Nursing homeActive
The Mission At Blue Skies Of Texas East
4949 Ravenswood Drive, San Antonio, TX 78227210568510080 certified beds · 56 residentsNon profit - CorporationMedicare
Surveys on file
7
since 2023
Deficiencies
25
● 0● 23● 2
Penalties · 3 yrs
$17,345
1 fine
Last survey
2025-08-08
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-08-08 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-07-11 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-03-17 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-01-03 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-05-10 | Standard | 090 | CMS-2567 (Care Compare) | — |
| 2024-03-04 | Infection control | 001 | CMS-2567 (Care Compare) | — |
| 2023-04-07 | Standard | 030 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-01Record 676041-20250808-F656
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-05Record 676041-20250808-F842
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-12Record 676041-20250711-F580
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-12Record 676041-20250711-F693
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-15Record 676041-20250711-F755
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-12Record 676041-20250711-F760
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-12Record 676041-20250711-F812
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-20Record 676041-20250317-F580
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-10Record 676041-20250317-F656
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-01Record 676041-20250317-F842
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-10-18Record 676041-20250103-F684
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 676041-20250103-F600
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 676041-20240510-F578
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 676041-20240510-F583
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 676041-20240510-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-16Record 676041-20240510-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 676041-20240510-F689
F693Ensure 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 676041-20240510-F693
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 676041-20240510-F761
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 676041-20240510-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 676041-20240510-F880
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-01Record 676041-20240304-F686
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-08Record 676041-20230407-F550
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-08Record 676041-20230407-F759
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-08Record 676041-20230407-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-01-03 | Civil money penalty | $17,345 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.80
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day4.87
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.97
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover58%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover50%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.4% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.3% | 3.3% | 3.2% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.7% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 8.8% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.8% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 24.0% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Air Force Village Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bst Health Services Corp Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Goswami, Sushanta Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Jones, Darrell Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kelly-Rank, Sally Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lyons, Amy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Manzke, Sarah Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ransom, Heather Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Air Force Village Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Biery, Diane Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Biery, Diane Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Biery, Diane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bryan, Helen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bryan, Helen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bryan, Helen Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Dubensky, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dubensky, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dubensky, Michael Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Flowers, Alfred Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Flowers, Alfred Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Flowers, Alfred Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goswami, Sushanta Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hansen, Roger Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hansen, Roger Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hansen, Roger Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hepburn, Deborah Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hepburn, Deborah Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hepburn, Deborah Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hostage, Katherine Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hostage, Katherine Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hostage, Katherine Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jones, Darrell Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jones, Darrell Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kardys, Richard Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kardys, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kardys, Richard Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Kelly-Rank, Sally Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kruger, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kruger, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kruger, Robert Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Lyons, Amy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lyons, Amy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Manzke, Sarah Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Manzke, Sarah Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Meigs, Stephen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Meigs, Stephen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Meigs, Stephen Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Moran, Joseph Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Moran, Joseph Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Moran, Joseph Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Olsen, Janice Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Olsen, Janice Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Olsen, Janice Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Potter, Charles Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Potter, Charles Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Potter, Charles Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Profenna, Leonardo Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Profenna, Leonardo Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Profenna, Leonardo Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Ransom, Heather Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ransom, Heather Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schnelzer, Gary Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schnelzer, Gary Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Schnelzer, Gary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Bexar.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Legend Oaks Healthcare and Rehabilitation - West S San Antonio | 1.2 mi | 2026-06-12 | 0191 |
| Harbor Valley Health and Rehabilitation San Antonio | 3.2 mi | 2026-01-21 | 0332 |
| Lakeside Nursing And Rehabilitation Center San Antonio | 3.5 mi | 2026-06-05 | 0163 |
| Westover Hills Rehabilitation And Healthcare San Antonio | 4.9 mi | 2026-06-12 | 0272 |
| Windemere At Westover Hills San Antonio | 5.5 mi | 2025-12-19 | 0152 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |