Blue Skies of Texas East
Nursing Home, Assisted Living, Hospice Care, Independent Living, Memory Care & Skilled Nursing · San Antonio, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Blue Skies of Texas East

Nursing Home, Assisted Living, Hospice Care, Independent Living, Memory Care & Skilled Nursing · San Antonio, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Blue Skies of Texas East accepts Medicare and private pay.

Overview of Blue Skies of Texas East

Blue Skies of Texas East is a 24-bed nursing facility at 4917 Ravenswood Dr in San Antonio, with 14 years of operating history and a current occupancy of 68%. The average length of stay runs 109 days, which is longer than a strictly short-term rehab model but short enough to signal that post-acute recovery defines much of what happens here. Medicare and private pay are both accepted.

Nursing coverage totals 6 hours and 31 minutes per resident per day: 3 hours and 1 minute from nurse aides, 1 hour and 22 minutes from LPN/LVN staff, and 46 minutes of RN time. The service list includes rehabilitation, respite care, and 24-hour staffing. State inspections have addressed themes spanning medication management, infection prevention, emergency preparedness, care planning and documentation, dietary services, resident rights, and staffing and staff credentials; a broad cross-section of operational areas rather than any single concentrated focus.

What distinguishes this community is the amenity picture, which reads like a much larger campus than 24 beds would suggest. Residents have access to a pool, fitness centers, a woodshop and art studio, a dog park, a community garden, a library, a billiard and game room, outdoor walking trails, interdenominational chapels, and 24-hour concierge service. Dining centers on fresh, seasonal, made-from-scratch preparation, and over 70 activity groups are available. For a small nursing unit, the physical environment and activity infrastructure here are substantively above what most facilities at this scale offer.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 78.9% Above TX avg. ▲ 78.9% Above TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 44.7% Above TX avg. ▲ 44.7% Above TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 88.5% Above TX avg. ▲ 88.5% Above TX avg.TX average: 2.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 33.2% Above TX avg. ▲ 33.2% Above TX avg.TX average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Texas averages

Rank #5 / 234Nurse hours — State benchmarkedThis home is ranked 5th out of 234 homes we track in Texas for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 234 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 5th out of 234 homes we track in Texas for nurse hours. 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.

5h 47m

59% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
57m
+116% State avg: 26m per day · National avg: 42m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
1h 36m
+66% State avg: 58m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
3h 14m
+57% State avg: 2h 4m per day · National avg: 2h 24m per day
Weekend Total Nursing Info 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 43m
+55% State avg: 3h 3m per day · National avg: 3h 30m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
7m
+69% State avg: 4m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
36m
+74% State avg: 20m per day · National avg: 29m per day

All 6 underlying metrics are above the state average

Capacity and availability

Residents per day (avg)
56
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
109 days
Bed community size
24-bed community Rank #779 / 980Bed count — State benchmarkedThis home is ranked 779th out of 980 homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Years in operation
14 years in operation Rank #306 / 586Years in operation — State benchmarkedThis home is ranked 306th out of 586 homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A community with a solid operating history and experience delivering ongoing care.
Walk Score
Walk Score: 47 / 100 Rank #585 / 1345Walk Score — State benchmarkedThis home is ranked 585th out of 1,345 homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

License Details

Facility TypeType B
CountyBexar
License Number145570
Year Opened1/3/2012
CMS Certification Number676041
QualificationNursing

Ownership & Operating Entity

Blue Skies of Texas East is legally operated by Bst Health Services Corp., and administered by Bj Williamson.

OwnerBst Health Services Corp
Ownership TypeNonprofit Organization

Safety & Compliance

Emergency Systems24-hour urgent response system.
Safety FeaturesFire detection systems, gated community.

Staffing

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

Payment & Insurance

1 service
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Community Center
Lounge
Swimming Pool
Arts & Crafts
Workshop
Dog Park
Garden
Concierge
Game Room
Library
Fitness Center
Walking Paths
Chapel
Religious Services
Electric Vehicle Charging Stations
Activities
Specific ProgramsRehab Services
Religious ServicesInterdenominational chapels & religious programs available

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.

Inspection Scorecard Info 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 1 Worse Metrics worse than Texas average:
• Inspections with citations (100% above)
1 At Avg Metrics at Texas average:
• Health citations (at TX avg)
2 Better Metrics better than Texas average:
• Total citations (63% below)
• Life safety citations (83% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTX Averagevs. TX Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 38 This facility has 63% fewer total citations than a typical Texas nursing home (3 vs. TX avg 8).↓ 63% better
Health citations Info Citations related to resident care, clinical practices, and day-to-day operations. 22 This facility has health citations in line with the Texas average (2 vs. TX avg 2).— At avg
Life safety citations Info Citations related to building safety — fire prevention, emergency egress, and similar. 16 This facility has 83% fewer life safety citations than a typical Texas nursing home (1 vs. TX avg 6).↓ 83% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityTX Averagevs. TX Avg
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 21 This facility has 100% more inspections with citations than a typical Texas nursing home (2 vs. TX avg 1).↑ 100% worse

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2023 · 3 years of data
Total health inspections 10

Texas average 7.4


Last Health inspection on Aug 2025

Total health citations
31 Rank #181 / 234Health citations — State benchmarkedThis home is ranked 181st out of 234 homes we track in Texas for health citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 234 TX facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Texas average 25.9

Citations per inspection
3.1 Rank #109 / 234Citations per inspection — State benchmarkedThis home is ranked 109th out of 234 homes we track in Texas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 234 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 average

Texas average: 2


Serious health citations
1
150% worse than Texas average

Texas average: 0.4

1 critical citation Texas average: 2

1 serious citation Texas average: 0.4

29 moderate citations Texas average: 23

0 minor citations Texas average: 0.4
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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 112
Employees 73
Contractors 39
Staff to resident ratio 2.38 : 1
61% more staff per resident than Texas average
Texas average ratio: 1.48 : 1 Texas average ratio: 1.48 : 1See full Texas ranking
Avg staff/day 45
Average shift 7.4 hours
9% worse than Texas average
Texas average: 8.1 hours Texas average shift: 8.1 hoursSee full Texas ranking
Total staff hours (quarter) 30,835

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 27 total: 19 full-time employees and 8 contractors. 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 41 total: 35 full-time employees and 6 contractors. 41
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

14.7%

4,542 contractor hours this quarter

Licensed Practical Nurse: 8 Certified Nursing Assistant: 6 Physical Therapy Aide: 5 Speech Language Pathologist: 5 Occupational Therapy Aide: 5 Respiratory Therapy Technician: 4 Physical Therapy Assistant: 3 Qualified Social Worker: 2 Therapeutic Recreation Specialist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3564113,71992100%7.7
Licensed Practical Nurse198275,34892100%8.2
Registered Nurse8083,33692100%8.6
RN Director of Nursing3031,3286874%7.6
Speech Language Pathologist0551,2226975%6.6
Medication Aide/Technician2029478491%8.2
Physical Therapy Aide0556616975%6.1
Other Dietary Services Staff1015406773%8.1
Respiratory Therapy Technician0445246975%3.4
Administrator1014886166%8
Mental Health Service Worker1014806065%8
Occupational Therapy Aide0554045661%7.1
Nurse Practitioner1013925358%7.4
Therapeutic Recreation Specialist0113835257%7.4
Physical Therapy Assistant0333796773%5.5
Dietitian1013224145%7.9
Qualified Social Worker0222526166%4.1
Dental Services Staff1011101516%7.3
41 Certified Nursing Assistant
% of Days 100%
27 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 100%
3 RN Director of Nursing
% of Days 74%

Penalties and fines

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)

Total fines amount $17K Rank #102 / 237Federal fines — State benchmarkedThis home is ranked 102nd out of 237 homes we track in Texas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 237 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
78% lower than Texas average

Texas average: $80K

Number of fines 1
60% fewer fines than Texas average

Texas average: 2.5

Payment Denials Info 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

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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 3, 2025
$17K

Last updated: Jan 2026

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 Info 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

Functional decline score Info 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

Long-stay resident measures
Significantly above average Texas avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info 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%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.2%
19% better than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info 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%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.6%
105% worse than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.9%
34% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.2%
136% worse than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.7%
76% better than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 7.5%
5% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Texas average

Texas average: 97.9%

Short-stay resident measures
Above average Texas avg: 3.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
11% better than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.3%
126% worse than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.5%
11% better than Texas average

Texas average: 88.0%

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

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$10.3M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$3.3M
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$10.3M Rank #62 / 218Net patient revenue — State benchmarkedThis home is ranked 62nd out of 218 homes we track in Texas. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$3.3M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$174.6K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #83 / 218Payroll costs — State benchmarkedThis home is ranked 83rd out of 218 homes we track in Texas. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$5.4M 52.2% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #135 / 199Payroll % of net patient revenue — State benchmarkedThis home is ranked 135th out of 199 homes we track in Texas. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$8.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$13.6M

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (74% of admissions), and a typical Medicare stay runs around 27 days.

Admissions
212 total

Coverage residents most often arrive under.

Medicare 74%
Private pay 26%
Discharges
184 total

Coverage residents most often leave under.

Medicare 68%
Private pay 32%

Managed by Bianca Cardenas

Executive Director

13 years of experience

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.

Living Spaces & Floor Plans for Blue Skies of Texas East

Blue Skies of Texas East, Nursing Home in San Antonio, TX — Exterior view of the senior living facility building
Blue Skies of Texas East, Nursing Home in San Antonio, TX — Aerial view of Blue Skies of Texas East facility buildings
Blue Skies of Texas East, Nursing Home in San Antonio, TX — Exterior view of the facility with accessible entrance
Blue Skies of Texas East, Nursing Home in San Antonio, TX — Exterior view of a multi-story assisted living facility
Blue Skies of Texas East, Nursing Home in San Antonio, TX — Exterior view of a senior living facility with landscaped gardens

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Address 9.6 miles from city center Info Estimated distance in miles from San Antonio's city center to Blue Skies of Texas East's address, calculated via Google Maps.

Calculate Travel Distance to Blue Skies of Texas East

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Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 71.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Army Residence Community Health Care Center
NH
AL
IL
MC
SNF
San Antonio (Northeast Side)
30
Facility 30
TX AVG 78
Rank #765 / 980
--
4.63
Facility 4.63
TX AVG 3.63
Rank #29 / 234
-10%+28%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 237
18
Facility 18
TX AVG 25.9
Rank #79 / 234
4.5
Facility 4.5
TX AVG 3.7
Rank #195 / 234
-58-
6
Facility 6
TX AVG 42
Rank #1,286 / 1,345
Army Retirement Residence Foundation San Antonio
$33.5MFiscal year ending 06/2024
Facility $33.5MFiscal year ending 06/2024
TX AVG $9.4M
Rank #1 / 218
$16.5MFiscal year ending 06/2024
Facility $16.5MFiscal year ending 06/2024
TX AVG $5.4M
Rank #5 / 218
49.4%Fiscal year ending 06/2024
Facility 49.4%Fiscal year ending 06/2024
TX AVG 71.6%
Rank #156 / 199
675697
Lakeside Nursing and Rehabilitation Center
NH
SNF
San Antonio (Far West Side)
120
Facility 120
TX AVG 78
Rank #192 / 980
95.2%
Facility 95.2%
TX AVG 71.2
Rank #8 / 163
+34%
3.05
Facility 3.05
TX AVG 3.63
Rank #161 / 234
+35%-16%
$14.6k
Facility $14.6k
TX AVG $81.8k
Rank #89 / 237
24
Facility 24
TX AVG 25.9
Rank #140 / 234
3.4
Facility 3.4
TX AVG 3.7
Rank #136 / 234
3112-
19
Facility 19
TX AVG 42
Rank #1,113 / 1,345
Crystal Lake Healthcare, Inc
$11.7MFiscal year ending 03/2024
Facility $11.7MFiscal year ending 03/2024
TX AVG $9.4M
Rank #42 / 218
$7.0MFiscal year ending 03/2024
Facility $7.0MFiscal year ending 03/2024
TX AVG $5.4M
Rank #40 / 218
60.2%Fiscal year ending 03/2024
Facility 60.2%Fiscal year ending 03/2024
TX AVG 71.6%
Rank #93 / 199
676325
Blue Skies of Texas East
NH
AL
HOS
IL
MC
SNF
San Antonio (Valley High North)
24
Facility 24
TX AVG 78
Rank #779 / 980
--
5.79
Facility 5.79
TX AVG 3.63
Rank #5 / 234
-7%+59%
$17.3k
Facility $17.3k
TX AVG $81.8k
Rank #102 / 237
31
Facility 31
TX AVG 25.9
Rank #181 / 234
3.1
Facility 3.1
TX AVG 3.7
Rank #109 / 234
256-
47
Facility 47
TX AVG 42
Rank #585 / 1,345
Air Force Village Inc
$10.3MFiscal year ending 06/2024
Facility $10.3MFiscal year ending 06/2024
TX AVG $9.4M
Rank #62 / 218
$5.4MFiscal year ending 06/2024
Facility $5.4MFiscal year ending 06/2024
TX AVG $5.4M
Rank #83 / 218
52.2%Fiscal year ending 06/2024
Facility 52.2%Fiscal year ending 06/2024
TX AVG 71.6%
Rank #135 / 199
676041
Mystic Park Nursing and Rehabilitation Center
NH
MC
SNF
San Antonio (Far West Side)
119
Facility 119
TX AVG 78
Rank #240 / 980
89.3%
Facility 89.3%
TX AVG 71.2
Rank #22 / 163
+25%
3.41
Facility 3.41
TX AVG 3.63
Rank #101 / 234
-5%-6%
$111.1k
Facility $111.1k
TX AVG $81.8k
Rank #203 / 237
21
Facility 21
TX AVG 25.9
Rank #120 / 234
4.2
Facility 4.2
TX AVG 3.7
Rank #181 / 234
2106-
59
Facility 59
TX AVG 42
Rank #309 / 1,345
Fox Sparrow Healthcare, Inc
$10.8MFiscal year ending 03/2024
Facility $10.8MFiscal year ending 03/2024
TX AVG $9.4M
Rank #51 / 218
$6.7MFiscal year ending 03/2024
Facility $6.7MFiscal year ending 03/2024
TX AVG $5.4M
Rank #47 / 218
62%Fiscal year ending 03/2024
Facility 62%Fiscal year ending 03/2024
TX AVG 71.6%
Rank #81 / 199
676012
Westover Hills Rehabilitation and Healthcare Center
NH
MC
SNF
San Antonio (Far West Side)
124
Facility 124
TX AVG 78
Rank #165 / 980
86.7%
Facility 86.7%
TX AVG 71.2
Rank #35 / 163
+22%
3.73
Facility 3.73
TX AVG 3.63
Rank #72 / 234
+6%+3%
$20.2k
Facility $20.2k
TX AVG $81.8k
Rank #110 / 237
29
Facility 29
TX AVG 25.9
Rank #171 / 234
2.6
Facility 2.6
TX AVG 3.7
Rank #58 / 234
2108-
32
Facility 32
TX AVG 42
Rank #902 / 1,345
Sage Terrace Healthcare LLC
$13.1MFiscal year ending 12/2023
Facility $13.1MFiscal year ending 12/2023
TX AVG $9.4M
Rank #26 / 218
$7.8MFiscal year ending 12/2023
Facility $7.8MFiscal year ending 12/2023
TX AVG $5.4M
Rank #35 / 218
60.1%Fiscal year ending 12/2023
Facility 60.1%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #97 / 199
676281

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.

Get Financial aid guidance

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled
General 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

Large state; rural access challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+
General Texas resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TX

Limited funding; high demand in urban areas.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+
General TX resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TX

28 AAAs; includes Meals on Wheels in some areas.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled
General 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

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age
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

High rural demand; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

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

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General 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

High veteran population; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+
General TX resident, homeowner (homestead).
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed.
TX

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Benefits
Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+
General TX resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
TX

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

Benefits
Vouchers (~$50/season) for produce at farmers’ markets

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?

Blue Skies of Texas East is legally operated by Bst Health Services Corp., and administered by Bj Williamson.

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.

What is the occupancy rate at Blue Skies of Texas East?

Blue Skies of Texas East's occupancy is 68.3%.

How long has Blue Skies of Texas East been in business?

Blue Skies of Texas East has been operating for approximately 14 years, based on available licensing and registration records.

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.

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