Sonterra Health Center

18514 Sonterra Place · San Antonio, TX · 78258 · 2105454800

124 certified beds Government - Hospital district Chain: The Ensign Group Hospital-based

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $80,964 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

$80,964 in federal fines in the last 24 months

3 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 35
Serious harm & abuse 20% 70
Staffing 20% 61
Federal penalties 15% 20
Trend 10% 83
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.663.48 min · 4.1 strong
RN hours / resident-day0.390.55–0.75
Weekend hours / resident-day3.04≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)3 · $80,964

Inspection citations (50 in the current record)

  • Actual harm · G May 15, 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.

    Corrected June 13, 2025 · Resident Rights

  • Actual harm · G May 15, 2025

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

    Corrected June 13, 2025 · Quality of Life and Care

  • Potential for harm · D May 15, 2025

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

    Corrected June 13, 2025 · Resident Rights

  • Potential for harm · D May 15, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected June 13, 2025 · Resident Rights

  • Potential for harm · D 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.

    Corrected June 13, 2025 · Resident Rights

  • Potential for harm · D May 15, 2025

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

    Corrected June 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 15, 2025

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

    Corrected June 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D 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.

    Corrected June 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 15, 2025

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

    Corrected June 13, 2025 · Quality of Life and Care

  • Potential for harm · D May 15, 2025

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

    Corrected June 13, 2025 · Quality of Life and Care

  • Potential for harm · D May 15, 2025

    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 June 13, 2025 · Quality of Life and Care

  • Potential for harm · D May 15, 2025

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

    Corrected June 13, 2025 · Pharmacy Service

  • Potential for harm · D May 15, 2025

    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 June 13, 2025 · Pharmacy Service

  • Potential for harm · D May 15, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 13, 2025 · Infection Control

  • Potential for harm · D May 15, 2025 · found via complaint

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

    Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 15, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 25, 2025 · found via 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 April 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 25, 2025 · found via complaint

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

    Corrected May 16, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J March 21, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected March 17, 2025 · Pharmacy Service

  • Potential for harm · D March 21, 2025 · found via complaint

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

    Corrected March 24, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 14, 2024 · found via 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 September 15, 2024 · Pharmacy Service

  • Immediate jeopardy · J August 14, 2024 · found via complaint

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

    Corrected August 15, 2024 · Resident Assessment and Care Planning

  • Immediate jeopardy · J August 14, 2024 · found via complaint

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

    Corrected August 15, 2024 · Quality of Life and Care

  • Potential for harm · E June 14, 2024 · found via complaint

    Post nurse staffing information every day.

    Corrected June 15, 2024 · Nursing and Physician Services

  • Potential for harm · E June 14, 2024 · found via 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 June 15, 2024 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
April 25, 2025Fine$17,345
March 21, 2025Fine$14,901
August 14, 2024Fine$48,718
August 14, 2024Payment Denial2 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676158 · certified since November 28, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.