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Nursing homeFAID #14449

Arnold House At Blue Skies of Texas East

4949 Ravenswood Drive, SAN ANTONIO, TX, 78227
(210) 568-5100
80 licensed beds
★★★★★5/5CMS Five-Star overall4/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
80
CMS facility ID
676041
Care type
Nursing home
County
Bexar
Facility name
Arnold House At Blue Skies of Texas East
Legal entity
The Mission At Blue Skies of Texas East
Street address
4949 Ravenswood Drive
City / state / ZIP
San Antonio, TX 78227
Phone
(210) 568-5100

Arnold House At Blue Skies of Texas East is a Medicare/Medicaid-certified skilled nursing facility in San Antonio, Texas. It is licensed for 80 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 341 senior care facilities in San Antonio and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Arnold House At Blue Skies of Texas East 29 times across 11 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $17,345 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Operator / owner
Brian Englund
Ownership type
Non profit - Corporation

Registered owners & officers

Air Force Village Inc
Operational control · Additional disclosable party — since 2011
Biery, Diane
Governing body · Director · Additional disclosable party — since 2023
Bryan, Helen
Governing body · Director · Additional disclosable party — since 2023
Bst Health Services Corp
Operational control — since 2011
Dubensky, Michael
Governing body · Director · Additional disclosable party — since 2023
Flowers, Alfred
Governing body · Director · Additional disclosable party — since 2022
Goswami, Sushanta
Operational control · Additional disclosable party — since 2025
Hansen, Roger
Governing body · Director · Additional disclosable party — since 2021
Hepburn, Deborah
Governing body · Director · Additional disclosable party — since 2023
Hostage, Katherine
Governing body · Director · Additional disclosable party — since 2016
Jones, Darrell
Officer · Operational control · Additional disclosable party — since 2018
Kardys, Richard
Governing body · Director · Additional disclosable party — since 2023
Kelly-rank, Sally
Operational control · Additional disclosable party — since 2024
Kruger, Robert
Governing body · Director · Additional disclosable party — since 2023
Lyons, Amy
Officer · Operational control · Additional disclosable party — since 2024
Manzke, Sarah
Officer · Operational control · Additional disclosable party — since 2023
Meigs, Stephen
Governing body · Director · Additional disclosable party — since 2023
Moran, Joseph
Governing body · Director · Additional disclosable party — since 2023
Olsen, Janice
Governing body · Director · Additional disclosable party — since 2017
Potter, Charles
Governing body · Director · Additional disclosable party — since 2022
Profenna, Leonardo
Governing body · Director · Additional disclosable party — since 2018
Ransom, Heather
Officer · Operational control · Additional disclosable party — since 2024
Schnelzer, Gary
Governing body · Director · Additional disclosable party — since 2022

Regulatory standing

Licensed / certified since
2005-01-05
CMS overall rating
5 of 5 stars
Health deficiencies
7 at the last standard inspection
Federal fines
$17,345 total
Last standard inspection
2025-07-11
Nurse staffing
4.9 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$762 per day (≈ $23,160/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
0% Medicaid · 21% Medicare · 79% private/other
Occupancy
68% (fiscal year 2024)
Vs. state median
175% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
80
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2025-08-08Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-01
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-05
2025-07-11Health inspection5 citations
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-07-12
F-0693
D · No harm found
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.
Corrected 2025-07-12
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-15
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2025-07-12
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-12
7 earlier / fire-safety inspections (22 citations)
2025-03-17Health inspectionComplaint-triggered3 citations
F-0580
E · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-03-20
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-10
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-01
2025-01-03Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-18
F-0684
K · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-18
2024-05-10Health inspection9 citations
F-0578
D · No harm found
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.
Corrected 2024-05-15
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-05-15
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-05-15
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-16
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-15
F-0693
E · No harm found
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.
Corrected 2024-05-15
F-0761
D · No harm found
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.
Corrected 2024-05-15
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-15
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-05-15
2024-03-04Health inspectionComplaint-triggeredInfection control1 citation
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-01
2023-04-07Health inspection3 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-08
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-05-08
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-05-08
2025-07-11Fire-safety inspection3 citations
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-27
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-06-27
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-27
2023-04-07Fire-safety inspection1 citation
K-0700
E · No harm found
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2023-05-08

Federal penalties

2025-01-03Fine$17,345
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676041.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 29 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Federal NPI Registry (NPPES)
NPI 1215309661
Monthly federal file
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered