5/5
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.
5/5
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 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.
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.
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.
This home is ranked 2nd out of 239 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 46m per day | ▲ 81% State avg: 25m per day · National avg: 41m per day |
|
LPN / LVN
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 22m per day | ▲ 45% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
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 1m per day | ▲ 49% State avg: 2h 1m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 17m per day | ▲ 42% State avg: 3h 0m per day · National avg: 3h 27m per day |
|
Physical Therapist
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.
| 6m per day | ▲ 61% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
| 34m per day | ▲ 71% State avg: 20m per day · National avg: 29m per day |
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.
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.
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.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 1 | 6 | This facility has 83% fewer total citations than a typical Texas nursing home (1 vs. TX avg 6).↓ 83% better |
|
Health citations
Citations related to resident care, clinical practices, and day-to-day operations.
| 1 | 2 | This facility has 50% fewer health citations than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better |
Inspections
| 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 |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
50% better than Texas averageTexas average: 2
150% worse than Texas averageTexas average: 0.4
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
61% more staff per resident than Texas average
9% worse than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursAssists with medical care and medications.
27 total: 19 full-time employees and 8 contractors.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
41 total: 35 full-time employees and 6 contractors.
41
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,542 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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)
78% lower than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 3, 2025 · $17K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 3, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
7% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
13.2%
19% better than Texas averageTexas average: 16.2%
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%
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
105% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.9%
34% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
8.2%
136% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.7%
76% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
7.5%
5% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
3.3%
126% worse than Texas averageTexas average: 1.4%
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.
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)
Total residents
47Residents 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Blue Skies of Texas East from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
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."
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."
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."
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."
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.
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 #38 / 245Payroll — State benchmarkedThis home is ranked 38th out of 245 homes in Texas for payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #66 / 245Payroll % — State benchmarkedThis home is ranked 66th out of 245 homes in Texas for payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
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.
Add your location
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 Army Residence Community Health Care Center | NH AL IL MC SNF | San Antonio (Northeast Side) | 30
Facility
30
TX AVG
79
Rank
#767 / 972 | - | - | 4.74
Facility
4.74
TX AVG
3.63
Rank
#32 / 239 | -10% | +31% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 244 | 18
Facility
18
TX AVG
25.9
Rank
#82 / 241 | 4.5
Facility
4.5
TX AVG
3.7
Rank
#200 / 241 | - | 59 | - |
6
Facility
6
TX AVG
41
Rank
#1284 / 1389 | Army Retirement Residence Foundation San Antonio | $33.5MFiscal year ending 06/2024
Facility
$33.5MFiscal year ending 06/2024
TX AVG
$8.4M
Rank
#5 / 245 | $16.5MFiscal year ending 06/2024
Facility
$16.5MFiscal year ending 06/2024
TX AVG
$3.5M
Rank
#5 / 245 | 49.4%Fiscal year ending 06/2024
Facility
49.4%Fiscal year ending 06/2024
TX AVG
47%
Rank
#217 / 245 | 675697 | ||||
| Blue Skies of Texas East | NH AL HOS IL MC SNF | San Antonio (Valley High North) | 24
Facility
24
TX AVG
79
Rank
#782 / 972 | - | - | 6.51
Facility
6.51
TX AVG
3.63
Rank
#2 / 239 | -7% | +79% | $17.3k
Facility
$17.3k
TX AVG
$81.8k
Rank
#104 / 244 | 31
Facility
31
TX AVG
25.9
Rank
#186 / 241 | 3.1
Facility
3.1
TX AVG
3.7
Rank
#111 / 241 | 2 | 53 | - |
47
Facility
47
TX AVG
41
Rank
#585 / 1389 | Air Force Village Inc | $10.3MFiscal year ending 06/2024
Facility
$10.3MFiscal year ending 06/2024
TX AVG
$8.4M
Rank
#51 / 245 | $5.4MFiscal year ending 06/2024
Facility
$5.4MFiscal year ending 06/2024
TX AVG
$3.5M
Rank
#38 / 245 | 52.2%Fiscal year ending 06/2024
Facility
52.2%Fiscal year ending 06/2024
TX AVG
47%
Rank
#66 / 245 | 676041 | ||||
| Lakeside Nursing and Rehabilitation Center | NH SNF | San Antonio (Far West Side) | 120
Facility
120
TX AVG
79
Rank
#204 / 972 |
93.5%
Facility
93.5%
TX AVG
67.3
Rank
#16 / 195 | +39% | 3.42
Facility
3.42
TX AVG
3.63
Rank
#144 / 239 | +35% | -6% | $14.6k
Facility
$14.6k
TX AVG
$81.8k
Rank
#91 / 244 | 24
Facility
24
TX AVG
25.9
Rank
#145 / 241 | 3.4
Facility
3.4
TX AVG
3.7
Rank
#138 / 241 | 3 | 110 | - |
19
Facility
19
TX AVG
41
Rank
#1111 / 1389 | Crystal Lake Healthcare, Inc | $11.7MFiscal year ending 03/2024
Facility
$11.7MFiscal year ending 03/2024
TX AVG
$8.4M
Rank
#63 / 245 | $7.0MFiscal year ending 03/2024
Facility
$7.0MFiscal year ending 03/2024
TX AVG
$3.5M
Rank
#55 / 245 | 60.2%Fiscal year ending 03/2024
Facility
60.2%Fiscal year ending 03/2024
TX AVG
47%
Rank
#116 / 245 | 676325 | ||||
| Saint Francis Nursing Home | NH AL IL | San Antonio (Midtown) | 116
Facility
116
TX AVG
79
Rank
#268 / 972 | - | - | 3.93
Facility
3.93
TX AVG
3.63
Rank
#68 / 239 | - | +8% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 244 | - | - | - | 92 | - |
71
Facility
71
TX AVG
41
Rank
#124 / 1389 | - | - | - | - | 45F410 | ||||
| Mystic Park Nursing and Rehabilitation Center | NH MC SNF | San Antonio (Far West Side) | 119
Facility
119
TX AVG
79
Rank
#251 / 972 |
90.8%
Facility
90.8%
TX AVG
67.3
Rank
#24 / 195 | +35% | 3.50
Facility
3.50
TX AVG
3.63
Rank
#120 / 239 | -5% | -4% | $111.1k
Facility
$111.1k
TX AVG
$81.8k
Rank
#209 / 244 | 21
Facility
21
TX AVG
25.9
Rank
#124 / 241 | 4.2
Facility
4.2
TX AVG
3.7
Rank
#186 / 241 | 2 | 108 | - |
59
Facility
59
TX AVG
41
Rank
#309 / 1389 | Fox Sparrow Healthcare, Inc | $10.8MFiscal year ending 03/2024
Facility
$10.8MFiscal year ending 03/2024
TX AVG
$8.4M
Rank
#68 / 245 | $6.7MFiscal year ending 03/2024
Facility
$6.7MFiscal year ending 03/2024
TX AVG
$3.5M
Rank
#62 / 245 | 62%Fiscal year ending 03/2024
Facility
62%Fiscal year ending 03/2024
TX AVG
47%
Rank
#120 / 245 | 676012 |
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.
Blue Skies of Texas East's occupancy is 68.3%.
Blue Skies of Texas East has been operating for approximately 14 years, based on available licensing and registration records.
Yes — see the floorplan options available at Blue Skies of Texas East on this page.
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