Sonterra Health Center
18514 Sonterra Place, San Antonio, TX 78258 · Bexar County
Government · 124 certified beds · 82% occupancy · (210) 545-4800
Sonterra Health Center reviews: what the government record shows
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.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 3.53 hrs/resident/day (+8% vs TX median)
- Antipsychotic drug use
- 12.2% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 4.6% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $80,964
- Inspection findings
- 52 cited, 3 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Strengths
- ✓Nurse staffing of 3.53 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Cited for 3 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $80,964 in federal fines in roughly the last three years.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Sonterra Health Center
Is Sonterra Health Center a good nursing home?
Sonterra Health Center in San Antonio, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Sonterra Health Center staffed?
Sonterra Health Center reports 3.53 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Sonterra Health Center been fined or flagged for abuse?
Sonterra Health Center has paid approximately $80,964 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. 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 F0761 · Jun 17, 2026ComplaintCorrected Jun 18, 2026
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.
Pharmacy Service Deficiencies
- Potential for harmTag F0761 · Jun 7, 2026ComplaintCorrected Jun 8, 2026
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.
Pharmacy Service 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
Showing the 10 most recent and serious of 52 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 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore 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 2026-09-05. 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 342 facilities, with a chain-average CMS rating of 3.2 stars.