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.
based on 48 Google reviews

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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 detailsStrengths
- 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
Distribution · 90 analyzed
How They Respond to Reviews
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.”
“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.”
“The Sky Lounge has amazing views and excellent food.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This 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
9
measures
4
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Complaint2
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.
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, 2025Routine8
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Mar 17, 2025Complaint3
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.
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.
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, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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, 2024Routine9
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.
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.
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.
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.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 4, 2024Complaint1
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
Bst Health Services CORP
nonprofit
AUDREY RAMSBACHER
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
48 reviews from families & visitors
Official Website
Visit blueskiesoftexas.org
Medicare data downloads
Original nursing home datasets
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