Nursing homes › Texas › Sonterra Health Center
18514 Sonterra Place, San Antonio, TX 78258 · 2105454800 · 124 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.53 (Texas median: 3.27). RN hours: 0.25. Weekend total: 2.86. Nursing staff turnover: 55%.
All-time on record: 50 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-05-15 | 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. | G | Health | corrected 2025-06-13 |
| 2025-05-15 | Provide safe, appropriate pain management for a resident who requires such services. | G | Health | corrected 2025-06-13 |
| 2025-05-15 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-06-13 |
| 2025-05-15 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-06-13 |
| 2025-05-15 | 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. | D | Health | corrected 2025-06-13 |
| 2025-05-15 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-06-13 |
| 2025-05-15 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-06-13 |
| 2025-05-15 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Health | corrected 2025-06-13 |
| 2025-05-15 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-06-13 |
| 2025-05-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-06-13 |
| 2025-05-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-06-13 |
| 2025-05-15 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-06-13 |
| 2025-05-15 | 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. | D | Health | corrected 2025-06-13 |
| 2025-05-15 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-06-13 |
| 2025-05-15 | 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. | D | Health | corrected 2025-06-13 |
| 2025-05-15 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-06-13 |
| 2025-04-25 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-04-30 |
| 2025-04-25 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-05-16 |
| 2025-03-21 | Ensure that residents are free from significant medication errors. | J | complaint | corrected 2025-03-17 |
| 2025-03-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-03-24 |
| 2024-09-14 | 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. | D | complaint | corrected 2024-09-15 |
| 2024-08-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | complaint | corrected 2024-08-15 |
| 2024-08-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-08-15 |
| 2024-06-14 | Post nurse staffing information every day. | E | complaint | corrected 2024-06-15 |
| 2024-06-14 | 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. | E | complaint | corrected 2024-06-15 |
| 2024-06-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | complaint | corrected 2024-06-15 |
| 2024-04-19 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2024-04-24 |
| 2024-04-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-04-24 |
| 2024-04-19 | 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. | E | Health | corrected 2024-04-20 |
| 2024-04-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-04-26 |
| 2024-04-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-04-24 |
| 2024-04-19 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2024-04-30 |
| 2024-03-22 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2024-04-10 |
| 2024-03-22 | 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. | D | complaint | corrected 2024-04-10 |
| 2024-03-22 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-04-10 |
| 2023-12-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2023-12-28 |
| 2023-12-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2023-12-28 |
| 2023-08-31 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2023-09-11 |
| 2023-08-31 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2023-09-11 |
| 2023-02-24 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Health | corrected 2023-03-17 |
| Date | Type | Amount |
|---|---|---|
| 2025-04-25 | Fine | $17,345 |
| 2025-03-21 | Fine | $14,901 |
| 2024-08-14 | Fine | $48,718 |
| 2024-08-14 | Payment Denial | 2 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ASHTON, ANDREW | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/01/2017 |
| MANSOOR, SAAD | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/29/2019 |
| ALEXANDER, ALMA | Corporate Officer | Individual | NOT APPLICABLE | since 05/27/2020 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| BRACKENRIDGE HEALTHCARE INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2017 |
| ASHTON, ANDREW | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2017 |
| MANSOOR, SAAD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/29/2019 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676158. Corrections: data@carerecords.org.