| The Mission at Blue Skies of Texas East | |
| 4949 Ravenswood Drive, San Antonio, Texas 78227 | |
| (210) 568-5100 | |
| Name | The Mission at Blue Skies of Texas East |
|---|---|
| Location | 4949 Ravenswood Drive, San Antonio, Texas |
| Certified By | Medicare |
| No. of Certified Beds | 80 |
| Occupancy Rate | 69.38% |
| Medicare ID (CCN) | 676041 |
| Legal Business Name | Bst Health Services Corp |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1336259142 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Bst Health Services Corp |
| Doing Business As | The Mission at Blue Skies of Texas East |
| Address | 4949 Ravenswood Drive, San Antonio, TX 78227 |
| Phone Number | 210-568-5159 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.87 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.8 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.35 | 0.86 |
| Nurse aide hours per resident per day | 2.72 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.97 | 3.42 |
| RN hours per resident per day on the weekend | 0.59 | 0.48 |
| Physical therapist hours per resident per day | 0.12 | 0.07 |
| Total nursing staff turnover | 57.6% | 45.8% |
| Registered nurse turnover | 50% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $17,345 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Aug 8, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Sep 1, 2025 |
| Aug 8, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Sep 5, 2025 |
| Jul 11, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 12, 2025 |
| Jul 11, 2025 | 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 12, 2025 |
| Jul 11, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 15, 2025 |
| Jul 11, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 12, 2025 |
| Jul 11, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jul 12, 2025 |
| Mar 17, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Mar 20, 2025 |
| Mar 17, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Apr 1, 2025 |
| Mar 17, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Apr 10, 2025 |
| Jan 3, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Immediate jeopardy, pattern | Past non-compliance (already corrected) |
| Jan 3, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| May 10, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 16, 2024 |
| May 10, 2024 | 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by May 15, 2024 |
| May 10, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 15, 2024 |
| May 10, 2024 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2024 |
| May 10, 2024 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2024 |
| May 10, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2024 |
| May 10, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2024 |
| May 10, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2024 |
| May 10, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2024 |
| Mar 4, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection, Infection control inspection | Actual harm, isolated | Corrected by Apr 1, 2024 |
| Apr 7, 2023 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 8, 2023 |
| Apr 7, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 8, 2023 |
| Apr 7, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by May 8, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.8 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.83 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.58 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.7 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 2.24 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.34 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.43 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.78 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.47 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.39 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.77 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | Not Available | 15.38 |
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