--- title: Atlas Commons research objects — nursing-home safety for THE MISSION AT BLUE SKIES OF TEXAS EAST license: CC0-1.0 source: CMS Nursing Home Care Compare --- # Atlas Commons research objects — nursing-home safety for THE MISSION AT BLUE SKIES OF TEXAS EAST THE MISSION AT BLUE SKIES OF TEXAS EAST (SAN ANTONIO, TX) from CMS Nursing Home Care Compare, with each figure's status labeled: the CMS Five-Star ratings (overall/health-inspection/staffing/QM) are a model CMS computes, not a direct measurement; the reported nurse-staffing hours, abuse / Special-Focus flags, and identity are measured, published facts; the boundary note is context — CMS data, not a recommendation for your relative. Source: CMS Nursing Home Care Compare. CC0. ## Claims ### CMS Overall Star Rating for THE MISSION AT BLUE SKIES OF TEXAS EAST is 5 of 5 stars **MODELED.** CMS rates THE MISSION AT BLUE SKIES OF TEXAS EAST (SAN ANTONIO, TX) at 5 of 5 stars on its Overall Star Rating. It combines the health-inspection, staffing, and quality-measure ratings. The CMS Five-Star rating is a LATENT-VARIABLE rating CMS computes — an authority's model, NOT a direct measurement. Source: CMS Nursing Home Care Compare — https://www.medicare.gov/care-compare/ Falsifier: occurred=FALSE: a MODELED figure — an authority's computed quantity ESTIMATING an independent/latent value (an index or annualized expectation), REPRODUCIBLE from its disclosed inputs, NOT a record of an event. adjudged=TRUE because CMS Nursing Home Care Compare (an external authority) computes and publishes it. The grounding promises "reproduce this from the inputs" — so a categorical authority VERDICT that is NOT reproducible (a star rating, a risk class) is a 'determination', not 'modeled'. Superseded by the next release. ### CMS Health Inspection Rating for THE MISSION AT BLUE SKIES OF TEXAS EAST is 4 of 5 stars **MODELED.** CMS rates THE MISSION AT BLUE SKIES OF TEXAS EAST (SAN ANTONIO, TX) at 4 of 5 stars on its Health Inspection Rating. Based on the last three years of on-site state inspections. The CMS Five-Star rating is a LATENT-VARIABLE rating CMS computes — an authority's model, NOT a direct measurement. Source: CMS Nursing Home Care Compare — https://www.medicare.gov/care-compare/ Falsifier: occurred=FALSE: a MODELED figure — an authority's computed quantity ESTIMATING an independent/latent value (an index or annualized expectation), REPRODUCIBLE from its disclosed inputs, NOT a record of an event. adjudged=TRUE because CMS Nursing Home Care Compare (an external authority) computes and publishes it. The grounding promises "reproduce this from the inputs" — so a categorical authority VERDICT that is NOT reproducible (a star rating, a risk class) is a 'determination', not 'modeled'. Superseded by the next release. ### CMS Staffing Rating for THE MISSION AT BLUE SKIES OF TEXAS EAST is 4 of 5 stars **MODELED.** CMS rates THE MISSION AT BLUE SKIES OF TEXAS EAST (SAN ANTONIO, TX) at 4 of 5 stars on its Staffing Rating. Based on nurse-staffing levels relative to resident needs. The CMS Five-Star rating is a LATENT-VARIABLE rating CMS computes — an authority's model, NOT a direct measurement. Source: CMS Nursing Home Care Compare — https://www.medicare.gov/care-compare/ Falsifier: occurred=FALSE: a MODELED figure — an authority's computed quantity ESTIMATING an independent/latent value (an index or annualized expectation), REPRODUCIBLE from its disclosed inputs, NOT a record of an event. adjudged=TRUE because CMS Nursing Home Care Compare (an external authority) computes and publishes it. The grounding promises "reproduce this from the inputs" — so a categorical authority VERDICT that is NOT reproducible (a star rating, a risk class) is a 'determination', not 'modeled'. Superseded by the next release. ### CMS Quality Measure Rating for THE MISSION AT BLUE SKIES OF TEXAS EAST is 5 of 5 stars **MODELED.** CMS rates THE MISSION AT BLUE SKIES OF TEXAS EAST (SAN ANTONIO, TX) at 5 of 5 stars on its Quality Measure Rating. Based on clinical quality measures for residents. The CMS Five-Star rating is a LATENT-VARIABLE rating CMS computes — an authority's model, NOT a direct measurement. Source: CMS Nursing Home Care Compare — https://www.medicare.gov/care-compare/ Falsifier: occurred=FALSE: a MODELED figure — an authority's computed quantity ESTIMATING an independent/latent value (an index or annualized expectation), REPRODUCIBLE from its disclosed inputs, NOT a record of an event. adjudged=TRUE because CMS Nursing Home Care Compare (an external authority) computes and publishes it. The grounding promises "reproduce this from the inputs" — so a categorical authority VERDICT that is NOT reproducible (a star rating, a risk class) is a 'determination', not 'modeled'. Superseded by the next release. ### THE MISSION AT BLUE SKIES OF TEXAS EAST reports 5.15324 total nurse staffing hours per resident per day **RECORDED.** THE MISSION AT BLUE SKIES OF TEXAS EAST reports 5.15324 total nurse staffing hours per resident per day (RN 0.7663, nurse aide 3.01464), from payroll-based journal (PBJ) data — a MEASURED, payroll-auditable record, not a rating. For context, expert/CMS guidance points to ~4.1 total nurse hours/resident/day as a staffing adequacy benchmark. Source: CMS Nursing Home Care Compare — PBJ payroll-based staffing — https://www.medicare.gov/care-compare/ Falsifier: A RECORD of measured/reported events (occurred=true) from CMS Nursing Home Care Compare — PBJ payroll-based staffing; superseded when CMS Nursing Home Care Compare — PBJ payroll-based staffing publishes its next release. ### What this is — and is NOT — for THE MISSION AT BLUE SKIES OF TEXAS EAST (the epistemic boundary) **INTERPRETATION.** Every figure here is published CMS Nursing Home Care Compare data, the same facts CMS shows the public. The star ratings are CMS's MODEL; the staffing hours are a MEASURED record. This page INFORMS and COMPARES — it does NOT recommend whether THE MISSION AT BLUE SKIES OF TEXAS EAST is right for your specific relative's needs, and a high or low rating is not a guarantee. Visit in person, ask about recent inspections, and contact your state Long-Term Care Ombudsman. Verify everything at medicare.gov/care-compare. Source: Care Atlas framing (over the CMS Care Compare facts above) — https://care-atlas.ryanjhunter.workers.dev/ Falsifier: occurred=FALSE (a framing, not an event) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here. The CMS ratings (modeled) and staffing hours (recorded) above are CMS's own; this is the only interpretation, and the four-status says so. --- Every claim above carries a four-status warrant (RECORDED / MODELED / DERIVED / INTERPRETATION) and a named source you can re-fetch — this is a research object, not a flat fact. Structured: `https://care-atlas.ryanjhunter.workers.dev/care/nursing-homes/676041.jsonld` ## Data ### CMS quality summary — THE MISSION AT BLUE SKIES OF TEXAS EAST Star ratings are CMS-modeled composites (not direct measurements). Staffing hours are PBJ payroll-based recorded measurements. Source: CMS Nursing Home Care Compare. | Metric | Value | Status | | --- | --- | --- | | Overall Star Rating | 5/5 ★ | modeled | | Health Inspection Rating | 4/5 ★ | modeled | | Staffing Rating | 4/5 ★ | modeled | | Quality Measure Rating | 5/5 ★ | modeled | | Total nurse hrs/resident/day (PBJ) | 5.15324 | recorded | | RN hrs/resident/day | 0.7663 | recorded | | Nurse aide hrs/resident/day | 3.01464 | recorded | | Certified beds | 80 | recorded |