The Mission at Blue Skies of Texas East

Name: The Mission at Blue Skies of Texas East
Address: 4949 Ravenswood Drive, San Antonio, TX, 78227, US
Telephone: 2105685100

4949 Ravenswood Drive, San Antonio, TX 78227 · Bexar County · 80 certified beds · avg 56 residents/day · certified since Jan 5, 2005

4/5

Health inspection rating (on-site)

Serious findings on record

$17,345

Fines, last 3 years

5.79

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, repeated · Jan 3, 2025 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Oct 18, 2024 (Past Non-Compliance)

▲ Actual harm, one-off · Mar 4, 2024 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Apr 1, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (25)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 8, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Aug 8, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jul 11, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Jul 11, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Jul 11, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jul 11, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jul 11, 2025	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 17, 2025	E · Potential for harm, repeated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Mar 17, 2025	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Mar 17, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jan 3, 2025	▲ K · Immediate jeopardy, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 3, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
May 10, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 10, 2024	E · Potential for harm, repeated	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
May 10, 2024	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
May 10, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
May 10, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
May 10, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 10, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 10, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 10, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 4, 2024	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Apr 7, 2023	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Apr 7, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 7, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	0	E
2024	10	1	G ▲
2025	12	1	K ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $17,345.

Date	Type	Amount / length
Jan 3, 2025	Fine	$17,345

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.79	3.46	3.95	top 2% in Texas; top 5% in the U.S.
Registered Nurse hours	0.95	0.44	0.69	top 3% in Texas; top 18% in the U.S.
Weekend total nurse staffing	4.72	3.04	3.50	top 3% in Texas; top 9% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.59	0.34	0.48	top 8% in Texas; top 23% in the U.S.
Total nursing staff turnover (%)	57.6	55.3	45.8	bottom 38% in Texas; bottom 20% in the U.S.
RN turnover (%)	50.0	54.6	42.9	top 41% in Texas; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.87, RN 0.80, weekend 3.97. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Air Force Village INC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/01/2011
Air Force Village INC	Organization	ADP of the SNF	NOT APPLICABLE	01/22/2025
Biery, Diane	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2023
Biery, Diane	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Biery, Diane	Individual	ADP of the SNF	NOT APPLICABLE	01/22/2025
Bryan, Helen	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/09/2023
Bryan, Helen	Individual	Corporate Director	NOT APPLICABLE	11/09/2023
Bryan, Helen	Individual	ADP of the SNF	NOT APPLICABLE	01/22/2025
BST Health Services Corp	Organization	Operational/Managerial Control	NOT APPLICABLE	11/01/2011
Dubensky, Michael	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2023
Dubensky, Michael	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Dubensky, Michael	Individual	ADP of the SNF	NOT APPLICABLE	01/22/2025
Flowers, Alfred	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2022
Flowers, Alfred	Individual	Corporate Director	NOT APPLICABLE	01/01/2022
Flowers, Alfred	Individual	ADP of the SNF	NOT APPLICABLE	01/22/2025
Goswami, Sushanta	Individual	Operational/Managerial Control	NOT APPLICABLE	01/13/2025
Goswami, Sushanta	Individual	ADP of the SNF	NOT APPLICABLE	01/22/2025
Hansen, Roger	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2021
Hansen, Roger	Individual	Corporate Director	NOT APPLICABLE	01/01/2021
Hansen, Roger	Individual	ADP of the SNF	NOT APPLICABLE	01/22/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you keep residents' medical records accurate, complete, and secure?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Legend Oaks Healthcare and Rehabilitation - West S	1.2 mi	San Antonio, TX	★★★☆☆	3/5
Harbor Valley Health and Rehabilitation	3.2 mi	San Antonio, TX	★★☆☆☆	2/5	abuse
Lakeside Nursing and Rehabilitation Center	3.5 mi	San Antonio, TX	★★★★★	4/5
Westover Hills Rehabilitation and Healthcare	4.9 mi	San Antonio, TX	★★★★☆	3/5
Windemere at Westover Hills	5.5 mi	San Antonio, TX	★★☆☆☆	3/5
San Antonio West Nursing and Rehabilitation	6.1 mi	San Antonio, TX	★☆☆☆☆	1/5
Avir at San Antonio	6.2 mi	San Antonio, TX	★☆☆☆☆	2/5
Las Colinas of Westover	6.2 mi	San Antonio, TX	★★☆☆☆	2/5
Legend Oaks Healthcare and Rehabilitation Center -	6.9 mi	San Antonio, TX	★★★☆☆	3/5
Silver Creek Nursing and Rehabilitation	7.2 mi	San Antonio, TX	★★★☆☆	4/5
Inspiration Hills Rehabilitation Center	7.4 mi	San Antonio, TX	★★★☆☆	3/5
Hunters Pond Rehabilitation and Healthcare	7.5 mi	San Antonio, TX	★★★☆☆	2/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 676041.

The Care File

Visit checklist — The Mission at Blue Skies of Texas East

4949 Ravenswood Drive, San Antonio, TX 78227 · 2105685100

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $17,345

Most serious findings on record:

▲ Jan 3, 2025 (F-0684, Immediate jeopardy, repeated): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ Mar 4, 2024 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676041 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)