Total health inspections
10
Texas average 7.4
Last Health inspection on Aug 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Blue Skies of Texas East
Nursing Home
Blue Skies of Texas East
Nursing Home
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.
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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.
Occupancy rate
68.3%
Residents per day (avg)
46
Occupancy rate
68.3%
Residents per day (avg)
46
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
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
Finances and operations
Voluntary non-profit home
Other
Home revenue
$15.4M
Operating deficit
-$3.2M
Voluntary non-profit home
Other
Home revenue
$15,417,371.00
Operating deficit
$-3,164,092.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$14.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$18.6M
24-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
14 years in operation
A community with a solid operating history and experience delivering ongoing care.
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
LICENSEDFacility 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
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.
Results
1 with citations
0 without citations
1 total citation
1 health citation
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
0 enforcement actions
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.
Compare Nursing Homes around San Antonio
The information below is reported by the Texas Health and Human Services Commission.
Coryell County Memorial Hospital Authority
-48%
+25%
+50%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
TX 76528
106
No
-
COX, KARA
95.2%
$13,023,548.00
$4,995,902.00
38.4%
90.80
4.5454
-
20
-
-48%+25%+50%
Columbus Oaks Healthcare Community
+163%
+1%
-9%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
TX 78934
137
No
-
DHC OPCO-COLUMBUS, LLC
58.0%
$7,575,380.00
$3,316,273.00
43.8%
77.60
3.6687
1
21
1
+163%+1%-9%
Blue Skies of Texas East
+1%
+79%
+8%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
San Antonio (Valley High North)
80
No
47
AIR FORCE VILLAGE INC
68.3%
$15,242,760.00
$4,568,530.00
30%
45.70
6.5100
2
31
2
+1%+79%+8%
Cornerstone Retirement Community
-4%
+26%
+42%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
TX 75503
40
No
-
GAVRIEL, BRITANY
89.9%
$5,737,326.00
$4,891,953.00
85.3%
32.90
4.5845
1
16
1
-4%+26%+42%
Avir at Woodlands Villas
-76%
+1%
-8%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
TX 76448
150
No
-
WOODLAND NURSING OPERATIONS LLC
58.5%
$8,499,409.00
$2,316,117.00
27.3%
70.00
3.6616
1
35
3
-76%+1%-8%
Coryell County Memorial Hospital Authority
Type of care:
SNF
AL
Community:
TX 76528
Bed Count:
106
Pets Allowed:
No
Operator:
COX, KARA
CCN:
675886
Occupancy:
95.2%
Home Revenue:
$13,023,548.00
Payroll Costs:
$4,995,902.00
Payroll %:
38.4%
Avg Residents/Day:
90.80
Overall Rating:
Adj Nurse Hours:
4.5454
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
20
RN share vs State Avg:
-48%
-48%
Staffing vs State Avg:
+25%
+25%
Occupancy vs State Avg:
+50%
+50%
Columbus Oaks Healthcare Community
Type of care:
SNF
AL
Community:
TX 78934
Bed Count:
137
Pets Allowed:
No
Operator:
DHC OPCO-COLUMBUS, LLC
CCN:
675996
Occupancy:
58.0%
Home Revenue:
$7,575,380.00
Payroll Costs:
$3,316,273.00
Payroll %:
43.8%
Avg Residents/Day:
77.60
Overall Rating:
Adj Nurse Hours:
3.6687
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
+163%
+163%
Staffing vs State Avg:
+1%
+1%
Occupancy vs State Avg:
-9%
-9%
Blue Skies of Texas East
Type of care:
SNF
AL
Community:
San Antonio (Valley High North)
Bed Count:
80
Pets Allowed:
No
Operator:
AIR FORCE VILLAGE INC
CCN:
676041
Occupancy:
68.3%
Home Revenue:
$15,242,760.00
Payroll Costs:
$4,568,530.00
Payroll %:
30%
Avg Residents/Day:
45.70
Overall Rating:
Adj Nurse Hours:
6.5100
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
31
Severe Citations:
2
RN share vs State Avg:
+1%
+1%
Staffing vs State Avg:
+79%
+79%
Occupancy vs State Avg:
+8%
+8%
Cornerstone Retirement Community
Type of care:
SNF
AL
Community:
TX 75503
Bed Count:
40
Pets Allowed:
No
Operator:
GAVRIEL, BRITANY
CCN:
676359
Occupancy:
89.9%
Home Revenue:
$5,737,326.00
Payroll Costs:
$4,891,953.00
Payroll %:
85.3%
Avg Residents/Day:
32.90
Overall Rating:
Adj Nurse Hours:
4.5845
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
16
Severe Citations:
1
RN share vs State Avg:
-4%
-4%
Staffing vs State Avg:
+26%
+26%
Occupancy vs State Avg:
+42%
+42%
Avir at Woodlands Villas
Type of care:
SNF
AL
Community:
TX 76448
Bed Count:
150
Pets Allowed:
No
Operator:
WOODLAND NURSING OPERATIONS LLC
CCN:
675001
Occupancy:
58.5%
Home Revenue:
$8,499,409.00
Payroll Costs:
$2,316,117.00
Payroll %:
27.3%
Avg Residents/Day:
70.00
Overall Rating:
Adj Nurse Hours:
3.6616
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
35
Severe Citations:
3
RN share vs State Avg:
-76%
-76%
Staffing vs State Avg:
+1%
+1%
Occupancy vs State Avg:
-8%
-8%Places of interest near Blue Skies of Texas East
9.6 miles from city center — 5.34 miles to nearest hospital (Urology San Antonio (Westover Hills))
4917 Ravenswood Dr, San Antonio, TX 78227
Calculate Travel Distance to Blue Skies of Texas East
Add your location
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 Nurse | 14 | 7.6 | No |
| Licensed Practical Nurse | 52 | 7.7 | Yes |
| Certified Nursing Assistant | 75 | 7.7 | 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 Assistant | 39 | 36 | 75 | 13,616 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 16 | 36 | 52 | 4,505 | 91 | 100% | 7.7 |
| Registered Nurse | 14 | 0 | 14 | 2,956 | 91 | 100% | 7.6 |
| RN Director of Nursing | 4 | 0 | 4 | 1,675 | 67 | 74% | 7.9 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,016 | 88 | 97% | 8 |
| Speech Language Pathologist | 0 | 7 | 7 | 899 | 69 | 76% | 7.1 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 735 | 69 | 76% | 5.3 |
| Other Dietary Services Staff | 1 | 0 | 1 | 529 | 64 | 70% | 8.3 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 493 | 65 | 71% | 7.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 488 | 62 | 68% | 7.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 487 | 60 | 66% | 8.1 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 470 | 60 | 66% | 7.8 |
| Physical Therapy Aide | 0 | 4 | 4 | 451 | 68 | 75% | 5.6 |
| Dietitian | 1 | 0 | 1 | 343 | 43 | 47% | 8 |
| Qualified Social Worker | 0 | 4 | 4 | 294 | 68 | 75% | 4.3 |
| Physical Therapy Assistant | 0 | 8 | 8 | 218 | 52 | 57% | 3.5 |
Health Inspection History
Inspections
Total health citations
31
Citations per inspection
3.1
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
1
50% better than Texas averageTexas average: 2
Serious Health citations
1
1
150% worse than Texas averageTexas average: 0.4
1 critical citation
1 serious citation
29 moderate citations
0 minor citations
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
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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.
Active
Resident Council
ⓘ
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.2
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.8
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
7% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
13.2%
Percent of long-stay residents whose ability to move independently worsened
13.2%
19% better than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.0%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
105% worse than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.9%
Percent of long-stay high risk residents with pressure ulcers
5.9%
34% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.2%
Percent of long-stay residents who lose too much weight
8.2%
136% worse than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.7%
Percent of long-stay residents who have depressive symptoms
0.7%
76% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
7.5%
Percent of long-stay residents who received an antipsychotic medication
7.5%
5% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.3%
Percent of short-stay residents who newly received an antipsychotic medication
3.3%
126% worse than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
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.
Penalties and 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 amount
$17K
78% lower than Texas averageTexas average: $80K
Number of fines
1
60% fewer fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
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.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 3, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 3, 2025
$17K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Blue Skies of Texas East based on CMS SNF Cost Reports.
Occupancy Rate
68.3%
↓ 4.6pp vs 2023
Net Income
-$3,164,092
↑ ~$366K vs 2023
Total Payroll
$8,164,257
↓ ~$472K vs 2023
Profit Margin
-20.8%
↑ 4.9pp vs 2023
Loading trend charts...
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