The Mission at Blue Skies of Texas East
4949 RAVENSWOOD DR, San Antonio, TX 78227
San Antonio, Texas · CMS verdict
The Mission at Blue Skies of Texas East's CMS overall star rating runs in line with the Texas state average (2.8) and reflects average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
The Mission at Blue Skies of Texas East in San Antonio, Texas holds a CMS overall rating of 3 of 5 stars and a PlainElderCare Quality & Compliance Index of 61 of 100 (grade D). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (thinner bed book)
Its certified bed capacity sits in the lower U.S. bed tercile (≤80). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 61 is built
Each segment is a dimension's weighted points toward the score, summing to 61.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
The Mission at Blue Skies of Texas East's thinner certified-bed book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) scores The Mission at Blue Skies of Texas East on three sub-ratings that roll up into the overall star: health inspection, staffing, and quality measures. Each is charted against the Texas average below.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in San Antonio, Texas. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 59% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Texas, The Mission at Blue Skies of Texas East is one of 105 non profit - corporation nursing homes CMS rates. Its 3-star overall rating sits below the non profit - corporation-segment average of 3.5 stars, ahead of roughly 23% of same-ownership peers in the state. Same-segment comparisons like this one strip out the business-model factor, leaving a cleaner read on facility-level performance than a raw state average would give.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How The Mission at Blue Skies of Texas East compares to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where The Mission at Blue Skies of Texas East ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, The Mission at Blue Skies of Texas East’s 3-star overall rating is higher than 45% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
271 Texas homes share this 3-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 80 |
| Residents | 47 |
| Ownership | Non profit - Corporation |
| County | Bexar |
| Penalties | 1 |
| Deficiencies | 28 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for The Mission at Blue Skies of Texas East? ▾
3 out of 5 stars is The Mission at Blue Skies of Texas East's current CMS overall rating. The chart on this page breaks it into health inspection, staffing, and quality measures against the Texas average.
How much does a nursing home cost per month in Texas? ▾
The median cost for a semi-private nursing home room in Texas is $5,627 per month ($67,525 annually). A private room averages $7,604 per month. Costs are from the CareScout 2025 survey.
What services does The Mission at Blue Skies of Texas East offer? ▾
CMS classifies The Mission at Blue Skies of Texas East as a skilled nursing facility. Care Compare does not itemize the services on offer; the facility itself is the source for that, and its capacity, census, and ownership are listed in Facility details above.
Does The Mission at Blue Skies of Texas East have any deficiencies or penalties? ▾
The Mission at Blue Skies of Texas East has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Keep reading
Also see the Texas elder-care overview and highest-rated states. Provider ID: 676041.
Read our methodology - how this data is sourced, computed, and verified.