORCE VILLAGE INC
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Places of interest near Blue Skies of Texas East

Address 9.6 miles from city center

Address 4917 Ravenswood Dr, San Antonio, TX 78227

Calculate Travel Distance to Blue Skies of Texas East

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

185
Total Staff
82
Employees
103
Contractors
30,151
Total Hours (Quarter)
44
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse147.6 No
Licensed Practical Nurse527.7 Yes
Certified Nursing Assistant757.7 Yes
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
148 staff
7.7hs shift avg
Physicians & Practitioners
2 staff
7.9hs shift avg
Therapy Services
26 staff
6hs shift avg
Activities & Recreation
1 staff
7.6hs shift avg
Social Services
4 staff
4.3hs shift avg
Dietary Services
2 staff
8.1hs shift avg
Other Services
1 staff
7.9hs shift avg
Contractor Analysis
21.4%
of total hours from contractors
6,456 contractor hours this quarter
Certified Nursing Assistant: 36 Licensed Practical Nurse: 36 Physical Therapy Assistant: 8 Qualified Social Worker: 4 Respiratory Therapy Technician: 6 Occupational Therapy Aide: 1 Therapeutic Recreation Specialist: 1 Physical Therapy Aide: 4 Speech Language Pathologist: 7
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant39367513,61691100%7.7
Licensed Practical Nurse1636524,50591100%7.7
Registered Nurse140142,95691100%7.6
RN Director of Nursing4041,6756774%7.9
Medication Aide/Technician3031,0168897%8
Speech Language Pathologist0778996976%7.1
Respiratory Therapy Technician0667356976%5.3
Other Dietary Services Staff1015296470%8.3
Administrator1015046369%8
Therapeutic Recreation Specialist0114936571%7.6
Mental Health Service Worker1014886268%7.9
Occupational Therapy Aide0114876066%8.1
Clinical Nurse Specialist1014725965%8
Nurse Practitioner1014706066%7.8
Physical Therapy Aide0444516875%5.6
Dietitian1013434347%8
Qualified Social Worker0442946875%4.3
Physical Therapy Assistant0882185257%3.5

Health Inspection History

Source: CMS Health Citations (Jan 2023 – Aug 2025)

10
Inspections
31
Total Citations
1
Critical (J-L)
1
Serious (G-I)
3.1
Citations/Inspection
Aug 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
29
Serious (G-I)
1
Critical (J-L)
1
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
6
19% of total
Abuse, Neglect & Exploitation
6
19% of total
Resident Rights
5
16% of total
Pharmacy Services
4
13% of total
Infection Control
2
6% of total
Citation Sources
Standard Inspections 17
Complaint Investigations 14
Infection Control 1
State Comparison (TX)
Avg Citations (State)
25.9
This Facility: 31
Avg Critical (State)
2
This Facility: 1
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Aug 08, 2025 D Care PlanningF0656 Open
Aug 08, 2025 D Care PlanningF0842 Open
Jul 11, 2025 D NutritionF0812 Corrected
Jul 11, 2025 D PharmacyF0755 Corrected
Jul 11, 2025 D PharmacyF0760 Corrected
Jul 11, 2025 D Quality of CareF0693 Corrected
Jul 11, 2025 D Resident RightsF0580 Corrected
Mar 17, 2025 D Care PlanningF0656 Corrected
Mar 17, 2025 E Care PlanningF0842 Corrected
Mar 17, 2025 E Resident RightsF0580 Corrected
Jan 03, 2025 D Abuse/NeglectF0600 Corrected
Jan 03, 2025 K Quality of CareF0684 Corrected
May 10, 2024 D Infection ControlF0880 Corrected
May 10, 2024 D PharmacyF0761 Corrected
May 10, 2024 D Quality of CareF0689 Corrected
May 10, 2024 E Quality of CareF0693 Corrected
May 10, 2024 D Care PlanningF0641 Corrected
May 10, 2024 E Care PlanningF0656 Corrected
May 10, 2024 E Care PlanningF0842 Corrected
May 10, 2024 D Resident RightsF0578 Corrected
May 10, 2024 D Resident RightsF0583 Corrected
Mar 04, 2024 G Quality of CareF0686 Corrected
Apr 07, 2023 D Infection ControlF0880 Corrected
Apr 07, 2023 E PharmacyF0759 Corrected
Apr 07, 2023 D Resident RightsF0550 Corrected
Mar 27, 2023 E Abuse/NeglectF0607 Corrected
Mar 27, 2023 E Abuse/NeglectF0609 Corrected
Feb 10, 2023 D Abuse/NeglectF0609 Corrected
Jan 28, 2023 D Abuse/NeglectF0609 Corrected
Jan 28, 2023 D Abuse/NeglectF0610 Corrected
Jan 28, 2023 E Quality of CareF0684 Corrected

Facility Characteristics

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

Ownership: Non-Profit Corporation
Resident Census by Payment Source
47 Total Residents
Medicare 10 (21.3%)
Private Pay/Other 37 (78.7%)
Programs & Services
Residents' Group
Nurse Aide Training
CCRC
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
10.2 Score
19% worse than avg State avg: 8.6

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
15.8 Score
Near average State avg: 16.0

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
17.2%
Lost Too Much Weight
8.2%
Urinary Tract Infection
0.0%
Depressive Symptoms
0.7%
Falls with Major Injury
6.6%
Pneumococcal Vaccine
100.0%
Antipsychotic Use
7.5%
Walking Ability Worsened
13.2%
Influenza Vaccine
100.0%
High Risk Residents with Pressure Ulcers
5.9%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
17.0%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
100.0% 11% better than avg State: 90.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
3.3% 126% worse than avg State: 1.4%
Influenza Vaccine
97.5% 11% better than avg State: 88.0%

Penalties & Fines

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 $17K State avg: $80K 78% better than avg
Number of Fines 1 State avg: 2.5
Compared to State Average Facility: $17K | State Avg: $80K
Penalty History

Showing all 1 penalties (Jan 2025 - Jan 2025)

Jan 3, 2025 Civil Money Penalty
$17K

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Claim What’s Yours: Financial Aid for Texas Seniors

Program
State Program Name
Eligibility
Benefits
Community Care for the Aged and Disabled (CCAD)
TX Medicaid CCAD
  • General: Age 65+ or disabled, 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 Specifics: Large state; rural access challenges.
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
Texas Community Care Services
  • General: Age 60+, Texas resident, at risk of decline.
  • Income Limits: ~$2,000/month (individual, varies).
  • Asset Limits: $5,000 (individual).
  • TX Specifics: Limited funding; high demand in urban areas.
  • Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).
Area Agency on Aging (AAA) Services
  • General: Age 60+, TX resident; no income/asset limits.
  • Income Limits (2025): None; donations encouraged.
  • Asset Limits: Not assessed.
  • TX Specifics: 28 AAAs; includes Meals on Wheels in some areas.
  • Services: Meals (~$5-$7/meal), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Medicare Savings Program (MSP)
Texas Medicare Savings Program
Official government program page
  • General: Age 65+ or disabled, 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 Specifics: Includes Extra Help for Part D; no waitlist.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Low-Income Home Energy Assistance Program (LIHEAP)
Texas Comprehensive Energy Assistance Program (CEAP)
  • General: Age 60+ prioritized, TX resident, low-income.
  • Income Limits (2025): ~$3,970/month (185% FPL).
  • Asset Limits: Not assessed.
  • TX Specifics: Priority for elderly/disabled; covers gas, electric, propane.
  • Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
Family Caregiver Support Program (FCSP)
Texas Family Caregiver Support Program
  • 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 Specifics: High rural demand; includes grandparent caregivers.
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Senior Community Service Employment Program (SCSEP)
  • General: Age 55+, unemployed, low-income, TX resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified.
  • TX Specifics: Priority for veterans, rural residents; AARP partnership.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Texas VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, 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 Specifics: High veteran population; supports rural/urban needs.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
Property Tax Exemption for Seniors
Texas Senior Property Tax Exemption
Official government program page
  • General: Age 65+, TX resident, homeowner (homestead).
  • Income Limits (2025): None; tax-based eligibility.
  • Asset Limits: Not assessed.
  • TX Specifics: $25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.
  • Services: Tax exemption or freeze (~$500-$1,000/year savings).
Senior Farmers’ Market Nutrition Program (SFMNP)
Texas SFMNP
  • General: Age 60+, TX resident, low-income.
  • Income Limits (2025): ~$2,322/month (185% FPL).
  • Asset Limits: Not assessed.
  • TX Specifics: Vouchers (~$50/season); serves ~20,000 via 28 AAAs.
  • Services: Vouchers (~$50/season) for produce at farmers’ markets.

Claim What’s Yours Financial Aid for Texas Seniors

TX Medicaid CCAD

Community Care for the Aged and Disabled (CCAD)

Requirements:
  • General:
    Age 65+ or disabled, 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 Specifics:
    Large state; rural access challenges.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
TX CCS

Texas Community Care Services

Requirements:
  • General:
    Age 60+, Texas resident, at risk of decline.
  • Income Limits:
    ~$2,000/month (individual, varies).
  • Asset Limits:
    $5,000 (individual).
  • TX Specifics:
    Limited funding; high demand in urban areas.
Benefits without Contact:
  • Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).
Texas AAA Services

Area Agency on Aging (AAA) Services

Requirements:
  • General:
    Age 60+, TX resident; no income/asset limits.
  • Income Limits (2025):
    None; donations encouraged.
  • Asset Limits:
    Not assessed.
  • TX Specifics:
    28 AAAs; includes Meals on Wheels in some areas.
Benefits without Contact:
  • Services: Meals (~$5-$7/meal), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Texas Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, 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 Specifics:
    Includes Extra Help for Part D; no waitlist.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Texas Comprehensive Energy Assistance Program (CEAP)

Low-Income Home Energy Assistance Program (LIHEAP)

Requirements:
  • General:
    Age 60+ prioritized, TX resident, low-income.
  • Income Limits (2025):
    ~$3,970/month (185% FPL).
  • Asset Limits:
    Not assessed.
  • TX Specifics:
    Priority for elderly/disabled; covers gas, electric, propane.
Benefits without Contact:
  • Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
Texas Family Caregiver Support Program

Family Caregiver Support Program (FCSP)

Requirements:
  • 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 Specifics:
    High rural demand; includes grandparent caregivers.
Benefits without Contact:
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Texas SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, TX resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified.
  • TX Specifics:
    Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Texas VA Aid and Attendance/Housebound

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

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, 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 Specifics:
    High veteran population; supports rural/urban needs.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
Texas Senior Property Tax Exemption

Property Tax Exemption for Seniors

Requirements:
  • General:
    Age 65+, TX resident, homeowner (homestead).
  • Income Limits (2025):
    None; tax-based eligibility.
  • Asset Limits:
    Not assessed.
  • TX Specifics:
    $25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.
Benefits without Contact:
  • Services: Tax exemption or freeze (~$500-$1,000/year savings).
Texas SFMNP

Senior Farmers’ Market Nutrition Program (SFMNP)

Requirements:
  • General:
    Age 60+, TX resident, low-income.
  • Income Limits (2025):
    ~$2,322/month (185% FPL).
  • Asset Limits:
    Not assessed.
  • TX Specifics:
    Vouchers (~$50/season); serves ~20,000 via 28 AAAs.
Benefits without Contact:
  • Services: Vouchers (~$50/season) for produce at farmers’ markets.
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