Sonterra Health Center

18514 SONTERRA PLACE, SAN ANTONIO, TX 78258 · CCN 676158 · 124 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections2 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-05-15 ACTUAL HARM (tag F0578, severity G)
Resident Rights Deficiencies · correction not recorded in CMS data
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.
2025-05-15 ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2025-03-21 IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2024-08-14 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-08-14 IMMEDIATE JEOPARDY (tag F0656, severity J)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Staffing, from payroll records

Nursing hours / resident / day

2.88

state median 2.67

Weekend staffing gap

−16%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.19

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

55%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $80,964 in fines.

DateTypeAmount
2025-04-25Fine$17,345
2025-03-21Fine$14,901
2024-08-14Fine$48,718
2024-08-14Payment Denialpayment denial

Ownership

Ownership type: Government - Hospital district. Part of the THE ENSIGN GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 45 · Immediate jeopardy: 3

Survey dateTagCategorySeverityCorrected
2025-05-15F0550Resident Rights DeficienciesDnot recorded
2025-05-15F0558Resident Rights DeficienciesDnot recorded
2025-05-15F0578Resident Rights DeficienciesGnot recorded
2025-05-15F0585Resident Rights DeficienciesDnot recorded
2025-05-15F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-05-15F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-05-15F0640Resident Assessment and Care Planning DeficienciesDnot recorded
2025-05-15F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2025-05-15F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-05-15F0689Quality of Life and Care DeficienciesDnot recorded
2025-05-15F0695Quality of Life and Care DeficienciesDnot recorded
2025-05-15F0697Quality of Life and Care DeficienciesGnot recorded
2025-05-15F0700Quality of Life and Care DeficienciesDnot recorded
2025-05-15F0757Pharmacy Service DeficienciesDnot recorded
2025-05-15F0761Pharmacy Service DeficienciesDnot recorded
2025-05-15F0880Infection Control DeficienciesDnot recorded
2025-04-25F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2025-04-25F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2025-03-21F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-03-21F0760Pharmacy Service DeficienciesJnot recorded
2024-09-14F0761Pharmacy Service DeficienciesDnot recorded
2024-08-14F0656Resident Assessment and Care Planning DeficienciesJnot recorded
2024-08-14F0689Quality of Life and Care DeficienciesJnot recorded
2024-06-14F0732Nursing and Physician Services DeficienciesEnot recorded
2024-06-14F0761Pharmacy Service DeficienciesEnot recorded
2024-06-14F0812Nutrition and Dietary DeficienciesDnot recorded
2024-04-19F0641Resident Assessment and Care Planning DeficienciesEnot recorded
2024-04-19F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2024-04-19F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-04-19F0690Quality of Life and Care DeficienciesDnot recorded
2024-04-19F0727Nursing and Physician Services DeficienciesEnot recorded
2024-04-19F0812Nutrition and Dietary DeficienciesEnot recorded
2024-03-22F0583Resident Rights DeficienciesDnot recorded
2024-03-22F0761Pharmacy Service DeficienciesDnot recorded
2024-03-22F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2023-12-01F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-12-01F0755Pharmacy Service DeficienciesDnot recorded
2023-08-31F0580Resident Rights DeficienciesDnot recorded
2023-08-31F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2023-02-24F0550Resident Rights DeficienciesDnot recorded
2023-02-24F0578Resident Rights DeficienciesDnot recorded
2023-02-24F0580Resident Rights DeficienciesDnot recorded
2023-02-24F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-02-24F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-02-24F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-02-24F0692Quality of Life and Care DeficienciesDnot recorded
2023-02-24F0695Quality of Life and Care DeficienciesDnot recorded
2023-02-24F0812Nutrition and Dietary DeficienciesEnot recorded
2023-02-24F0837Administration DeficienciesFnot recorded
2023-02-24F0849Administration DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Sonterra Health Center, SAN ANTONIO” at medicare.gov/care-compare.