Sonterra Health Center
18514 Sonterra Place, San Antonio, TX 78258 · Bexar County
Government · 124 certified beds · 82% occupancy · (210) 545-4800
The U.S. government (CMS) rates Sonterra Health Center 1 out of 5 stars overall, much below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 3 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.53 nurse hours per resident per day. 8% above the Texas median of 3.27.
Nursing staff turnover: 54.6% · RN turnover: 66.7%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Actual harmTag F0578 · May 15, 2025Corrected Jun 13, 2025
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
- Actual harmTag F0697 · May 15, 2025Corrected Jun 13, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
- Potential for harmTag F0550 · May 15, 2025Corrected Jun 13, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0558 · May 15, 2025Corrected Jun 13, 2025
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
- Potential for harmTag F0585 · May 15, 2025Corrected Jun 13, 2025
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.
Resident Rights Deficiencies
- Potential for harmTag F0609 · May 15, 2025ComplaintCorrected Jun 13, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0610 · May 15, 2025ComplaintCorrected Jun 13, 2025
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0640 · May 15, 2025Corrected Jun 13, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0655 · May 15, 2025Corrected Jun 13, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0656 · May 15, 2025Corrected Jun 13, 2025
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
Showing the 10 most recent and serious of 50 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. See the most-fined homes in Texas
Ownership
This home is government (government - hospital district). It is part of the The Ensign Group chain, which operates 346 facilities, with a chain-average CMS rating of 3.2 stars.