Sonterra Health Center
Nursing Home Facility
18514 Sonterra Place, San Antonio, TX 78258
Sonterra Health Center is a senior care community located in San Antonio, TX. It provides nursing home care and senior living for older adults in the San Antonio area. To learn more or schedule a tour, call (210) 545-4800.
Operated by The Ensign Group, which runs 419 communities in our directory.
With 124 beds, Sonterra Health Center is smaller than most nearby options, senior care communities in San Antonio average about 176 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.
Federal reporting puts occupancy at about 82% of its licensed beds. That is above the San Antonio average of roughly 65%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in San Antonio average about 2.3 stars. Its most recent standard health inspection was in May 2025 and recorded 18 deficiencies.
Residents receive about 3.5 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Nursing staff turnover over the past year was about 55%.
The community is located in Bexar County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 52 problems at Sonterra Health Center. 5 findings involved harm to a resident, including 3 that put residents in immediate danger. 21 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 3 times, a total of $80,964. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
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Caused harm to a resident, one or a few residents
Resident Rights
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.
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Provide safe, appropriate pain management for a resident who requires such services.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
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.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Sonterra Health Center offers nursing home care and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 124
- Occupancy 82%
- Nursing hours per resident/day 3.5
- Annual staff turnover 55%
- Last health inspection May 2025
Resident & family reviews
No one has shared a review of Sonterra Health Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.