Sonterra Health Center
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
Keep an eye on this facility
Penalties and enforcement
4 enforcement action(s), totaling $80,964 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-25 | Fine | $17,345 |
| 2025-03-21 | Fine | $14,901 |
| 2024-08-14 | Fine | $48,718 |
| 2024-08-14 | Payment Denial | payment 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:
- THE HEALTHCARE CENTER OF EASTVIEW (BIRMINGHAM, AL) —
- Polaris Extended Care (ANCHORAGE, AK) —
- THE HEALTH CENTER AT RESEARCH PARK (HUNTSVILLE, AL) —
- POLARIS TRANSITIONAL CARE (ANCHORAGE, AK) —
- Desert Terrace Healthcare Center (PHOENIX, AZ) —
- PUEBLO SPRINGS REHABILITATION CENTER (TUCSON, AZ) —
- CASAS ADOBES POST ACUTE REHAB CENTER (TUCSON, AZ) —
- MISSION PALMS POST ACUTE (MESA, AZ) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-05-15 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-15 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-15 | F0578 | Resident Rights Deficiencies | G | not recorded |
| 2025-05-15 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-15 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-05-15 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-05-15 | F0640 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-15 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-15 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-15 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-15 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-15 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-05-15 | F0700 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-15 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-05-15 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-05-15 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-04-25 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-25 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-21 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-03-21 | F0760 | Pharmacy Service Deficiencies | J | not recorded |
| 2024-09-14 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-08-14 | F0656 | Resident Assessment and Care Planning Deficiencies | J | not recorded |
| 2024-08-14 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-06-14 | F0732 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-06-14 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-06-14 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-04-19 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-04-19 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-04-19 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-04-19 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-19 | F0727 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-04-19 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-03-22 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-22 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-22 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-12-01 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-12-01 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-08-31 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2023-08-31 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-02-24 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-02-24 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2023-02-24 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2023-02-24 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-02-24 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-02-24 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-02-24 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-02-24 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-02-24 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-02-24 | F0837 | Administration Deficiencies | F | not recorded |
| 2023-02-24 | F0849 | Administration Deficiencies | D | not recorded |