About The Mission At Blue Skies Of Texas EastThe Mission At Blue Skies Of Texas East is located at 4949 Ravenswood Dr, San Antonio, TX, reachable at (210) 568-5100. This Non profit – Corporation facility operates 80.0 certified beds and serves an average of 47 residents per day. Medicare and Medicaid services have been provided since 2005-01-05. The facility currently holds a average (3-star) overall CMS rating.
The Mission At Blue Skies Of Texas East offers a mid-range care option in San Antonio, TX. It scores well for both long-term residents and short-stay rehabilitation patients. Above-average staffing levels make it a good option for residents needing intensive nursing care.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★3 / 5
Health Inspection
★★★★★3 / 5
Staffing Rating
★★★★★4 / 5
Quality Measures (QM)
★★★★★4 / 5
Long-Stay QM Rating
★★★★★4 / 5
Short-Stay QM Rating
★★★★★4 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightThe Mission At Blue Skies Of Texas East currently provides 5 hours 17 minutes of total nurse staffing per resident per day, including 54 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 4 out of 5 reflects strong nurse coverage. RN hours per resident have increased from 33 min/day (2022) to 54 min/day (2026), a positive sign of investment in skilled nursing. Total nursing staff turnover is high at 63.0%, which can affect care continuity.
Current Staffing Hours Per Resident Per Day (2026)
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours4 hours 20 minutes
Weekend Registered Nurse (RN) Hours39 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $17,345. 16 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Nationally, The Mission At Blue Skies Of Texas East ranks 4271st out of 14,703 facilities (composite score: 78.7/100), placing it in the above average nationwide. Within TX, it ranks 209th out of 1,177 nursing homes. In San Antonio, it ranks 17th out of 58 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #812 nationally and RN hours rank #2,725 nationally (#42 in TX).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
TX State Rank
Note
2022
5.95
#419 / 14,703
#18 / 1,177
Top 5%
2023
7.44
#118 / 14,703
#4 / 1,177
Top 5%
2024
6.61
#222 / 14,703
#4 / 1,177
Top 5%
2025
6.58
#234 / 14,703
#6 / 1,177
Top 5%
2026
5.29
#812 / 14,703
#18 / 1,177
Top 10%
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
TX State Rank
Note
2022
0.55
#7,736 / 14,703
#188 / 1,177
Below average
2023
0.39
#10,340 / 14,703
#350 / 1,177
Below average
2024
0.44
#9,437 / 14,703
#278 / 1,177
Below average
2025
0.73
#4,339 / 14,703
#72 / 1,177
Above average
2026
0.89
#2,725 / 14,703
#42 / 1,177
Top 25%
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
The Mission At Blue Skies Of Texas East is certified as a Medicare facility and has been approved to provide these services since 2005-01-05. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (210) 568-5100 or your local Medicaid office to verify current eligibility.
The Mission At Blue Skies Of Texas East holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (4★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 78.7/100, placing it #4271 of 14703 facilities nationally and #209 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at The Mission At Blue Skies Of Texas East receives a reported average of 5 hours 17 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 54 minutes; Licensed Practical Nurse (LPN) — 1 hour 20 minutes; Nurse Aide — 3 hours 3 minutes. On weekends, total nurse staffing is 4 hours 20 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 63.0%. Families are encouraged to ask about current staffing schedules during their facility visit.
In the current reporting period, the facility received 1 fine(s) totaling $17,345. 16 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $17,345, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 63.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, The Mission At Blue Skies Of Texas East ranks 4271st out of 14,703 facilities (composite score: 78.7/100), placing it in the above average nationwide. Within TX, it ranks 209th out of 1,177 nursing homes. In San Antonio, it ranks 17th out of 58 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #812 nationally and RN hours rank #2,725 nationally (#42 in TX). Our composite quality score of 78.7/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in San Antonio, visit: https://nursinghomesnearme.org/texas/san-antonio/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.