Sonterra Health Center: Staffing, Turnover, and Inspection Record
Sonterra Health Center is a 124-bed government-run nursing home in San Antonio, Texas, part of The Ensign Group. In the CMS August 2026 release it reported 1.94 nurse aide hours per resident per day, 3% below the Texas average of 2.00, and 54.6% nursing staff turnover (Texas average 55.3%).
Sonterra Health Center
18514 Sonterra PlaceSan Antonio, TX 78258
Bexar County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Sonterra Health Center, nurse aides logged 1.94 hours per resident per day, 3% below the Texas average. With about 102 residents a day, that works out to roughly 198 aide hours a day, or about 25 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 19% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.94 | 2.00 | 2.32 |
| Licensed practical nurses | 1.34 | 0.95 | 0.86 |
| Registered nurses | 0.25 | 0.43 | 0.69 |
| All nursing staff | 3.53 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.86 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
54.6% of nursing staff at Sonterra Health Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 66.7%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 15, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 18 health deficiencies (Texas average 9.3). CMS lists 3 fines totaling $80,964 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 25, 2025 | Fine | $17,345 |
| Mar 21, 2025 | Fine | $14,901 |
| Aug 14, 2024 | Fine | $48,718 |
| Aug 14, 2024 | Payment Denial | 2 days from Sep 13, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Sonterra Health Center holds 1 of 5 overall; the Texas average is 2.6.
About Sonterra Health Center
- Ownership: Government - Hospital district
- Chain: The Ensign Group, 342 homes
- Legal name: Dewitt Medical District
- Medicare and Medicaid certified since: Nov 28, 2007
- Located inside a hospital
- Councils: resident council
- Area: urban
Nursing homes near Sonterra Health Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Stone Oak Care Center San Antonio | 0.5 | 152 | 1.84 | 2.88 | 59.8% | 2 | $9,087 |
| The Enclave San Antonio | 1.2 | 142 | 2.08 | 3.63 | 60.9% | 1 | $10,039 |
| Coronado at Stone Oak San Antonio | 1.3 | 112 | 1.58 | 3.38 | 27.0% | 5 | None |
| Estates at Shavano Park Shavano Park | 4.9 | 112 | 2.18 | 3.67 | 63.4% | 3 | None |
| Castle Hills Rehabilitation and Care Center San Antonio | 5.4 | 143 | 1.71 | 2.96 | — | 1 | $112,386 |
| San Antonio Wellness & Rehabilitation San Antonio | 7.3 | 154 | 2.05 | 3.45 | 35.4% | 2 | $104,627 |
| Broadway Nursing & Rehabilitation San Antonio | 7.3 | 237 | 2.29 | 3.65 | 51.4% | 1 | $84,129 |
| The Heights on Huebner San Antonio | 7.6 | 120 | 2.02 | 3.09 | 42.7% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.