The nursing home failed to ensure residents were free from significant medication errors. Cited March 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
SONTERRA HEALTH CENTER
SAN ANTONIO, TX · Medicare-certified · 124 beds
Needs attention
Government-runChain member
2 of 5 overall
Sonterra Health Center in San Antonio has a 2 out of 5 overall rating, with 2-star health inspection and staffing ratings but a 4-star quality measures rating. It reports 3.66 nurse staffing hours per resident per day, below the federal benchmark of 4.1, and had $80,964 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.6627 hrs/resident/day
Quality measures
Last inspection: May 15, 2025Penalties, last 24 months: $80,964recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6627.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 1.28
- Nurse aides
- 2.00
- Weekend nursing
- 3.04
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 60%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11%Worsening
Residents with a fall causing major injury
3%Worsening
Residents with pressure ulcers (bedsores)
2.2%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.3%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.8%Improving
Residents whose ability to walk got worse
10.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
10.4%Improving
Short-stay residents newly given an antipsychotic
1%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
15.1%Improving
Residents with depressive symptoms
0.4%Worsening
Long-stay residents given the seasonal flu vaccine
95.3%Steady
Long-stay residents given the pneumonia vaccine
98.1%Steady
Short-stay residents given the seasonal flu vaccine
98.9%Steady
Short-stay residents given the pneumonia vaccine
96.3%Worsening
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $17,345 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $14,901 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $48,718 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $80,964 in total fines · 1 payment denial.
- $17,345
Federal fine
Apr 25, 2025
- $14,901
Federal fine
Mar 21, 2025
- 2 days
Medicare/Medicaid payment denial
Aug 14, 2024
- $48,718
Federal fine
Aug 14, 2024
Operator & ownership
- Ownership
- Government - Hospital district
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 98.9 residents on an average day (80% of 124 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 18 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.