Nursing home
Sonterra Health Center
18514 Sonterra Place, San Antonio, TX 78258 · Map
Government - Hospital district · Part of The Ensign Group (329 facilities) · 124 certified beds
Sonterra Health Center is a Medicare-certified nursing home in San Antonio, Texas. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.72 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on May 15, 2025 cited 20 deficiencies.
- 3 fines totaling $80,964In CMS records: 4 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Sonterra Health Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.72 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.33 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.08 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 50.0% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 20.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $80,964, 4 total penalties, 1 Medicare payment denial.
What inspectors found at Sonterra Health Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · May 15, 2025 · Full report (PDF) - 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.
Resident Rights Deficiencies · May 15, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 15, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 15, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 15, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · May 15, 2025 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · May 15, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · May 15, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · May 15, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 15, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · May 15, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · May 15, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 18514 Sonterra Place
San Antonio, TX 78258 - CMS certification #
- 676158
- Ownership
- Government - Hospital district
- Certified beds
- 124
- Avg residents/day
- 99.8
- Provider type
- Medicare and Medicaid
- First certified
- 2007-11-28
- Chain
- The Ensign Group (329 facilities)
- Setting
- Urban
Part of The Ensign Group
The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Sonterra Health Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Sonterra Health Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
We leave the critical decisions to those who know best: the Caregivers, Doctors, and Nurses who work with our patients 24-hours a day, 7-days a week.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- South Texas Spine And Surgical Hospital, San Antonio. 1.1 miles away, straight line.
- Nearest Medicare nursing home
- Stone Oak Care Center, San Antonio. 0.5 miles away, straight line.
- Nearest home health agency office
- Enhabit Home Health, San Antonio. 2.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78258 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Stone Oak Dialysis, San Antonio, 0.8 miles away, straight line (CMS rating 4 of 5 stars)
North Central Kidney Disease Center, San Antonio, 1.4 miles away, straight line (CMS rating 3 of 5 stars)
Innovative Dialysis Solutions At Home Of Devine, San Antonio, 5.9 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 94 Medicare hospices tell CMS they serve ZIP code 78258.
Devoted Care Hospice Inc, office in San Antonio, 1.8 miles away, straight line
Compassion Hospice Of Texas, office in San Antonio, 1.8 miles away, straight line
Abundant Hospice, LLC, office in San Antonio, 2.0 miles away, straight line - Nearest geriatric medicine practice
- Rise Up Rehab, LLC, San Antonio. 2.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Sonterra Health Center a good nursing home?
CMS gives Sonterra Health Center an overall rating of 3 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Sonterra Health Center staffed?
Sonterra Health Center reports 3.72 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Sonterra Health Center had inspection problems?
Its most recent CMS inspection cited 20 deficiencies.
How many beds does Sonterra Health Center have?
Sonterra Health Center is certified for 124 beds.