Home›Browse›Texas›San Antonio›Sonterra Health Center

Nursing homeFAID #14538

Sonterra Health Center

18514 SONTERRA PLACE, SAN ANTONIO, TX, 78258

(210) 545-4800

124 licensed beds

CMS rates Sonterra Health Center 2 out of 5 overall. Federal inspectors issued 53 citations across 17 inspections in the last three years, with $80,964 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Photo via Google · Sonterra Health Center

Address

18514 Sonterra Place

San Antonio, TX 78258

Get directions

Map facilities in this area

All facilities in San Antonio

Public record summary

What we can show you for free.

Bed capacity

124

CMS facility ID

676158

Care type

Nursing home

County

Bexar

Facility name

Sonterra Health Center

Street address

18514 SONTERRA PLACE

City / state / ZIP

San Antonio, TX 78258

Phone

(210) 545-4800

Website

ensignservices.net

About this facility — Sonterra Health Center

Sonterra Health Center is a Medicare/Medicaid-certified skilled nursing facility in San Antonio, Texas. It is licensed for 124 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 341 senior care facilities in San Antonio and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of The Ensign Group, a group of 347 facilities on this site.

Federal inspectors have cited Sonterra Health Center 53 times across 17 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $80,964 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

The Ensign Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Alexander, Alma

Officer — since 2020

Ashton, Andrew

Governing body · Operational control · Additional disclosable party — since 2017

Brackenridge Healthcare Inc

Operational control · Additional disclosable party — since 2017

Burnam, Soon

Officer — since 2017

Ensign Services Inc

Additional disclosable party — since 2016

Keetch, Chad

Officer — since 2011

Mansoor, Saad

Governing body · Operational control · Additional disclosable party — since 2019

National Health Investors, Inc.

Additional disclosable party — since 2017

Texas Nhi Investors, Llc

Additional disclosable party — since 2017

Regulatory standing

Federal court records

11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2007-11-28

CMS overall rating

2 of 5 stars

Health deficiencies

9 at the last standard inspection

Federal fines

$80,964 total

Last standard inspection

2026-07-10

Nurse staffing

3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$407 per day (≈ $12,370/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

31% Medicaid · 11% Medicare · 58% private/other

Occupancy

70% (fiscal year 2023)

Vs. state median

47% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

124

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-10Health inspection7 citations

F-0635

D · No harm found

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2026-07-30

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-07-30

F-0655

D · No harm found

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

Corrected 2026-07-30

F-0656

E · No harm found

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

Corrected 2026-07-30

F-0812

E · No harm foundFood safety

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

Corrected 2026-07-30

F-0849

E · No harm found

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2026-07-30

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-07-30

2026-06-17Health inspectionComplaint-triggered1 citation

F-0761

D · No harm foundFrom a complaint

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.

Corrected 2026-06-18

13 earlier / fire-safety inspections (45 citations)

2026-06-07Health inspectionComplaint-triggered1 citation

F-0761

D · No harm foundFrom a complaint

Corrected 2026-06-08

2025-05-15Health inspectionComplaint-triggered16 citations

F-0550

D · No harm found

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

Corrected 2025-06-13

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-06-13

F-0578

G · Actual 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.

Corrected 2025-06-13

F-0585

D · No harm found

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.

Corrected 2025-06-13

F-0609

D · No harm foundFrom a complaint

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

Corrected 2025-06-13

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-06-13

F-0640

D · No harm found

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

Corrected 2025-06-13

F-0655

D · No harm found

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

Corrected 2025-06-13

F-0656

D · No harm found

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

Corrected 2025-06-13

F-0689

D · No harm found

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

Corrected 2025-06-13

F-0695

D · No harm found

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

Corrected 2025-06-13

F-0697

G · Actual harm

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

Corrected 2025-06-13

F-0700

D · No harm found

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.

Corrected 2025-06-13

F-0757

D · No harm found

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

Corrected 2025-06-13

F-0761

D · No harm found

Corrected 2025-06-13

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-06-13

2025-04-25Health inspectionComplaint-triggered2 citations

F-0657

D · No harm foundFrom a complaint

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

Corrected 2025-04-30

F-0842

D · No harm foundFrom a complaint

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

Corrected 2025-05-16

2025-03-21Health inspectionComplaint-triggered2 citations

F-0609

D · No harm foundFrom a complaint

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

Corrected 2025-03-24

F-0760

J · Immediate jeopardyFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-03-17

2024-09-14Health inspectionComplaint-triggered1 citation

F-0761

D · No harm foundFrom a complaint

Corrected 2024-09-15

2024-08-14Health inspectionComplaint-triggered2 citations

F-0656

J · Immediate jeopardyFrom a complaint

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

Corrected 2024-08-15

F-0689

J · Immediate jeopardyFrom a complaint

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

Corrected 2024-08-15

2024-06-14Health inspectionComplaint-triggered3 citations

F-0732

E · No harm foundFrom a complaint

Post nurse staffing information every day.

Corrected 2024-06-15

F-0761

E · No harm foundFrom a complaint

Corrected 2024-06-15

F-0812

D · No harm foundFood safetyFrom a complaint

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

Corrected 2024-06-15

2024-04-19Health inspection6 citations

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-04-24

F-0656

E · No harm found

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

Corrected 2024-04-24

F-0657

D · No harm found

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

Corrected 2024-04-24

F-0690

D · No harm found

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

Corrected 2024-04-30

F-0727

E · No harm found

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.

Corrected 2024-04-20

F-0812

E · No harm foundFood safety

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

Corrected 2024-04-26

2024-03-22Health inspectionComplaint-triggeredInfection control3 citations

F-0583

D · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2024-04-10

F-0761

D · No harm foundFrom a complaint

Corrected 2024-04-10

F-0842

D · No harm foundFrom a complaint

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

Corrected 2024-04-10

2023-12-01Health inspectionComplaint-triggered2 citations

F-0656

D · No harm foundFrom a complaint

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

Corrected 2023-12-28

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-12-28

2026-07-10Fire-safety inspection5 citations

E-0020

F · No harm found

Establish policies and procedures including evacuation.

Corrected 2026-07-31

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-07-08

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-07-31

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-07-08

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-07-08

2025-05-15Fire-safety inspection1 citation

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-05-16

2024-04-19Fire-safety inspection1 citation

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-20

Federal penalties

2025-04-25Fine$17,345

2025-03-21Fine$14,901

2024-08-14Fine$48,718

2024-08-14Medicare payment denial — 2 days

Total fines$80,964

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676158.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 82% of nursing homes in the state

State median: 33

Federal fines, 3 years

$80,964

More than 83% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.6

Higher than 74% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

51%

Higher than 52% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 12 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	9.4%	15.8%	13.5%	Better than state
Lose too much weight	1.2%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.4%	0.8%	1.5%	Better than state
Have depressive symptoms	1.2%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	6.3%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	98.3%	96.4%	93.7%	Near state average
Ability to walk independently worsened	9.9%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	11.7%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	93.7%	97.0%	95.3%	Near state average
With pressure ulcers	2.3%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	14.0%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	12.0%	9.8%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.73	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.12	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	94.7%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	1.1%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	88.6%	85.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	29.3%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	17.0%	12.2%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0761 6 inspections. 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.
F-0656 5 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0641 2 inspections. Ensure each resident receives an accurate assessment.
F-0655 2 inspections. Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F-0880 2 inspections. Provide and implement an infection prevention and control program.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

South Texas Spine and Surgical Hospital, about 1.1 miles.
Methodist Hospital Stone Oak, about 1.3 miles. CMS rating 4 of 5.
Baptist Neighborhood Hospital Thousand Oaks, about 2.2 miles. CMS rating 5 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Stone Oak Care Center, San Antonio, about 0.5 miles. CMS rating 3 of 5.
The Enclave, San Antonio, about 1.2 miles. CMS rating 1 of 5.
Coronado At Stone Oak, San Antonio, about 1.3 miles. CMS rating 5 of 5.
Estates At Shavano Park, Shavano Park, about 4.9 miles. CMS rating 2 of 5.
Castle Hills Rehabilitation and Care Center, San Antonio, about 5.4 miles. CMS rating 1 of 5.

Visitor reviews

What people say on Google.

4.4270 ratings on Google

★★★★★April Arredondo · 2026-07-21 · via Google
“I am long overdue in leaving this review. My father-in-law was a patient at Sonterra after suffering a stroke in February 2026, and I cannot say enough wonderful things about the care he received. From the moment he arrived, we were impressed by how clean and well-maintained the facility was. Every staff member we encountered was kind, compassionate, and genuinely engaged with both him and our fa…”

★★★★★Michael Jones · 2026-07-02 · via Google
“Front desk person always pushes button to let us in and out. Always friendly greeting us. Honestly very impressed with entire staff. My sister has been treated with respect by all staff. We came to this facility because a friends had his wife here and they liked it.”

★★★★★Paul Cruz · 2026-02-18 · via Google
“I visited with a family member today and was impressed with this facility! The check-in process (security) was all digital, thank you! The staff was very attentive and helpful in helping me navigate the facility. My family member had nothing but good to say about her rehabilitation stay.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 53 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered