Home›Texas›Bexar County›THE MISSION AT BLUE SKIES OF TEXAS EAST
A
Very Good

THE MISSION AT BLUE SKIES OF TEXAS EAST

4949 RAVENSWOOD DR · SAN ANTONIO, TX 78227

2105685100 · Non profit - Corporation

80 beds47.1 residents142 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

THE MISSION AT BLUE SKIES OF TEXAS EAST receives an overall staffing grade of A (Very Good). With 5.3035 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 1.41 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 23.79% compared to weekdays. The facility has low agency staff usage (5.66% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

📊Staffing levels are highly variable day to day (consistency score: 0.8117). This means the care experience can be very different depending on the day.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
5.3035hrs/resident/day▲ 1.41
CMS benchmark: 3.48
RN HPRD
0.8959hrs/resident/day▲ 0.21
Recommended: 0.75
Weekend Drop-off
23.79%
5.6857 weekday → 4.3332 weekend
⚠ Significant weekend reduction
Agency Staff
5.66%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.8428hrs/resident/day
Direct care aides
LPN HPRD
1.3424hrs/resident/day
Licensed practical nurses
Consistency
0.8117std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Bexar County Average+1.92 HPRD
3.39
05.30 HPRD
vs. Texas State Average+1.90 HPRD
3.40
05.30 HPRD
vs. National Average+1.41 HPRD
3.90
05.30 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
THE MISSION AT BLUE SKIES OF TEXAS EAST ★
SAN ANTONIO · This facility
—
A
5.30350.8959★★★☆☆
Avir at San Antonio
San Antonio
6.1 mi
F
2.68710.0911★☆☆☆☆
SILVER CREEK NURSING AND REHABILITATION
SAN ANTONIO
7.2 mi
D
3.04370.3511★★★☆☆
MORNINGSIDE MANOR
SAN ANTONIO
8.7 mi
D
3.31180.29★★★☆☆
OAK PARK NURSING AND REHABILITATION CENTER
SAN ANTONIO
9.2 mi
F
3.14460.1328★★☆☆☆
MESA VISTA INN HEALTH CENTER
SAN ANTONIO
9.3 mi
F
2.64770.2404★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
28
Total Deficiencies
$17,345
Fines Assessed
Aug 8, 2025Health
2 deficiencies cited
▼
Jul 11, 2025Health
5 deficiencies cited
▼
Mar 17, 2025Health
3 deficiencies cited
▼
Jan 3, 2025Health
2 deficiencies cited· Includes actual harm
▼
May 10, 2024Health
9 deficiencies cited
▼
Mar 4, 2024Health
1 deficiency cited· Includes actual harm
▼
Apr 7, 2023Health
3 deficiencies cited
▼
Mar 27, 2023Health
2 deficiencies cited
▼
Feb 10, 2023Health
1 deficiency cited
▼

Penalty History

Jan 3, 2025Fine
$17,345
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.