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Nursing home report

THE MISSION AT BLUE SKIES OF TEXAS EAST

SAN ANTONIO, TX · Medicare-certified · 80 beds

Needs attention
Non-profit
5 of 5 overall

THE MISSION AT BLUE SKIES OF TEXAS EAST in San Antonio has an overall 5-star rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. It reports 5.15 nurse hours per resident per day, above the 4.1 federal benchmark, but also has $17,345 in fines in the last 24 months and a recent federal penalty.

Facility ratings

Health inspections

Staffing

5.1532 hrs/resident/day

Quality measures

Last inspection: August 8, 2025Penalties, last 24 months: $17,345recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.1532.

Staffing detail

Registered nurses
0.77
Licensed practical nurses
1.37
Nurse aides
3.01
Weekend nursing
4.28

Hours per resident per day.

Total staff turnover: 59%
Registered nurse turnover: 60%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Residents with a fall causing major injury

3.4%Improving

Residents with pressure ulcers (bedsores)

6.1%Improving

Residents with a urinary tract infection

0.7%Steady

Residents who lost too much weight

7.2%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

11.8%Improving

Residents whose ability to walk got worse

12.1%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

25.8%Steady

Short-stay residents newly given an antipsychotic

2.9%Improving

Residents with a long-term catheter

0.6%Steady

Residents with new or worsening incontinence

12.2%Improving

Residents with depressive symptoms

2.3%Improving

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

97.5%Steady

Short-stay residents given the pneumonia vaccine

100%Steady

What the inspectors found

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.

View the original federal record

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.

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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.

View the original federal record

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.

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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.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $17,345 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $17,345 in total fines.

  • Federal fine

    Jan 3, 2025

    $17,345

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
52.9 residents on an average day (66% of 80 beds)
Resident voice
Resident council
Medicare history
Certified for 21 years

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.