The Mission At Blue Skies Of Texas East
San Antonio, Bexar County, Texas · CCN 676041 · Non-profit (Corporation) · not part of a chain
CMS rates The Mission At Blue Skies Of Texas East 5 of 5 overall as of August 2026. 80 certified beds, 56 residents a day on average. 25 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $17,345.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 4 of 5 |
Staffing
| Total nurse staffing | 4.87313 hours per resident per day |
|---|---|
| Registered nurses | 0.80017 hours per resident per day |
| Weekend total | 3.97296 hours per resident per day |
| Nursing staff turnover | 57.6% (registered nurses 50%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-08-08 complaint survey |
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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-01 |
| 2025-08-08 complaint survey |
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 · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-05 |
| 2025-07-11 | 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 · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-12 |
| 2025-07-11 | 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 · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-12 |
| 2025-07-11 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-15 |
| 2025-07-11 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-12 |
| 2025-07-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-12 |
| 2025-03-17 complaint survey |
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 · tag F0580 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-03-20 |
| 2025-03-17 complaint survey |
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 · tag F0842 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-01 |
| 2025-03-17 complaint survey |
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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-10 |
| 2025-01-03 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
K Immediate jeopardy to resident health or safety; pattern | Past Non-Compliance 2024-10-18 |
| 2025-01-03 complaint survey |
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 · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-10-18 |
| 2024-05-10 | 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 · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-16 |
| 2024-05-10 | 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 · tag F0693 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-15 |
| 2024-05-10 | 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 · tag F0842 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-15 |
| 2024-05-10 | 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 · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-15 |
| 2024-05-10 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-15 |
| 2024-05-10 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-15 |
| 2024-05-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-15 |
| 2024-05-10 | 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 · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-15 |
| 2024-05-10 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-15 |
| 2024-03-04 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-04-01 |
| 2023-04-07 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-05-08 |
| 2023-04-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-08 |
| 2023-04-07 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-08 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-03 | Fine | $17,345 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Air Force Village Inc. Organization | adp of the snf | — | 2025-01-22 |
| Air Force Village Inc. Organization | operational/managerial control | — | 2011-11-01 |
| Bst Health Services Corp Organization | operational/managerial control | — | 2011-11-01 |
| Biery, Diane Individual | adp of the snf | — | 2025-01-22 |
| Bryan, Helen Individual | adp of the snf | — | 2025-01-22 |
| Dubensky, Michael Individual | adp of the snf | — | 2025-01-22 |
| Flowers, Alfred Individual | adp of the snf | — | 2025-01-22 |
| Goswami, Sushanta Individual | adp of the snf | — | 2025-01-22 |
| Hansen, Roger Individual | adp of the snf | — | 2025-01-22 |
| Hepburn, Deborah Individual | adp of the snf | — | 2025-01-22 |
| Hostage, Katherine Individual | adp of the snf | — | 2025-01-22 |
| Jones, Darrell Individual | adp of the snf | — | 2025-01-22 |
| Kardys, Richard Individual | adp of the snf | — | 2025-01-22 |
| Kelly-Rank, Sally Individual | adp of the snf | — | 2025-01-22 |
| Kruger, Robert Individual | adp of the snf | — | 2025-01-22 |
| Lyons, Amy Individual | adp of the snf | — | 2025-01-22 |
| Manzke, Sarah Individual | adp of the snf | — | 2025-01-22 |
| Meigs, Stephen Individual | adp of the snf | — | 2025-01-22 |
| Moran, Joseph Individual | adp of the snf | — | 2025-01-22 |
| Olsen, Janice Individual | adp of the snf | — | 2025-01-22 |
| Potter, Charles Individual | adp of the snf | — | 2025-01-22 |
| Profenna, Leonardo Individual | adp of the snf | — | 2025-01-22 |
| Ransom, Heather Individual | adp of the snf | — | 2025-01-22 |
| Schnelzer, Gary Individual | adp of the snf | — | 2025-01-22 |
| Biery, Diane Individual | corporate director | — | 2023-01-01 |
| Bryan, Helen Individual | corporate director | — | 2023-11-09 |
| Dubensky, Michael Individual | corporate director | — | 2023-01-01 |
| Flowers, Alfred Individual | corporate director | — | 2022-01-01 |
| Hansen, Roger Individual | corporate director | — | 2021-01-01 |
| Hepburn, Deborah Individual | corporate director | — | 2023-01-01 |
| Hostage, Katherine Individual | corporate director | — | 2016-11-01 |
| Kardys, Richard Individual | corporate director | — | 2023-01-01 |
| Kruger, Robert Individual | corporate director | — | 2023-11-09 |
| Meigs, Stephen Individual | corporate director | — | 2023-11-09 |
| Moran, Joseph Individual | corporate director | — | 2023-11-09 |
| Olsen, Janice Individual | corporate director | — | 2017-05-01 |
| Potter, Charles Individual | corporate director | — | 2022-11-01 |
| Profenna, Leonardo Individual | corporate director | — | 2018-01-01 |
| Schnelzer, Gary Individual | corporate director | — | 2022-11-01 |
| Jones, Darrell Individual | corporate officer | — | 2018-01-14 |
| Lyons, Amy Individual | corporate officer | — | 2024-07-01 |
| Manzke, Sarah Individual | corporate officer | — | 2023-10-01 |
| Ransom, Heather Individual | corporate officer | — | 2024-01-01 |
| Biery, Diane Individual | managing control - governing body | — | 2023-01-01 |
| Bryan, Helen Individual | managing control - governing body | — | 2023-11-09 |
| Dubensky, Michael Individual | managing control - governing body | — | 2023-01-01 |
| Flowers, Alfred Individual | managing control - governing body | — | 2022-01-01 |
| Hansen, Roger Individual | managing control - governing body | — | 2021-01-01 |
| Hepburn, Deborah Individual | managing control - governing body | — | 2023-01-01 |
| Hostage, Katherine Individual | managing control - governing body | — | 2016-11-01 |
| Kardys, Richard Individual | managing control - governing body | — | 2023-01-01 |
| Kruger, Robert Individual | managing control - governing body | — | 2023-11-09 |
| Meigs, Stephen Individual | managing control - governing body | — | 2023-11-09 |
| Moran, Joseph Individual | managing control - governing body | — | 2023-11-09 |
| Olsen, Janice Individual | managing control - governing body | — | 2017-05-01 |
| Potter, Charles Individual | managing control - governing body | — | 2022-11-01 |
| Profenna, Leonardo Individual | managing control - governing body | — | 2018-01-01 |
| Schnelzer, Gary Individual | managing control - governing body | — | 2022-11-01 |
| Goswami, Sushanta Individual | operational/managerial control | — | 2025-01-13 |
| Jones, Darrell Individual | operational/managerial control | — | 2024-12-18 |
| Kelly-Rank, Sally Individual | operational/managerial control | — | 2024-12-19 |
| Lyons, Amy Individual | operational/managerial control | — | 2024-12-18 |
| Manzke, Sarah Individual | operational/managerial control | — | 2024-12-19 |
| Ransom, Heather Individual | operational/managerial control | — | 2024-12-19 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for The Mission At Blue Skies Of Texas East.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Bexar County.