Nursing home report
Registered name: THE MISSION AT BLUE SKIES OF TEXAS EAST
SAN ANTONIO, TX · Medicare-certified · 80 beds
Blue Skies of Texas East (The Mission) has a 5-star overall rating, with strong quality and staffing scores and nurse staffing above the federal benchmark (4.87 vs. 4.1 hours per resident/day). It also has a recent federal penalty and $17,345 in fines over the last 24 months, with recent inspection concerns cited in care, pressure ulcer prevention, and medical records/privacy.
Health inspections
Staffing
4.8731 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8731.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: K
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2024 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited March 2025 — limited pattern, potential for harm.
F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited March 2025 — limited pattern, potential for harm.
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited May 2024 — limited pattern, potential for harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 2 health deficiencies.
Health inspection found 5 health deficiencies.
Health inspection found 3 health deficiencies.
A federal fine of $17,345 was recorded.
On record with Medicare: 1 fine · $17,345 in total fines.
Federal fine
Jan 3, 2025
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
