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.
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.
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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.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 5 health deficiencies.
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INSPECTION
Health inspection found 3 health deficiencies.
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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.