Total Health inspections
10
35% above Texas average
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
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
Blue Skies of Texas East is a Nursing Home in Texas
Blue Skies of Texas… is a Nursing Home in Texas
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.
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
Texas average: 45 visits/inspections
Texas average: 9 complaint visits
Texas average: 28 inspections
Texas average: 2 inspections with citations
1 total 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.
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The information below is reported by the Texas Health and Human Services Commission.
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Nursing Home 24/7 care needed
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Assisted Living For seniors needing help with daily tasks but not full-time nursing.
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80.0%
$15,385,918.00
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SNF
Nursing Home 24/7 care needed
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Assisted Living For seniors needing help with daily tasks but not full-time nursing.
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Nursing Home 24/7 care needed
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Assisted Living For seniors needing help with daily tasks but not full-time nursing.
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58.0%
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Blue Skies of Texas East
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
San Antonio
80
No
47
AIR FORCE VILLAGE INC
68.3%
$15,242,760.00
$4,568,530.00
30%
45.70
3/5
6.5100
3/5
4/5
4/5
2
Places of interest near Blue Skies of Texas East
9.6 miles from city center
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
Total Health citations
31
20% above Texas average
Texas average:
25.9
3.1 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
17 citations
Complaint investigations
14 citations
Breakdown of citations
Critical Health citations
1
50% below Texas average
Texas average:
2.0
Serious Health citations
1
150% above Texas average
Texas average:
0.4
Moderate Health citations
29
Minor Health citations
0
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
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
10.2
19% worse than Texas average
Texas average:
8.6
Functional decline score
15.8
Near Texas average
Texas average:
16.0
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
17.2%
7% above Texas average.
Walking Ability Worsened
13.2%
19% below Texas average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
17.0%
9% above Texas average.
Safety & clinical stability
Falls with Major Injury
6.6%
105% above Texas average.
High Risk Residents with Pressure Ulcers
5.9%
34% above Texas average.
Urinary Tract Infection
0.0%
100% below Texas average.
Emotional & behavioral wellbeing
Depressive Symptoms
0.7%
76% below Texas average.
Antipsychotic Use
7.5%
5% below Texas average.
Preventive care
Pneumococcal Vaccine
100.0%
3% above Texas average.
Influenza Vaccine
100.0%
2% above Texas average.
Nutrition & physical health
Lost Too Much Weight
8.2%
136% above Texas average.Short-stay resident measures
Pneumococcal Vaccine
100.0%
11% better than Texas average
Antipsychotic medication increase
3.3%
126% worse than Texas average
Influenza Vaccine
97.5%
11% better than Texas average 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
This home paid 78% less in fines than the state average.
Texas average:
$80K
Number of Fines
1
This home received 60% fewer fines than the state average.
Texas average:
2.5
Payment Denials
0
This home had 100% fewer payment denials than the state average.
Texas average:
0.2
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
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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