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The Mission at Blue Skies of Texas East

Strong Medicare quality ratings; families often praise excellent dining and sky lounge views. Still worth an in-person visit.

4949 Ravenswood Drive, South Side · San Antonio, TX 7822780 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 48 Google reviews

5
4
3
2
1
The Mission at Blue Skies of Texas East Nursing Home in San Antonio, TX — Street View
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What this means for your family

This facility offers wonderful amenities and dining for independent residents, but recent reports of medication errors and medical neglect in the skilled nursing wing are deeply concerning. If you are considering the nursing or rehab services, you must perform your own rigorous checks on medication protocols and staffing levels during night shifts.

Google Reviews

Google Reviews

48 reviews on Google
Families seeking long-term independent living or rehab may find value in the facility's amenities, beautiful campus, and high-quality dining. However, recent reviews raise serious alarms regarding medical neglect, medication errors, and inconsistent nursing care in the skilled nursing wing.

Quality Themes

Tap a score for details
Food9.0Staff3.0Clean8.0Activities9.0Meds1.0MemoryN/AComms2.0Value8.0

Strengths

  • Excellent dining and Sky Lounge views
  • Beautiful, well-maintained campus and guest rooms
  • Wide variety of resident activities and amenities
  • High-quality rehab nursing staff (noted by some)
  • Strong sense of community and social opportunities

Concerns

  • Medical neglect and medication errors (mentioned by 2 reviewers)
  • Unprofessional or rude administrative/front desk staff (mentioned by 2 reviewers)
  • Decline in quality of care due to budget/staffing (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(4)'18(8)'20(16)'22(7)'24(8)'26(1)

Distribution · 90 analyzed

5
59
4
8
3
3
2
3
1
17

How They Respond to Reviews

73%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard wonderful things about the views from the Sky Lounge and the dining experience; could you tell us more about what a typical mealtime looks like for residents?
  • 2With the beautiful campus and wide variety of amenities you offer, how are daily activities organized to help residents stay socially engaged?
  • 3Since we are looking closely at medication management, what specific protocols do you have in place to ensure accuracy and prevent errors during administration?
  • 4How does the nursing team communicate important updates or changes in health status to family members to ensure we are always in the loop?
  • 5Could you describe the process for managing medical emergencies or urgent care needs during the overnight hours?
  • 6How does the facility ensure that the high standard of care and staffing levels remain consistent as the community grows?

Personalized based on this facility's data


Key Review Excerpts

My husband had has Rehab at Blue Skies which is an amazing place for your loved one. He was always treated with kindness and respect. I highly recommend Blue Skies because they have the best nurses, CNA's and wonderful staff.

Rehab patient's family · 2024★★★★★

My dad was there one day, they didn’t give him his medication therefore had to return to the hospital. First night there he was without oxygen for about 30mins. They couldn’t figure out how to use the humidifier on the concentrator.

Skilled nursing family member · 2025☆☆☆☆

The Sky Lounge has amazing views and excellent food.

Resident/Visitor · 2024★★★★★
Source: 48 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.77hrs
OK
Registered nurses for medical care
Total Nursing
5.15hrs
OK
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
60%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
5/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.3%
Mixed vs Avgs
Here
2.3%
US
12.1%
TX
2.5%
Bexar
2.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.8%
Worse than Avg
Here
25.8%
US
19.5%
TX
18.4%
Bexar
21.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.2%
Better than Avg
Here
12.2%
US
19.4%
TX
14.2%
Bexar
17.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Bexar
94.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Bexar
98.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.8%
Better than Avg
Here
11.8%
US
14.4%
TX
16.1%
Bexar
16.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Bexar
81.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.5%
Better than Avg
Here
97.5%
US
79.7%
TX
88.0%
Bexar
84.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.9%
Worse than Avg
Here
2.9%
US
1.6%
TX
1.5%
Bexar
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
1penalties
Near state avg (9.1)
8 complaint-triggered
$17,345 in fines

Families have filed multiple complaints triggering investigations, with recent issues in early 2025 regarding appropriate treatment and protecting residents from abuse. The facility shows recurring problems with care planning, medication management, and resident safety across multiple surveys. While most deficiencies are reported as corrected, the pattern of repeated violations in core care areas and ongoing family complaints suggests persistent quality concerns that warrant careful evaluation during any visit.

Aug 8, 2025Complaint
2
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jul 11, 2025Routine
8
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Mar 17, 2025Complaint
3
0580Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jan 3, 2025Complaint
2
0684Immediate jeopardy · PatternResolved (past non-compliance)

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0600Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

May 10, 2024Routine
9
0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0693Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure 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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 4, 2024Complaint
1
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Federal Penalties

Fine

Jan 3, 2025

$17,345

Ownership & Operations

Who Operates This Facility

Owner / Operator

Bst Health Services CORP

Organization Type

nonprofit

Administrator

AUDREY RAMSBACHER

Ownership & Management

Key personnel

Biery, DianeManaging Control - Governing BodyBryan, HelenManaging Control - Governing BodyDubensky, MichaelManaging Control - Governing BodyFlowers, AlfredManaging Control - Governing BodyHansen, RogerManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

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