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.
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.
Blue Skies of Texas East is legally operated by Bst Health Services Corp., and administered by Bj Williamson.
Key information about the people who lead and staff this community.
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.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
| 1 | 6 | This facility has 83% fewer total citations than a typical Texas nursing home (1 vs. TX avg 6).↓ 83% better |
|
Health citations
| 1 | 2 | This facility has 50% fewer health citations than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better |
|
Citations per year
| 0.5 | 3 | This facility has 83% fewer citations per year than a typical Texas nursing home (0.5 vs. TX avg 3).↓ 83% better |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
Texas average 7.4
Last Health inspection on Aug 2025
Texas average 25.9
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.
Texas average: 2
Texas average: 0.4
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
4,542 contractor hours this quarter
| Certified Nursing Assistant | 35 | 6 | 41 | 13,719 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 19 | 8 | 27 | 5,348 | 92 | 100% | 8.2 |
| Registered Nurse | 8 | 0 | 8 | 3,336 | 92 | 100% | 8.6 |
| RN Director of Nursing | 3 | 0 | 3 | 1,328 | 68 | 74% | 7.6 |
| Speech Language Pathologist | 0 | 5 | 5 | 1,222 | 69 | 75% | 6.6 |
| Medication Aide/Technician | 2 | 0 | 2 | 947 | 84 | 91% | 8.2 |
| Physical Therapy Aide | 0 | 5 | 5 | 661 | 69 | 75% | 6.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 540 | 67 | 73% | 8.1 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 524 | 69 | 75% | 3.4 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Occupational Therapy Aide | 0 | 5 | 5 | 404 | 56 | 61% | 7.1 |
| Nurse Practitioner | 1 | 0 | 1 | 392 | 53 | 58% | 7.4 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 383 | 52 | 57% | 7.4 |
| Physical Therapy Assistant | 0 | 3 | 3 | 379 | 67 | 73% | 5.5 |
| Dietitian | 1 | 0 | 1 | 322 | 41 | 45% | 7.9 |
| Qualified Social Worker | 0 | 2 | 2 | 252 | 61 | 66% | 4.1 |
| Dental Services Staff | 1 | 0 | 1 | 110 | 15 | 16% | 7.3 |
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 3, 2025 · $17K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
74% of new residents, usually for short-term rehab.
26% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Blue Skies of Texas East from 2012–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
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.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
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.
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The information below is reported by the Texas Health and Human Services Commission.
| Blue Skies of Texas East | NH AL HC IL MC | San Antonio (Valley High North) | 24
Facility
24
TX AVG
80
Rank
#798 / 988 |
68.3%
Facility
68.3%
TX AVG
63.5%
Rank
#142 / 304 | +8% | 6.51
Facility
6.51
TX AVG
3.63
Rank
#3 / 296 | -7% | +79% | $17.3k
Facility
$17.3k
TX AVG
$81.8k
Rank
#127 / 301 | 31
Facility
31
TX AVG
25.9
Rank
#224 / 299 | 3.1
Facility
3.1
TX AVG
3.7
Rank
#133 / 299 | 2 | 53 | - |
47
Facility
47
TX AVG
41
Rank
#587 / 1391 | Air Force Village Inc | $10.3M
Facility
$10.3M
TX AVG
$8.4M
Rank
#63 / 304 | $5.4M
Facility
$5.4M
TX AVG
$3.5M
Rank
#44 / 304 | 52.2%
Facility
52.2%
TX AVG
47%
Rank
#84 / 304 | 676041 | ||||
| Mystic Park Nursing and Rehabilitation Center | NH MC | San Antonio (Far West Side) | 119
Facility
119
TX AVG
80
Rank
#258 / 988 |
81.8%
Facility
81.8%
TX AVG
63.5%
Rank
#53 / 304 | +29% | 3.50
Facility
3.50
TX AVG
3.63
Rank
#146 / 296 | -5% | -4% | $111.1k
Facility
$111.1k
TX AVG
$81.8k
Rank
#260 / 301 | 21
Facility
21
TX AVG
25.9
Rank
#152 / 299 | 4.2
Facility
4.2
TX AVG
3.7
Rank
#228 / 299 | 2 | 108 | - |
59
Facility
59
TX AVG
41
Rank
#311 / 1391 | Fox Sparrow Healthcare, Inc | $10.8M
Facility
$10.8M
TX AVG
$8.4M
Rank
#81 / 304 | $6.7M
Facility
$6.7M
TX AVG
$3.5M
Rank
#70 / 304 | 62%
Facility
62%
TX AVG
47%
Rank
#153 / 304 | 676012 | ||||
| San Pedro Manor | NH MC | San Antonio (Monte Vista) | 150
Facility
150
TX AVG
80
Rank
#63 / 988 | - | - | 3.63
Facility
3.63
TX AVG
3.63
Rank
#128 / 296 | +2% | 0% | $24.3k
Facility
$24.3k
TX AVG
$81.8k
Rank
#155 / 301 | 43
Facility
43
TX AVG
25.9
Rank
#260 / 299 | 3.9
Facility
3.9
TX AVG
3.7
Rank
#210 / 299 | 5 | 19 | A+ |
79
Facility
79
TX AVG
41
Rank
#38 / 1391 | West Ashby Healthcare, Inc | $9.5M
Facility
$9.5M
TX AVG
$8.4M
Rank
#120 / 304 | $6.1M
Facility
$6.1M
TX AVG
$3.5M
Rank
#93 / 304 | 64.8%
Facility
64.8%
TX AVG
47%
Rank
#100 / 304 | 455689 | ||||
| River City Care Center | NH | San Antonio (Eastside Promise Neighborhood) | 92
Facility
92
TX AVG
80
Rank
#410 / 988 |
45.7%
Facility
45.7%
TX AVG
63.5%
Rank
#259 / 304 | -28% | 3.63
Facility
3.63
TX AVG
3.63
Rank
#128 / 296 | +37% | 0% | $23.4k
Facility
$23.4k
TX AVG
$81.8k
Rank
#152 / 301 | 32
Facility
32
TX AVG
25.9
Rank
#230 / 299 | 5.3
Facility
5.3
TX AVG
3.7
Rank
#274 / 299 | 2 | 47 | - |
68
Facility
68
TX AVG
41
Rank
#158 / 1391 | - | $3.0M
Facility
$3.0M
TX AVG
$8.4M
Rank
#292 / 304 | $2.1M
Facility
$2.1M
TX AVG
$3.5M
Rank
#294 / 304 | 69.7%
Facility
69.7%
TX AVG
47%
Rank
#128 / 304 | 675896 | ||||
| Buena Vida Nursing and Rehab Center San Antonio | NH MC | San Antonio (East Side) | 222
Facility
222
TX AVG
80
Rank
#10 / 988 |
27.6%
Facility
27.6%
TX AVG
63.5%
Rank
#286 / 304 | -57% | 3.48
Facility
3.48
TX AVG
3.63
Rank
#146 / 296 | +31% | -4% | $269.1k
Facility
$269.1k
TX AVG
$81.8k
Rank
#293 / 301 | 44
Facility
44
TX AVG
25.9
Rank
#263 / 299 | 4.4
Facility
4.4
TX AVG
3.7
Rank
#241 / 299 | 3 | 61 | - |
26
Facility
26
TX AVG
41
Rank
#1005 / 1391 | West Wharton County Hospital District | $4.3M
Facility
$4.3M
TX AVG
$8.4M
Rank
#260 / 304 | $3.2M
Facility
$3.2M
TX AVG
$3.5M
Rank
#261 / 304 | 73.8%
Facility
73.8%
TX AVG
47%
Rank
#141 / 304 | 455390 |
Blue Skies of Texas East is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
Blue Skies of Texas East is in the Valley High North neighborhood of San Antonio.
Blue Skies of Texas East is legally operated by Bst Health Services Corp., and administered by Bj Williamson.
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.
According to TX state health department records, Blue Skies of Texas East's license number is 145570.
According to TX state health department records, Blue Skies of Texas East's license expires on January 10, 2026.
Blue Skies of Texas East's occupancy is 68%.
Yes — see the floorplan options available at Blue Skies of Texas East on this page.
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