4949 Ravenswood Drive, San Antonio, TX 78227 (opens Google Maps) · Bexar County · (210) 568-5100· 80 certified beds · avg 56 residents/day · certified since Jan 5, 2005 · Medicare only — not Medicaid certified
Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 18, 2024 (Past Non-Compliance)
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 1, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 25 inspection findings. Open the full record below to read every finding.
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 F-0656
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint F-0842
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. F-0580
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 8, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0656 |
| Aug 8, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Jul 11, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0580 |
| Jul 11, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0693 |
| Jul 11, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Jul 11, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
| Jul 11, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
| Mar 17, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0580 |
| Mar 17, 2025 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Mar 17, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0656 |
| Jan 3, 2025 | ▲ K · Immediate jeopardy, pattern | 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 · F-0684 |
| Jan 3, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0600 |
| May 10, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| May 10, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0693 |
| May 10, 2024 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| May 10, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| May 10, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| May 10, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| May 10, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| May 10, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| May 10, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Mar 4, 2024 | ▲ G · Actual harm, isolated | 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 · F-0686 |
| Apr 7, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0759 |
| Apr 7, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Apr 7, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Citations from standard inspections decreased between the last two inspection cycles (9 → 5).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
1 fine totaling $17,345.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Jan 3, 2025 | Fine | $17,345 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.87 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for The Mission at Blue Skies of Texas East. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 64 parties CMS has on file for this facility; 44 are not displayed. The full list is in the CMS Ownership dataset.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 →
CMS records place this facility in Bexar, TX — 62 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 676041.
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