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HomeTexasSonterra Health Center

Sonterra Health Center

18514 Sonterra Place, San Antonio, TX 782582105454800WebsiteGoogle Maps
4.4on Google(244 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
1/5
Quality
4/5
Beds
124
certified
3 fine(s) totaling $80,964

How Sonterra Health Center Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.53 hrs/day
TX average
3.39 hrs/day
Close to state average
RN hours per resident
0.25 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
54.6%
TX average
55.3%
Close to state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported RN time is 0.25 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
23
deficiency citations
Inspected Apr 19, 2024
Most recent cycle
16
deficiency citations
Inspected May 15, 2025
The most recent cycle recorded 7 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Bexar County 65+
248,631
12.3% of county
County Population
2,014,059
Bexar County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Sonterra Health Center is a 1-star Medicare and Medicaid certified nursing home in San Antonio, Texas with 124 certified beds. It has been operating since 2007. Its overall CMS rating is 1 out of 5.

Beds
124
Avg Residents/Day
101.8
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
Yes
First Approved
Nov 28, 2007
Sprinklers
Yes
Council
Resident
County
Bexar
Last Inspection
May 15, 2025
Deficiencies (Cycle 1)
16
Weighted Score
134.3
Infection Citations
5

Deficiency Citations (50)

F0578Actual Harm

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.

Survey: May 15, 2025Corrected: NoCycle: 1
F0697Actual Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: May 15, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: May 15, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: May 15, 2025Corrected: NoCycle: 1
F0585Potential for Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey: May 15, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: May 15, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: May 15, 2025Corrected: NoCycle: 1
F0640Potential for Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey: May 15, 2025Corrected: NoCycle: 1
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: May 15, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: May 15, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 15, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: May 15, 2025Corrected: NoCycle: 1
F0700Potential for Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey: May 15, 2025Corrected: NoCycle: 1
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: May 15, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: May 15, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 15, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Apr 25, 2025Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Apr 25, 2025Corrected: NoCycle: 2
F0760Immediate Jeopardy

Ensure that residents are free from significant medication errors.

Survey: Mar 21, 2025Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Mar 21, 2025Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Sep 14, 2024Corrected: NoCycle: 2
F0656Immediate Jeopardy

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 14, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 14, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Apr 19, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Apr 19, 2024Corrected: NoCycle: 2
F0727Potential for Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey: Apr 19, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Apr 19, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Apr 19, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Apr 19, 2024Corrected: NoCycle: 2
F0732Potential for Harm

Post nurse staffing information every day.

Survey: Jun 14, 2024Corrected: NoCycle: 3

+ 20 more deficiencies

Total Fines
$80,964
Number of Fines
3
Payment Denials
1
Total Penalties
4

Penalty History

FineMar 21, 2025
$14,901
FineApr 25, 2025
$17,345
FineAug 14, 2024
$48,718
Payment DenialAug 14, 2024
2 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.94 hrs
National avg: 2.32 hrs
LPN1.34 hrs
National avg: 0.86 hrs
RN0.25 hrs
National avg: 0.69 hrs
Total Nursing3.53 hrs
National avg: 3.86 hrs
Weekend Total2.86 hrs
National avg: 0.00 hrs
Physical Therapist0.20 hrs
National avg: 0.07 hrs
Total Turnover
54.6%
RN Turnover
66.7%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
ASHTON, ANDREWMANAGING CONTROL - GOVERNING BODYIndividualN/AApr 1, 2017
MANSOOR, SAADMANAGING CONTROL - GOVERNING BODYIndividualN/AApr 29, 2019
ALEXANDER, ALMACORPORATE OFFICERIndividualN/AMay 27, 2020
BURNAM, SOONCORPORATE OFFICERIndividualN/AApr 1, 2017
KEETCH, CHADCORPORATE OFFICERIndividualN/AMar 1, 2011
BRACKENRIDGE HEALTHCARE INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2017
ASHTON, ANDREWOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2017
MANSOOR, SAADOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 29, 2019
BRACKENRIDGE HEALTHCARE INCADP OF THE SNFOrganizationN/AOct 24, 2025
ENSIGN SERVICES INCADP OF THE SNFOrganizationN/AMay 1, 2016
NATIONAL HEALTH INVESTORS, INC.ADP OF THE SNFOrganizationN/AApr 1, 2017
TEXAS NHI INVESTORS, LLCADP OF THE SNFOrganizationN/AApr 1, 2017
ASHTON, ANDREWADP OF THE SNFIndividualN/AApr 1, 2017
MANSOOR, SAADADP OF THE SNFIndividualN/AApr 29, 2019

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Sonterra Health Center and nearby alternatives.

All Texas facilities
Sonterra Health Center
San Antonio, TXCurrent facility
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $80,964
Stone Oak Care Center
San Antonio, TX2,640 ft
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $9,087
The Enclave
San Antonio, TX1.2 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $10,039
Coronado at Stone Oak
San Antonio, TX1.3 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
Estates at Shavano Park
Shavano Park, TX4.9 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
Castle Hills Rehabilitation and Care Center
San Antonio, TX5.4 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $112,386
San Antonio Wellness & Rehabilitation
San Antonio, TX5.9 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $104,627
FacilityDistanceCMSHealthStaffingRecorded fines
Sonterra Health Center
San Antonio, TX · Current facility
—1/52/51/5$80,964
Stone Oak Care Center
San Antonio, TX
2,640 ft2/53/51/5$9,087
The Enclave
San Antonio, TX
1.2 mi1/52/51/5$10,039
Coronado at Stone Oak
San Antonio, TX
1.3 mi5/54/53/5None recorded
Estates at Shavano Park
Shavano Park, TX
4.9 mi3/53/52/5None recorded
Castle Hills Rehabilitation and Care Center
San Antonio, TX
5.4 mi1/51/51/5$112,386
San Antonio Wellness & Rehabilitation
San Antonio, TX
5.9 mi2/52/52/5$104,627

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Sonterra Health Center?▾
Sonterra Health Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Sonterra Health Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Sonterra Health Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Sonterra Health Center had any health inspection violations?▾
Sonterra Health Center had 16 deficiency citations in its most recent health inspection (May 15, 2025). The current CMS dataset records 3 fine(s) totaling $80,964. It also has 5 infection control citation(s).
What are the staffing levels at Sonterra Health Center?▾
Sonterra Health Center provides 3.53 total nursing staff hours per resident per day, including 0.25 RN hours, 1.34 LPN hours, and 1.94 nurse aide hours. The total staff turnover rate is 54.6%.
How many beds does Sonterra Health Center have?▾
Sonterra Health Center has 124 certified beds with an average of 101.8 residents per day, resulting in approximately 82% occupancy. The facility is Government - Hospital district owned and is part of the The Ensign Group chain.
Are there other nursing homes near Sonterra Health Center?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 5 in San Antonio. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Sonterra Health Center?▾
On Google Maps, Sonterra Health Center has a rating of 4.4 out of 5 based on 244 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of The Ensign Group

This chain operates 346 facilities. View all →