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The Mission at Blue Skies of Texas East

4949 Ravenswood Drive, San Antonio, TX 78227-4314

Assisted Living Memory Care Nursing Home Care Independent Living

Lifestyle? Dynamic. You'll find a variety of residential choices on two campuses, maintenance and housekeeping provided, and multiple dining venues at the ready. You'll also discover you can have all the time you need to cultivate friendships, plus all sorts of opportunities for social, physical, intellectual, emotional, vocational, environmental and spiritual activities. So blaze your trail of adventure. This life's rich - which makes you wealthy beyond measure.

With 80 beds, The Mission at Blue Skies of Texas East is smaller than most nearby options, senior care communities in San Antonio average about 169 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.

Federal reporting puts occupancy at about 69% of its licensed beds.

Medicare rates this community 5 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in San Antonio average about 2.3 stars. Its most recent standard health inspection was in July 2025 and recorded 7 deficiencies.

Residents receive about 4.9 hours of nursing care per day on average, including 0.8 hours from a registered nurse. Communities in San Antonio average about 3.4 hours. Nursing staff turnover over the past year was about 58%.

The community is located in Bexar County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 5/5
  • Health inspections ★★★★★ 4/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 25 problems at The Mission at Blue Skies of Texas East. 2 findings involved harm to a resident, including 1 that put residents in immediate danger. 8 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $17,345.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected August 2025, after a complaint. Corrected by September 1, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected August 2025, after a complaint. Corrected by September 5, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Inspected July 2025. Corrected by July 12, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Inspected July 2025. Corrected by July 12, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected July 2025. Corrected by July 15, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected July 2025. Corrected by July 12, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected July 2025. Corrected by July 12, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

The Mission at Blue Skies of Texas East offers assisted living, memory care, nursing home care, and independent living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 80
  • Occupancy 69%
  • Nursing hours per resident/day 4.9
  • Annual staff turnover 58%
  • Last health inspection July 2025

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