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Nursing HomeMedicaid Investigative

Sonterra Health Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

18514 Sonterra Place, Stone Oak · San Antonio, TX 78258124 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 250 Google reviews

5
4
3
2
1
Sonterra Health Center Nursing Home in San Antonio, TX — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (20 vs median 8.0)
  • High RN turnover (60%)

Above average in Texas · Critically understaffed (RN) · Above average staffing · $80,964 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for patients requiring intensive physical or occupational therapy, as the rehab team is consistently rated as top-tier. However, because of past documented instances of neglect and hygiene issues, families should proactively ask about their protocols for frequent linen changes and how they ensure medication administration is documented and verified.

Google Reviews

Google Reviews

250 reviews on Google
Families considering Sonterra Health Center will find a facility highly praised for its exceptional physical therapy team and a warm, compassionate nursing staff. While many reviewers highlight the cleanliness and modern feel of the building, there are serious, recurring allegations of neglect, hygiene issues, and inadequate staffing in certain instances. Prospective families should prioritize verifying current staffing levels and medication management protocols due to specific reports of missed care.

Quality Themes

Tap a score for details
Food5.0Staff8.0Clean8.0Activities9.0Meds3.0MemoryN/AComms4.0ValueN/A

Strengths

  • Exceptional physical and occupational therapy teams
  • Compassionate and friendly nursing and CNA staff
  • Clean and well-maintained facility
  • Modern, user-friendly visitor check-in process

Concerns

  • Allegations of patient neglect and hygiene issues (mentioned by 3 reviewers)
  • Inconsistent communication with family members (mentioned by 2 reviewers)
  • Issues with food quality and blandness (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2342.02021(1)3.02022(4)2.72023(14)4.42024(53)4.82025(116)4.82026(17)

Distribution · 205 analyzed

5
169
4
12
3
3
2
2
1
19

How They Respond to Reviews

23%response rate
Good

The owner provides highly personalized responses that frequently use the reviewer's name and reference specific details mentioned in the review, such as staff names or facility cleanliness. They actively use reviews as an opportunity to solicit further feedback and recognize specific employees.

Questions for Your Tour

  • 1I noticed how much the team appreciates the therapy services here; can you tell me more about how the physical and occupational therapy teams work with new residents?
  • 2How does the nursing team ensure that medication schedules are followed accurately and consistently every day?
  • 3What steps are in place to ensure that communication between the nursing staff and family members remains frequent and clear?
  • 4How do you maintain high standards of personal hygiene and room cleanliness for every resident?
  • 5Can you describe what a typical daily meal schedule looks like and how you incorporate different flavors or dietary preferences?
  • 6In the event of a medical emergency during the night, what is the specific protocol for notifying the family and providing care?

Personalized based on this facility's data


Key Review Excerpts

The physical therapist got my mother-in-law up and walking erect for the first time this year. She was very encouraging and my mother-in-law was so proud of herself!

Rehab patient's family · 2025★★★★★

The staff was really friendly and they are taking very good care of my granddad John Goodrich in here. I would definitely recommend this place.

Long-term resident's family · 2025★★★★★

The place is super clean and does not smell like a nursing home. The people i talk to there, that live there, are very nice and they all seem to like it there.

Long-term resident's family · 2025★★★★★
Source: 250 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.39hrs
51%
Registered nurses for medical care
Total Nursing
3.66hrs
89%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
60%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

14

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
TX
2.5%
Bexar
2.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.4%
Better than Avg
Here
10.4%
US
19.5%
TX
18.4%
Bexar
21.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
14.4%
TX
16.1%
Bexar
16.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.2%
Better than Avg
Here
10.2%
US
15.3%
TX
14.9%
Bexar
14.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.1%
Better than Avg
Here
98.1%
US
93.4%
TX
96.9%
Bexar
94.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.0%
Mixed vs Avgs
Here
11.0%
US
15.4%
TX
9.4%
Bexar
10.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
79.7%
TX
88.0%
Bexar
84.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.3%
Better than Avg
Here
96.3%
US
81.8%
TX
89.2%
Bexar
81.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
1.6%
TX
1.5%
Bexar
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
4penalties
Well above state avg (9.1)
19 complaint-triggered
$80,964 in fines

Families reported significant concerns triggering 19 complaint inspections across multiple years, indicating ongoing problems with care planning, medication management, and resident safety. The facility shows persistent issues with developing proper care plans, managing medications safely, and protecting residents from hazards, with these same problems appearing repeatedly across surveys from 2023 through 2025. While the facility corrects violations when cited, the recurring nature of complaints suggests systemic quality concerns that families should carefully consider.

May 15, 2025Routine
15
0578Actual harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

May 15, 2025Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Apr 25, 2025Complaint
2
0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Mar 21, 2025Complaint
2
0760Immediate jeopardy · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Sep 14, 2024Complaint
1
0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Aug 14, 2024Complaint
2
0656Immediate jeopardy · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Apr 25, 2025

$17,345

Fine

Mar 21, 2025

$14,901

Fine

Aug 14, 2024

$48,718

Payment Denial

Aug 14, 2024

2-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Dewitt Medical District

Organization Type

for profit

Management Company

BRACKENRIDGE HEALTHCARE, INC

Administrator

BRANDON WIEDERHOLT

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 49 of 84

Ownership & Management

Key personnel

Ashton, AndrewManaging Control - Governing BodyMansoor, SaadManaging Control - Governing BodyAlexander, AlmaOfficer / DirectorBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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