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Medicare-certifiedSkilled Nursing

Sonterra Health Center

San Antonio, TexasMedicare inspection record
(210) 545-4800

About Sonterra Health Center

Sonterra Health Center provides skilled nursing and rehabilitation services designed to support recovery and healing. Our San Antonio, Texas team combines medical expertise with compassionate care, helping patients regain strength and independence through personalized treatment plans.

Community at a glance

Capacity

124 residents

Location

San Antonio, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

18514 SONTERRA PLACE, San Antonio, Texas 78258

(210) 545-4800

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on July 10, 2026, state inspectors cited 9 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 32 minutes with each resident a day, about the same as the Texas average.

Medicare fined Sonterra Health Center 3 times in the last three years, $80,964 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 32 minutes
Registered nurse time per resident, per day15 minutesBelow the Texas average
Nursing staff who left in the past year55%

1 administrator has left the home in the past year.

Inspections

46 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 10, 2026 · Standard inspection · 7 citations

  • 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.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Jul 30, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 30, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 30, 2026
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 30, 2026
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 30, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jul 30, 2026
  • Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 30, 2026

June 17, 2026 · Complaint investigation · 1 citation

  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 18, 2026
June 7, 2026 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 8, 2026
May 15, 2025 · Standard inspection · 16 citations+
  • Provide safe, appropriate pain management for a resident who requires such services.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected 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.

    Residents were harmed, a few residents (level G)Resident RightsCorrected Jun 13, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 13, 2025
  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 13, 2025
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 13, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 13, 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 13, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 13, 2025
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 13, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 13, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 13, 2025
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 13, 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 13, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 13, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 13, 2025
April 25, 2025 · Complaint investigation · 2 citations+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 16, 2025
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 30, 2025
March 21, 2025 · Complaint investigation · 2 citations+
  • Ensure that residents are free from significant medication errors.

    Immediate danger to residents, a few residents (level J)Pharmacy ServiceFrom a complaintAlready fixed by Mar 17, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 24, 2025
September 14, 2024 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Sep 15, 2024
August 14, 2024 · Complaint investigation · 2 citations+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Immediate danger to residents, a few residents (level J)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 15, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Aug 15, 2024
June 14, 2024 · Complaint investigation · 3 citations+
  • Post nurse staffing information every day.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Jun 15, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jun 15, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Jun 15, 2024
April 19, 2024 · Standard inspection · 6 citations+
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 24, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 24, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Apr 20, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Apr 26, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 24, 2024
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 30, 2024
March 22, 2024 · Complaint investigation · 3 citations+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 10, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Apr 10, 2024
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 10, 2024
December 1, 2023 · Complaint investigation · 2 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Dec 28, 2023
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 28, 2023

Fines and payment denials

3 fines totaling $80,964 and 1 Medicare payment denial in the last three years.

  • April 25, 2025Fine: $17,345
  • March 21, 2025Fine: $14,901
  • August 14, 2024Payment denial, 2 days
  • August 14, 2024Fine: $48,718

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Dewitt Medical District
Medicare-certified beds
124
Average residents per day
102
Accepts
Medicare and Medicaid
First certified
November 28, 2007
Part of a chain
The Ensign Group, 344 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
676158

Location

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18514 SONTERRA PLACESan Antonio, TX 78258

12 other communities within 10 miles

Senior living near San Antonio

Questions about Sonterra Health Center

How did Sonterra Health Center do on its last inspection?+

State inspectors visited on July 10, 2026 and cited 9 health deficiencies, 2 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Sonterra Health Center?+

Nurses and aides spend 3 hours 32 minutes with each resident per day, including 15 minutes from registered nurses. 55% of nursing staff left over the past year.

Has Sonterra Health Center been fined by Medicare?+

Yes. Medicare fined Sonterra Health Center 3 times in the last three years, totaling $80,964.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in San Antonio Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026