The Mission at Blue Skies of Texas East
San Antonio, Texas · CCN 676041
26 surveys since 2011. The first finding at harm level was recorded in 2024.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 96
- Surveys
- 26
- Harm or worse
- 2
- Immediate jeopardyall corrected before survey
- 1
Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 80
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Bexar
- Medicare-certified since
- 2005
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 4
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 17 not-for-profit facilities of 66–99 beds in Texas.
Last survey on record
Aug 8, 2025
458 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.87 | 4.32 |
| Registered-nurse hours per resident day | 0.80 | — |
| Annual nurse turnover | 57.6% | 44.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $17,345 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K14.0% | L— |
| Actual harm | G14.0% | H— | I— |
| No harm, potential for more than minimal | D1768.0% | E624.0% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F8423×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6932×
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.
- F8802×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at The Mission at Blue Skies of Texas East, in the surveyor’s own words.
- Immediate jeopardy, patternF684Jan 3, 2025
Based on interviews and record reviews the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices, for 1 of 13 residents (Resident #1) reviewed for diabetic medical interventions. The facility failed to ensure Resident #1 had supporting orders for his diagnosis of diabetes mellitus upon admission to the facility from the hospital on 05/29/2024 and led to Resident #1 not being assessed for daily blood sugar levels for the months of June 2024, August 2024, and September 2024, resulting on 10/18/2024, a hemoglobin A1C (HbA1c, a blood test that shows what your average blood sugar level was over the past two to three months) lab level of 9.9% (A1c normal… […]
- Actual harm, isolatedF686Mar 4, 2024
Based on observation, interview, and record review, the facility failed to provide the necessary treatment and services, based on the comprehensive assessment and consistent with professional standards of practice, to prevent development of pressure injuries for 1 of 15 (Resident #1) residents reviewed for wound care in that: 1. The facility failed to ensure prompt wound care when a new wound to Resident #1's left and right lower leg was discovered on 11/21/23. The Wound Care Nurse D was first notified of the wounds on 11/28/23. 2. […]
- No harm, potential for more than minimal, patternF580Mar 17, 2025
Based on observation, interview and record review, the facility failed to immediately consult with the resident's physician when there was a significant change in resident condition for 1 of 3 residents (Resident #1) reviewed for physician notification of changes in condition. The facility failed to notify Resident #1's physician when his blood sugar levels were out of physician ordered parameters on 3/07/2025, 3/10/2025, 3/13/2025 and 3/14/2025. This deficient practice could affect residents with a change of condition and result in not receiving adequate and timely intervention and a decline in condition. […]
- No harm, potential for more than minimal, patternF842Mar 17, 2025
Based on interviews and record review, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that were complete and accurately documented for 1 of 3 residents (Resident #1) reviewed for accuracy of records, in that: 1. The facility failed to ensure Resident #1's 2:00 a.m. blood glucose readings were documented in his medical record on 2/24/2025, 2/27/2025, 3/02/2025, 3/03/2025, 3/04/2025 and 3/07/2025. 2. The facility failed to ensure Resident #1's hospital stay from 2/11/2025-2/17/2025 were uploaded into his medical record. These failures could put residents at risk of resident medical records containing incomplete and/orinaccurate information affecting care. The findings included: 1. […]
- No harm, potential for more than minimal, patternF656May 10, 2024
Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental needs that are identified in the comprehensive assessment, and services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 3 of 8 residents (Resident #12, Resident #28, and Resident #44) reviewed for care plans. The facility failed to ensure Residents #12, #28 and #44 care plans reflected their need or placement on a secured memory care unit. […]
Read 21 findings in full →The most serious and the most recent: 21 of 96 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 6, 2026Complaint2 findings
- Aug 8, 2025Complaint2 findings
- Jul 11, 2025Standard5 findings
- Mar 17, 2025Complaint3 findings
- Jan 3, 2025Complaint2 findings · 1 harm
- May 10, 2024Standard9 findings
- Mar 4, 2024Infection control1 finding · 1 harm
- Apr 7, 2023Standard3 findings
Show the 18 earlier surveys
- Mar 27, 2023Complaint2 findings
- Feb 10, 2023Complaint1 finding
- Jan 28, 2023Complaint3 findings
- Feb 25, 2022Standard and complaint5 findings
- Oct 16, 2020Complaint2 findings
- Sep 24, 2020Complaint2 findings
- Sep 3, 2020Infection control1 finding
- May 20, 2020Complaint1 finding
- Jan 17, 2020Standard8 findings
- Feb 16, 2019Standard11 findings
- Feb 23, 2018Standard4 findings
- Feb 9, 2017Standard6 findings
- Jan 8, 2016Standard3 findings
- Nov 21, 2014Standard3 findings
- Dec 5, 2013—3 findings
- Nov 30, 2012—6 findings
- Feb 11, 2012—4 findings
- Jan 6, 2011—4 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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