Skilled nursing facility · Medicare only

The Mission at Blue Skies of Texas East

Federal · CMSActive CMS certificationCCN 676041CMS high performingNon-profit CMS overall

4949 Ravenswood Drive, San Antonio, TX 78227 · Operated by Bst Health Services Corp

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

Avg residents / day

Inspections

Citations

Harm-level

Fines

$17k

Facility type: Skilled nursing facility · Medicare only
CMS provider type: Medicare · part of a continuing care retirement community (CCRC)
Certified beds: 80 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 59.7 CMS, MDS-derived
CMS Certification Number: 676041
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 5, 2005
Ownership type: Non profit - Corporation
Operator (legal business name): Bst Health Services Corp
CMS chain: Not part of a CMS-reported chain
Phone: (210) 568-5100
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Aug 6, 2026

Citations

27 health · 4 fire

Harm or worse

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G1	H·	I·
Potential harm	D21	E7	F1
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

$17,345

Payment denials

Latest

Jan 3, 2025

Date	Domain	Survey types	Citations	Most severe	Open
Aug 6, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Aug 8, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Jul 11, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jul 11, 2025	Health	Health Standard	5	Potential harm	—	Open →
Mar 17, 2025	Health	Health Complaint	3	Potential harm	—	Open →
Jan 3, 2025	Health	Health Complaint	2	Immediate jeopardy	—	Open →
May 10, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
May 10, 2024	Health	Health Standard	9	Potential harm	—	Open →
Mar 4, 2024	Health	Health Complaint, Infection Control	1	Actual harm	—	Open →
Apr 7, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Apr 7, 2023	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jan 3, 2025	Civil money penalty (fine)	$17,345	—	676041\|Fine\|113499

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G1	H·	I·
Potential harm	D21	E7	F1
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 6, 2026	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 24, 2026	Complaint
Aug 6, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 31, 2026	Complaint
Aug 8, 2025	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Sep 1, 2025	Complaint
Aug 8, 2025	F-0842	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 · Clinical care	D · Potential harm Isolated	Corrected Sep 5, 2025	Complaint
Jul 11, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 27, 2025
Jul 11, 2025	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 27, 2025
Jul 11, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 27, 2025
Jul 11, 2025	F-0580	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 12, 2025
Jul 11, 2025	F-0693	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 · Clinical care	D · Potential harm Isolated	Corrected Jul 12, 2025
Jul 11, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 15, 2025
Jul 11, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 12, 2025
Jul 11, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jul 12, 2025
Mar 17, 2025	F-0580	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 · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 20, 2025	Complaint
Mar 17, 2025	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Apr 10, 2025	Complaint
Mar 17, 2025	F-0842	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 · Clinical care	E · Potential harm Pattern	Corrected Apr 1, 2025	Complaint
Jan 3, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Past non-compliance Oct 18, 2024	Complaint
Jan 3, 2025	F-0600	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance Oct 18, 2024	Complaint
May 10, 2024	F-0578	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 15, 2024
May 10, 2024	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 15, 2024
May 10, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 15, 2024
May 10, 2024	F-0656	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 · Clinical care	E · Potential harm Pattern	Corrected May 16, 2024
May 10, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 15, 2024
May 10, 2024	F-0693	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 · Clinical care	E · Potential harm Pattern	Corrected May 15, 2024
May 10, 2024	F-0761	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 · Medication management	D · Potential harm Isolated	Corrected May 15, 2024
May 10, 2024	F-0842	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 · Clinical care	E · Potential harm Pattern	Corrected May 15, 2024
May 10, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 15, 2024
Mar 4, 2024	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Apr 1, 2024	ComplaintInfection control
Apr 7, 2023	K-0700	Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 8, 2023
Apr 7, 2023	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 8, 2023
Apr 7, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 8, 2023
Apr 7, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 8, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Bst Health Services Corp

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

Organizations

Individuals

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Diane Biery	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2023
Helen Bryan	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 9, 2023
Michael Dubensky	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2023
Alfred Flowers	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2022
Roger Hansen	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2021
Deborah Hepburn	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2023
Katherine Hostage	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 1, 2016
Richard Kardys	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2023
Robert Kruger	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 9, 2023
Stephen Meigs	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 9, 2023
Joseph Moran	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 9, 2023
Janice Olsen	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2017
Charles Potter	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 1, 2022
Leonardo Profenna	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2018
Gary Schnelzer	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 1, 2022
Air Force Village Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2011
Bst Health Services Corp	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2011
Sushanta Goswami	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 13, 2025
Darrell Jones	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 18, 2024
Sally Kelly-Rank	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 19, 2024
Amy Lyons	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 18, 2024
Sarah Manzke	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 19, 2024
Heather Ransom	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 19, 2024
Diane Biery	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2023
Helen Bryan	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 9, 2023
Michael Dubensky	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2023
Alfred Flowers	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2022
Roger Hansen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2021
Deborah Hepburn	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2023
Katherine Hostage	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 1, 2016
Richard Kardys	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2023
Robert Kruger	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 9, 2023
Stephen Meigs	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 9, 2023
Joseph Moran	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 9, 2023
Janice Olsen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 1, 2017
Charles Potter	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 1, 2022
Leonardo Profenna	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2018
Gary Schnelzer	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 1, 2022
Darrell Jones	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 14, 2018
Amy Lyons	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 1, 2024
Sarah Manzke	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 1, 2023
Heather Ransom	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2024
Air Force Village Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Diane Biery	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Helen Bryan	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Michael Dubensky	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Alfred Flowers	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Sushanta Goswami	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Roger Hansen	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Deborah Hepburn	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Katherine Hostage	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Darrell Jones	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Richard Kardys	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Sally Kelly-Rank	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Robert Kruger	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Amy Lyons	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Sarah Manzke	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Stephen Meigs	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Joseph Moran	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Janice Olsen	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Charles Potter	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Leonardo Profenna	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Heather Ransom	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025
Gary Schnelzer	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 22, 2025

Coordinates as published by CMS.

Address: 4949 Ravenswood Drive, San Antonio, TX 78227
ZIP: 78227
County: Bexar County FIPS 48029
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Legend Oaks Healthcare and Rehabilitation - West S 222 Bertetti Dr, San Antonio, TX 78227 CCN 676312	2 km	124	Jun 12, 2026	231 IJ	$8,632
Harbor Valley Health and Rehabilitation 6211 Old Pearsall Rd, San Antonio, TX 78242 CCN 676478	5.1 km	120	Jan 21, 2026	432 IJ	$19k
Lakeside Nursing and Rehabilitation Center 8707 Lakeside Parkway, San Antonio, TX 78245 CCN 676325	5.6 km	118	Jun 5, 2026	233 IJ	$15k
Westover Hills Rehabilitation and Healthcare 9922 State Hwy. 151, San Antonio, TX 78251 CCN 676281	7.9 km	124	Jun 12, 2026	321 IJ1 harm	$20k
Windemere at Westover Hills 11106 Christus Hills, San Antonio, TX 78251 CCN 676402	8.8 km	112	Dec 19, 2025	282 IJ	$8,281
San Antonio West Nursing and Rehabilitation 636 Cupples Rd, San Antonio, TX 78237 CCN 675002SFF Candidate	9.8 km	135	Aug 30, 2026	946 IJ1 harm	$365k
Las Colinas of Westover 9738 Westover Hills Blvd, San Antonio, TX 78251 CCN 676328	9.9 km	140	Dec 5, 2025	454 IJ	$39k
Avir at San Antonio 50 Briggs Ave., San Antonio, TX 78224 CCN 455713	9.9 km	119	May 8, 2026	512 IJ1 harm	$29k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676041	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676041	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 676041

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

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The Mission at Blue Skies of Texas East

Federal certification

State license

Penalties

All disclosed roles

Nearby nursing homes

The Mission at Blue Skies of Texas East

Federal certification

State license

Penalties

All disclosed roles

Nearby nursing homes