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 · San Antonio, TX
CMS overall rating
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.
Blue Skies of Texas East
Nursing Home · San Antonio, TX
CMS overall rating
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.
Blue Skies of Texas East accepts Medicare and private pay.
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
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 3rd out of 237 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.
This home is ranked 3rd out of 237 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.
6h 31m per day
Rank #3 / 237Nurse hours — state benchmarkedThis home is ranked 3rd out of 237 homes in Texas.Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 237 Texas SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Texas avg
+72%
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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 |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
68.3%
Rank #119 / 248Occupancy rate — state benchmarkedThis home is ranked 119th out of 248 homes in Texas.Shows this facility's occupancy rate versus the Texas average, with its statewide rank out of 248. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
109 days
Occupancy rate
68.3%
Rank #119 / 248Occupancy rate — state benchmarkedThis home is ranked 119th out of 248 homes in Texas.Shows this facility's occupancy rate versus the Texas average, with its statewide rank out of 248. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
109 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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 community
Home revenue
$15.4M
Operating deficit
-$3.2M
Voluntary non-profit community
Home revenue
$15.4M Rank #35 / 248Revenue — state benchmarkedThis home is ranked 35th out of 248 homes in Texas.Shows this facility's annual revenue compared to the Texas SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating deficit
-$3.2M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #102 / 248Payroll — state benchmarkedThis home is ranked 102nd out of 248 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.
$8.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #102 / 248Payroll — state benchmarkedThis home is ranked 102nd out of 248 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$18.6M
80-bed community
A larger shared setting that may offer more common spaces and organized community services.
14 years in operation
A community with a solid operating history and experience delivering ongoing care.
Walk Score: 47 / 100 Rank #120 / 246Walk Score — state benchmarkedThis home is ranked 120th out of 246 homes in Texas.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas SNFs. Higher scores benefit residents, families, and staff.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeAssisted Living
StatusLicensed
ExpirationJanuary 10, 2026
CountyBexar
License Number145570
Year Opened1/3/2012
QualificationNursing
Blue Skies of Texas East is legally operated by Bst Health Services Corp., and administrated by Bj Williamson.
OwnerBST Health Services Corp.
Ownership TypeNonprofit Organization
Emergency Systems24-hour urgent response system.
Safety FeaturesFire detection systems, gated community.
Staffing
Key information about the people who lead and staff this community.
ContactMs. Cathie Estrada, Director
Accept Medicare
Rehabilitation Services
Respite Care
24-Hour Staffing
Alzheimer's Certification
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
ActivitiesOver 70 activity groups available for residents.
Specific ProgramsRehab Services
Religious ServicesInterdenominational chapels & religious programs available.
Food DescriptionDining venues include a variety of options with a focus on fresh, seasonal ingredients and a made-from-scratch philosophy.
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.
Inspection Scorecard
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.
Overall vs. TX average
0 Worse
No metrics in this bucket.
1 At Avg
Metrics at Texas average:
• Inspections with citations (at TX avg) 0 Better No metrics in this bucket.
• Inspections with citations (at TX avg) 0 Better No metrics in this bucket.
Inspections
State inspections evaluate whether the facility meets health and safety standards.
| Metric | 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 |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
31
Rank #183 / 240Health citations — state benchmarkedThis home is ranked 183rd out of 240 homes in Texas.Shows this facility's total health deficiency citations benchmarked to the Texas state average, with a ranking across all 240 TX SNFs. Lower citation counts earn a better rank.
Texas average 25.9
Citations per inspection
3.1
Rank #115 / 240Citations per inspection — state benchmarkedThis home is ranked 115th out of 240 homes in Texas.Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 240 SNFs with citation data. Lower is better.
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 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
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 08, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 08, 2025
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 08, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 08, 2025
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 11, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 11, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 11, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
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.
Living Spaces & Floor Plans for Blue Skies of Texas East
Hi Rise Floor Plan
Mid Rise Floor Plan
Cottages Floor Plan
Hills Floor Plan
Lantana Floor Plan
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.
Places of interest near Blue Skies of Texas East
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))
Calculate Travel Distance to Blue Skies of Texas East
Add your location
Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
185
Employees
82
Contractors
103
Staff to resident ratio
3.94:1
162% better than Texas averageTexas average ratio: 1.51:1
Avg staff/day
44
Average shift
7.5 hours
7% worse than Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
30,151
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
52
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
75
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
21.4%
6,456 contractor hours this quarter
Certified Nursing Assistant: 36
Licensed Practical Nurse: 36
Physical Therapy Assistant: 8
Speech Language Pathologist: 7
Respiratory Therapy Technician: 6
Qualified Social Worker: 4
Physical Therapy Aide: 4
Occupational Therapy Aide: 1
Therapeutic Recreation Specialist: 1
Staff by category
| 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 |
75 Certified Nursing Assistant
% of Days
100%
52 Licensed Practical Nurse
% of Days
100%
14 Registered Nurse
% of Days
100%
4 RN Director of Nursing
% of Days
74%
3 Medication Aide/Technician
% of Days
97%
7 Speech Language Pathologist
% of Days
76%
6 Respiratory Therapy Technician
% of Days
76%
1 Other Dietary Services Staff
% of Days
70%
1 Administrator
% of Days
69%
1 Therapeutic Recreation Specialist
% of Days
71%
1 Mental Health Service Worker
% of Days
68%
1 Occupational Therapy Aide
% of Days
66%
1 Clinical Nurse Specialist
% of Days
65%
1 Nurse Practitioner
% of Days
66%
4 Physical Therapy Aide
% of Days
75%
1 Dietitian
% of Days
47%
4 Qualified Social Worker
% of Days
75%
8 Physical Therapy Assistant
% of Days
57%
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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.
1 penalty in the past 3 years
Jan 3, 2025 · $17K
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
-$3.2M
↑ ~$365.5K vs 2023
Total Payroll
$8.2M
↓ ~$472.3K vs 2023
Profit Margin
-20.8%
↑ 4.9pp vs 2023
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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?
The legal owner and operator of Blue Skies of Texas East is Bst Health Services Corp..
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.
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.
Who is the administrator of Blue Skies of Texas East?
Bj Williamson is the administrator of Blue Skies of Texas East.
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