Nursing homes › Texas › The Mission at Blue Skies of Texas East
4949 Ravenswood Dr, San Antonio, TX 78227 · 2105685100 · 80 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
Total nurse staffing: 4.87 (Texas median: 3.27). RN hours: 0.80. Weekend total: 3.97. Nursing staff turnover: 58%.
All-time on record: 25 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-09-01 |
| 2025-08-08 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-09-05 |
| 2025-07-11 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2025-07-12 |
| 2025-07-11 | 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. | D | Health | corrected 2025-07-12 |
| 2025-07-11 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-07-15 |
| 2025-07-11 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2025-07-12 |
| 2025-07-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2025-07-12 |
| 2025-03-17 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | complaint | corrected 2025-03-20 |
| 2025-03-17 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2025-04-01 |
| 2025-03-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-04-10 |
| 2025-01-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | complaint | corrected 2024-10-18 |
| 2025-01-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-10-18 |
| 2024-05-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-05-16 |
| 2024-05-10 | 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. | E | Health | corrected 2024-05-15 |
| 2024-05-10 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | corrected 2024-05-15 |
| 2024-05-10 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Health | corrected 2024-05-15 |
| 2024-05-10 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2024-05-15 |
| 2024-05-10 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-05-15 |
| 2024-05-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-05-15 |
| 2024-05-10 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Health | corrected 2024-05-15 |
| 2024-05-10 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-05-15 |
| 2024-03-04 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2024-04-01 |
| 2023-04-07 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2023-05-08 |
| 2023-04-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2023-05-08 |
| 2023-04-07 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-05-08 |
| Date | Type | Amount |
|---|---|---|
| 2025-01-03 | Fine | $17,345 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BIERY, DIANE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2023 |
| BRYAN, HELEN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/09/2023 |
| DUBENSKY, MICHAEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2023 |
| FLOWERS, ALFRED | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2022 |
| HANSEN, ROGER | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2021 |
| HEPBURN, DEBORAH | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2023 |
| HOSTAGE, KATHERINE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/01/2016 |
| KARDYS, RICHARD | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2023 |
| KRUGER, ROBERT | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/09/2023 |
| MEIGS, STEPHEN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/09/2023 |
| MORAN, JOSEPH | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/09/2023 |
| OLSEN, JANICE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2017 |
| POTTER, CHARLES | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/01/2022 |
| PROFENNA, LEONARDO | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2018 |
| SCHNELZER, GARY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/01/2022 |
| BIERY, DIANE | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2023 |
| BRYAN, HELEN | Corporate Director | Individual | NOT APPLICABLE | since 11/09/2023 |
| DUBENSKY, MICHAEL | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2023 |
| FLOWERS, ALFRED | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2022 |
| HANSEN, ROGER | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2021 |
| HEPBURN, DEBORAH | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2023 |
| HOSTAGE, KATHERINE | Corporate Director | Individual | NOT APPLICABLE | since 11/01/2016 |
| KARDYS, RICHARD | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2023 |
| KRUGER, ROBERT | Corporate Director | Individual | NOT APPLICABLE | since 11/09/2023 |
| MEIGS, STEPHEN | Corporate Director | Individual | NOT APPLICABLE | since 11/09/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676041. Corrections: data@carerecords.org.