Legend Oaks Healthcare and Rehabilitation - West S
San Antonio · 1.2 mi · 124 beds
Citations0Substantiated0
The Mission at Blue Skies of Texas East
4949 RAVENSWOOD DR, San Antonio, TX, 78227
Nursing home80 licensed beds0 citations on record
5 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 7 deficiencies against The Mission at Blue Skies of Texas East in San Antonio, Texas at its most recent standard inspection on 2025-07-11, 2 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $17,345. Medicare rates it 5 out of 5 overall.
5 / 5Medicare overall rating
80certified beds
7deficiencies at the last inspection
1immediate-jeopardy findings on record
1actual-harm findings on record
1federal fines, $17,345
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.23
Potential for minimal harmThe least serious band.0
Most recentDDDDDDDEEDKDEEEDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-08-08 · from a complaint · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2025-08-08 · from a complaint · No actual harm, potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2025-07-11 · standard survey · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0693 · 2025-07-11 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-07-11 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2025-07-11 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-07-11 · standard survey · No actual harm, potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2025-03-17 · from a complaint · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2025-03-17 · from a complaint · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-03-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-01-03 · from a complaint · Immediate jeopardy to resident health or safety
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-01-03 · from a complaint · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2024-05-10 · standard survey · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0693 · 2024-05-10 · standard survey · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2024-05-10 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0578 · 2024-05-10 · standard survey · No actual harm, potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2024-05-10 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2024-05-10 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-05-10 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2024-05-10 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below5 of 5
Health inspectionBased on the last three inspection cycles4 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS4.87313
Nursing staff turnoverShare of nursing staff who left in a year57.6%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$17,345
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns The Mission at Blue Skies of Texas East
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| BIERY, DIANE | Individual | NOT APPLICABLE | since 01/01/2023 |
| BRYAN, HELEN | Individual | NOT APPLICABLE | since 11/09/2023 |
| DUBENSKY, MICHAEL | Individual | NOT APPLICABLE | since 01/01/2023 |
| FLOWERS, ALFRED | Individual | NOT APPLICABLE | since 01/01/2022 |
| HANSEN, ROGER | Individual | NOT APPLICABLE | since 01/01/2021 |
| HEPBURN, DEBORAH | Individual | NOT APPLICABLE | since 01/01/2023 |
| HOSTAGE, KATHERINE | Individual | NOT APPLICABLE | since 11/01/2016 |
| KARDYS, RICHARD | Individual | NOT APPLICABLE | since 01/01/2023 |
| KRUGER, ROBERT | Individual | NOT APPLICABLE | since 11/09/2023 |
| MEIGS, STEPHEN | Individual | NOT APPLICABLE | since 11/09/2023 |
| MORAN, JOSEPH | Individual | NOT APPLICABLE | since 11/09/2023 |
| OLSEN, JANICE | Individual | NOT APPLICABLE | since 05/01/2017 |
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Harbor Valley Health and Rehabilitation
San Antonio · 3.1 mi · 120 beds
Citations0Substantiated0
Lakeside Nursing and Rehabilitation Center
San Antonio · 3.5 mi · 118 beds
Citations0Substantiated0
San Antonio West Nursing and Rehabilitation
San Antonio · 5.8 mi · 135 beds
Citations0Substantiated0
Avir at San Antonio
San Antonio · 5.8 mi · 119 beds
Citations0Substantiated0
Contact
Ask The Mission at Blue Skies of Texas East a question
This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.
Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 676041.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction