Blue Skies FSER

HCA - Methodist Healthcare Blue Skies FSER is a new 1-story freestanding emergency department under construction at 12483 US Highway 90 in San Antonio. The project is located in the Medina Valley area of Bexar County and is scheduled to finish in October 2026. This facility will include ambulance and emergency drop-offs, as well as a generator and dumpster enclosure, serving the local community with dedicated medical access.

The building will cover 11,150 sq ft with an estimated cost of $8,500,000. This places the project at $762 per sq ft, a figure that is above the county median of $115 per sq ft for new construction filings in Bexar County. The total estimated cost is also above the county median for this type of work, reflecting the specialized nature of the emergency care infrastructure being installed.

BST Senior Living West, Inc. is the owner and developer of record for this privately funded project. Construction is set to begin in December 2025, following the completion of plan review by the Texas Department of Licensing and Regulation (TDLR) in September 2025.

Steve R Zoerner is the registered accessibility specialist listed in the TDLR filing for this project. The scheduled build window of 292 days is longer than the county median of 208 days for similar new construction projects. This extended timeline accounts for the specific requirements of an emergency department, including the installation of medical-grade infrastructure and safety systems.

The surrounding area includes several commercial and residential establishments, such as Desert Brew Coffee and Miss Tacos. The ZIP code 78245 has a population of about 91,388 residents, with a median household income of $87,890. The new emergency department will add to the medical resources available in this predominantly owner-occupied housing market, which has a median home value of $241,500.

Project Details

The scope of work strictly follows the TDLR registration, focusing on the new construction of the emergency department. No renovations or expansions of existing structures are included in this filing. The project is designed to meet specific accessibility standards, ensuring that the facility is usable by individuals with disabilities. The private funding model means that the project does not rely on public bonds or state grants for its construction costs.

Residents and visitors in the Medina Valley area can expect the completion of this facility in October 2026. The project’s status is listed as Review Complete by TDLR, indicating that all necessary plans have been approved for construction. The site is prepared for the start of work in late 2025, with a clear path toward the final installation of emergency care services.