Sonterra Health Center

Nursing home in San Antonio, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (210) 545-4800 Send a message Map ↗

Public-record details

Address: 18514 Sonterra Place, San Antonio, TX 78258
Phone: (210) 545-4800
Listed under: Government-owned
Medicare CCN: 676158
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 1 of 5
Quality measures rating: 4 of 5
Certified beds: 124
Average residents per day: 102
Ownership: Government, hospital district
Legal business name: Dewitt Medical District
Chain: The Ensign Group (342 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Nov 28, 2007
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: Yes
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 676158. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 15, 2025. CMS lists 52 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 24, 2023 to Jun 17, 2026): 21 from complaint inspections, 5 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

Inspection	Citation	Severity
Jun 17, 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… Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Jun 7, 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… Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
May 15, 2025	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights	D Potential for more than minimal harm, isolated
May 15, 2025	Reasonably accommodate the needs and preferences of each resident. Resident Rights	D Potential for more than minimal harm, isolated
May 15, 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	D Potential for more than minimal harm, isolated
May 15, 2025	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
May 15, 2025	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
May 15, 2025	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
May 15, 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	D Potential for more than minimal harm, isolated
May 15, 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	D Potential for more than minimal harm, isolated
May 15, 2025	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care	D Potential for more than minimal harm, isolated
May 15, 2025	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 52. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $80,964 and 1 denial of Medicare payment for new admissions in the last three years.

Apr 25, 2025	Fine: $17,345
Mar 21, 2025	Fine: $14,901
Aug 14, 2024	Fine: $48,718
Aug 14, 2024	Payment denial for 2 days from Sep 13, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.53 hours
Registered nurse (RN) time per resident per day: 0.25 hours
Nurse aide time per resident per day: 1.94 hours
Total nurse staffing on weekends: 2.86 hours
Nursing staff turnover (yearly): 55%
RN turnover (yearly): 67%
Administrators who left in the past year: 1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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