The Mission At Blue Skies Of Texas East
4949 RAVENSWOOD DRIVE, San Antonio, TX, 78227
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation
- Certified beds
- 80 · avg 47 residents/day
- Total nursing staff turnover
- 63% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 76.9% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $17,345 total
- Infection control citations
- 1
State licensing & capacity
- License number
- 307441
- Service type
- Medicare Only
- Licensed capacity
- 80 beds
- Memory-care capacity
- 13 beds · state-certified
- Bed type breakdown
- 80 Medicare-only
- Current license effective
- November 1, 2023
- Current license expires
- November 1, 2026
- Initial license date
- January 5, 2005
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Bst Health Services Corp (Nonprofit Organization)
- Administrator
- Audrey Ramsbacher
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (23 on record)
- Air Force Village Inc
Adp of The Snf · since 2025
- Alfred Flowers
Adp of The Snf · since 2025
- Amy Lyons
Adp of The Snf · since 2025
- Charles Potter
Adp of The Snf · since 2025
- Darrell Jones
Adp of The Snf · since 2025
- Deborah Hepburn
Adp of The Snf · since 2025
+ 17 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 27)
- D0842·Aug 8, 2025Complaint
Resident 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.
- D0656·Aug 8, 2025Complaint
Resident 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.
- D0812·Jul 11, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0760·Jul 11, 2025
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0755·Jul 11, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0693·Jul 11, 2025
Quality 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.
- D0580·Jul 11, 2025
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E0842·Mar 17, 2025Complaint
Resident 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.
Federal penalties
By year
- 20251 fine · $17K
Most recent events
- Jan 3, 2025Fine · $17K
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Jul 11, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
The Mission At Blue Skies Of Texas East is an 80-bed Medicare-only nursing home in San Antonio (Bexar County), operated by nonprofit Bst Health Services Corp. CMS rates it 3 stars overall, with 4-star staffing and 4-star quality measures. The facility holds a state memory-care certification for 13 beds, valid through February 2029. At 59% occupancy — about 47 residents in 80 licensed beds — it is running well below capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 4 stars, placing it in roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 317 minutes of nursing care per day — well above the 241-minute threshold for 4-star staffing in Texas. The resident mix here is less dependent than average, so those hours go further than the same number would at a facility with sicker or less mobile residents on balance.
About 6 in 10 nursing staff left in the past year — above the Texas 75th percentile of 60%, which is where CareWitness sets the high-turnover threshold. RN turnover runs higher still, at roughly 8 in 10 registered nurses departing annually. A long-stay resident will likely cycle through multiple primary caregivers over the course of a year.
One administrator has turned over in the past year. That single change is flagged as elevated given the facility's size and short tenure history — it is worth understanding who is currently leading day-to-day operations.
CMS recorded one fine totaling $17,345. The state median fine among facilities that receive any fine at all is $20,699, and about 30% of Texas nursing homes had zero fines in the same period.
The facility is running at 59% occupancy — roughly 47 residents in 80 licensed beds. That level of vacancy, paired with elevated staff turnover, is a combination worth exploring directly with the facility.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current administrator and tenure
One administrator turned over in the past year — ask who currently holds that role, how long they have been in place, and what led to the change.
Why occupancy is at 59%
The facility is carrying roughly 47 residents in 80 licensed beds — ask what is driving that vacancy and whether the staffing model adjusts as census changes.
Nursing staff retention efforts
About 6 in 10 nursing staff and 8 in 10 RNs left in the past year — ask what the facility is doing to reduce turnover and how care continuity is maintained during transitions.
Memory care unit staffing
The 13-bed memory care unit is state-certified through February 2029 — ask how that unit is staffed separately from the main floor, and what training memory-care staff receive.
The $17,345 CMS fine
CMS issued one fine totaling $17,345 — ask what deficiency triggered it, what corrective steps were taken, and whether the issue has been re-inspected.
Resident council participation
The facility has a Resident Council but no Family Council — ask how family members are kept informed of concerns raised in council meetings.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.