{
 "id": "676041",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "The Mission at Blue Skies of Texas East",
 "slug": "the-mission-at-blue-skies-of-texas-east",
 "path": "/tx/bexar/san-antonio/the-mission-at-blue-skies-of-texas-east",
 "address": {
  "street": "4949 RAVENSWOOD DR",
  "city": "San Antonio",
  "county": "Bexar",
  "state": "TX",
  "state_name": "Texas",
  "zip": "78227"
 },
 "phone": "2105685100",
 "coords": [
  29.382922,
  -98.645022
 ],
 "capacity": 80,
 "residents_per_day": 55.5,
 "status": "Medicare",
 "licensee": "BST Health Services Corp",
 "administrator": null,
 "licensed_since": "2005-01-05",
 "last_visit": "2025-07-11",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "Non profit - Corporation",
  "chain": null,
  "in_hospital": false,
  "ccrc": true,
  "abuse_icon": false,
  "special_focus": null,
  "ratings": {
   "overall": 5,
   "health_inspection": 4,
   "staffing": 4,
   "quality": 5
  },
  "cycle1": {
   "date": "2025-07-11",
   "total": 7,
   "standard": 5,
   "complaint": 2
  },
  "fines": {
   "count": 1,
   "dollars": 17345,
   "penalties": 1
  },
  "staffing": {
   "nurse_hours_per_resident_day": 4.87313,
   "turnover_pct": 57.6
  },
  "on_record": {
   "immediate_jeopardy": 1,
   "actual_harm": 1,
   "potential_harm": 23,
   "minimal": 0
  },
  "penalties_on_file": {
   "count": 1,
   "dollars": 17345
  },
  "owners": [
   {
    "name": "BIERY, DIANE",
    "role": "Individual",
    "since": "since 01/01/2023",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "BRYAN, HELEN",
    "role": "Individual",
    "since": "since 11/09/2023",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "DUBENSKY, MICHAEL",
    "role": "Individual",
    "since": "since 01/01/2023",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "FLOWERS, ALFRED",
    "role": "Individual",
    "since": "since 01/01/2022",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "HANSEN, ROGER",
    "role": "Individual",
    "since": "since 01/01/2021",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "HEPBURN, DEBORAH",
    "role": "Individual",
    "since": "since 01/01/2023",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "HOSTAGE, KATHERINE",
    "role": "Individual",
    "since": "since 11/01/2016",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "KARDYS, RICHARD",
    "role": "Individual",
    "since": "since 01/01/2023",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "KRUGER, ROBERT",
    "role": "Individual",
    "since": "since 11/09/2023",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "MEIGS, STEPHEN",
    "role": "Individual",
    "since": "since 11/09/2023",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "MORAN, JOSEPH",
    "role": "Individual",
    "since": "since 11/09/2023",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "OLSEN, JANICE",
    "role": "Individual",
    "since": "since 05/01/2017",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2025-08-08",
   "tag": "0656",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-08-08",
   "tag": "0842",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-07-11",
   "tag": "0580",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-07-11",
   "tag": "0693",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-07-11",
   "tag": "0755",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-07-11",
   "tag": "0760",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-07-11",
   "tag": "0812",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-03-17",
   "tag": "0580",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2025-03-17",
   "tag": "0842",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2025-03-17",
   "tag": "0656",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-01-03",
   "tag": "0684",
   "sev": "K",
   "complaint": true
  },
  {
   "date": "2025-01-03",
   "tag": "0600",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-05-10",
   "tag": "0656",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-05-10",
   "tag": "0693",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-05-10",
   "tag": "0842",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-05-10",
   "tag": "0578",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-05-10",
   "tag": "0583",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-05-10",
   "tag": "0641",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-05-10",
   "tag": "0689",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-05-10",
   "tag": "0761",
   "sev": "D",
   "complaint": false
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "676041"
 }
}