San Antonio, TX · 91 beds
5.0CMS rating
Skilled NursingContinuing Care (CCRC / Life Plan)Usually has openings
One of San Antonio's top-rated skilled nursing communities.
Est. $5,070–$7,610/mo
View full evaluation →Skilled NursingContinuing Care (CCRC / Life Plan)CMS verified
The Mission at Blue Skies of Texas East
4949 Ravenswood Dr, San Antonio, TX 78227 · Bexar County
Discover how to thrive under the Blue Skies of Texas, putting the same energy into your career, family, and friendships that you've built.
91
ExceptionalHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates exceptional.
Photos via google places, facility website.
Availability outlookUsually has openings
Typically 66% full — availability is generally good.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
Our evaluation
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
One of San Antonio's top-rated skilled nursing communities
The Mission at Blue Skies of Texas East is a non-profit skilled nursing facility in San Antonio, TX, with 80 certified beds and an average of about 53 residents per day. It is part of a continuing care retirement community, so residents can often move between levels of care on one campus.
Medicare rates it 5 out of 5 stars overall — above the national average of about 3 stars. Component ratings: 4/5 on health inspections, 4/5 on staffing, 5/5 on quality measures.
Staff provide about 5.15 total nurse hours per resident each day (0.77 of them from registered nurses), above the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 58.7%, higher than the ~52% national average. On the safety record, CMS notes 7 health deficiencies at its most recent standard survey, and 1 federal fine totaling $17,345 in the recent record.
Strengths
- ✓5-star overall CMS rating
- ✓Strong health-inspection rating
- ✓Above-average nurse staffing (5.15 hrs/resident/day)
- ✓Full sprinkler system
- ✓Active resident & family council
Things to ask about
None noted in the public data.
Best for: Families who want a highly rated, well-staffed setting in San Antonio for 24/7 skilled nursing or post-hospital rehabilitation.
At a glance
- Certified beds
- 80
- Avg. residents/day
- 53
- Ownership
- Non profit - Corporation
- Part of a chain
- Independent
- Continuing care
- Yes — multiple care levels
- CMS provider #
- 676041
Federal quality ratings
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Overall rating
Health inspections
Staffing
Quality measures
Pricing & cost
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $5,070–$7,610/mo (median $6,130) | Local market estimate |
| Continuing Care (CCRC / Life Plan) | $2,550–$7,160/mo (median $5,120) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local San Antonio prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
Staffing & care
More nursing time per resident — and lower turnover — generally means more attentive care.
- Total nurse hrs / resident / day
- 5.15
- National avg ≈ 3.9
- RN hrs / resident / day
- 0.77
- National avg ≈ 0.75
- Nursing staff turnover
- 58.7%
- National avg ≈ 52%
Safety & inspection record
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
- Health deficiencies (last survey)
- 7
- Federal fines
- 1 ($17,345)
- Total penalties
- 1
- Last standard survey
- 2025-07-11
- Sprinkler system
- Yes
- Resident & family council
- Resident
What inspectors found
The most recent findings from federal health inspections (25 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2025-08-08Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2025-08-08Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2025-07-11Severity D — potential for harmResident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-07-11Severity D — potential for harmQuality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
2025-07-11Severity D — potential for harmPharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2025-07-11Severity D — potential for harmPharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
2025-07-11Severity D — potential for harmNutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2025-03-17Severity E — potential for harmFrom a complaintResident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Penalty history
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2025-01-03 | Fine | $17,345 |
Services & amenities
- ✓ Continuing care community (multiple care levels on one campus)
- ✓ Full automatic sprinkler system
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
- ✓ Memory care
- ✓ Restaurant-style dining
- ✓ Fitness center
- ✓ Wellness programs
- ✓ Daily activities & events
- ✓ Gardens / walking paths
- ✓ Library
Location
4949 Ravenswood Dr, San Antonio, TX
- Monday: Open 24 hours
- Tuesday: Open 24 hours
- Wednesday: Open 24 hours
- Thursday: Open 24 hours
- Friday: Open 24 hours
- Saturday: Open 24 hours
- Sunday: Open 24 hours
Reviews & reputation
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
Verified family reviews
No verified family reviews yet for The Mission at Blue Skies of Texas East.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityCommon questions about The Mission at Blue Skies of Texas East
How much does The Mission at Blue Skies of Texas East cost?
The Mission at Blue Skies of Texas East does not publish exact rates. Comparable skilled nursing in the San Antonio, TX area typically runs $5,070–$7,610 per month (median $6,130, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
What is The Mission at Blue Skies of Texas East's Medicare rating?
Medicare (CMS) rates The Mission at Blue Skies of Texas East 5 out of 5 stars overall, including 4/5 for health inspections, 4/5 for staffing, 5/5 for quality measures. The national average is about 3 stars.
How is the staffing at The Mission at Blue Skies of Texas East?
Staff provide about 5.15 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 58.7% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
What did inspectors find at The Mission at Blue Skies of Texas East?
The Mission at Blue Skies of Texas East has 25 health citations on its recent federal inspection record (last standard survey: 2025-07-11). The full citation-by-citation detail, with severity levels, is published on this page.
Does The Mission at Blue Skies of Texas East have availability?
Typically 66% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does The Mission at Blue Skies of Texas East offer?
The Mission at Blue Skies of Texas East in San Antonio, TX offers skilled nursing, continuing care (ccrc / life plan) and is licensed for 80 beds.
The best time to decide is before a crisis decides for you
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
- Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in San Antonio.
- The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
- Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.
Your next steps — this week
- 1Confirm the fitCheck the inspection record and staffing data on this page against your loved one's needs.
- 2Get exact pricing & availabilityRequest current rates for The Mission at Blue Skies of Texas East — takes one minute, answered same day.
- 3Tour 2–3 communitiesCompare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
- 4Hold a spotMost communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogleOfficial website
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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