The Mission at Blue Skies of Texas East: Staffing, Turnover, and Inspection Record
The Mission at Blue Skies of Texas East is a 80-bed nonprofit nursing home in San Antonio, Texas. In the CMS August 2026 release it reported 2.72 nurse aide hours per resident per day, 36% above the Texas average of 2.00, and 57.6% nursing staff turnover (Texas average 55.3%).
The Mission at Blue Skies of Texas East
4949 Ravenswood DriveSan Antonio, TX 78227
Bexar County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Mission at Blue Skies of Texas East, nurse aides logged 2.72 hours per resident per day, 36% above the Texas average. With about 56 residents a day, that works out to roughly 151 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 18% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.72 | 2.00 | 2.32 |
| Licensed practical nurses | 1.35 | 0.95 | 0.86 |
| Registered nurses | 0.80 | 0.43 | 0.69 |
| All nursing staff | 4.87 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.97 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
57.6% of nursing staff at The Mission at Blue Skies of Texas East left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 50.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 11, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $17,345 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 3, 2025 | Fine | $17,345 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Mission at Blue Skies of Texas East holds 5 of 5 overall; the Texas average is 2.6.
About The Mission at Blue Skies of Texas East
- Ownership: Non profit - Corporation
- Legal name: BST Health Services Corp
- Medicare and Medicaid certified since: Jan 5, 2005
- Part of a continuing care retirement community
- Councils: resident council
- Area: urban
Nursing homes near The Mission at Blue Skies of Texas East
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Legend Oaks Healthcare and Rehabilitation - West S San Antonio | 1.2 | 124 | 2.12 | 3.64 | 20.7% | 3 | $8,632 |
| Harbor Valley Health and Rehabilitation San Antonio · abuse citation | 3.2 | 120 | 2.38 | 3.58 | 43.8% | 2 | $18,989 |
| Lakeside Nursing and Rehabilitation Center San Antonio | 3.5 | 118 | 2.02 | 3.33 | 36.8% | 5 | $14,611 |
| Westover Hills Rehabilitation and Healthcare San Antonio | 4.9 | 124 | 2.05 | 3.56 | 29.2% | 4 | $20,156 |
| Windemere at Westover Hills San Antonio · staffing data not validated | 5.5 | 112 | — | — | 57.0% | 2 | $8,281 |
| San Antonio West Nursing and Rehabilitation San Antonio | 6.1 | 135 | 1.52 | 2.75 | 63.6% | 1 | $364,695 |
| Las Colinas of Westover San Antonio | 6.1 | 140 | 2.02 | 3.34 | 43.9% | 2 | $38,630 |
| Avir at San Antonio San Antonio · many days without an RN | 6.2 | 119 | 1.70 | 2.63 | 60.7% | 1 | $29,494 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.