Sonterra Health Center
18514 SONTERRA PLACE, San Antonio, TX, 78258-4263
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: The Ensign Group
- Certified beds
- 124 · avg 100 residents/day
- Total nursing staff turnover
- 50% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $80,964 total
- Payment denials
- 1 denial
- Infection control citations
- 5
State licensing & capacity
- License number
- 312990
- Service type
- Medicare/medicaid
- Licensed capacity
- 124 beds
- Bed type breakdown
- 34 Medicare-only · 90 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- July 2, 2026
- Initial license date
- November 28, 2007
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Guadalupe County Hospital Board (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Brackenridge Healthcare, Inc
- Administrator
- Brandon Wiederholt
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (10 on record)
- Brackenridge Healthcare Inc
Adp of The Snf · since 2025
- Alma Alexander
Corporate Officer · since 2020
- Saad md Mansoor
Operational/managerial Control · since 2019
- Andrew Ashton
Operational/managerial Control · 100% · since 2017
- Dewitt Medical District
5% or Greater Direct Ownership Interest · 100% · since 2017
- National Health Investors, Inc.
Adp of The Snf · since 2017
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 50)
- D0610·May 15, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- D0609·May 15, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0880·May 15, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0761·May 15, 2025
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.
- D0757·May 15, 2025
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D0700·May 15, 2025
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…
- G0697·May 15, 2025
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- D0695·May 15, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Federal penalties
By year
- 20252 fines · $32K
- 20241 fine · $49K · 1 payment denial
Most recent events
- Apr 25, 2025Fine · $17K
- Mar 21, 2025Fine · $15K
- Aug 14, 2024Payment denial · 2 days · starting Sep 13, 2024
- Aug 14, 2024Fine · $49K
Largest single fine on record: $49K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: May 15, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Sonterra Health Center is a 124-bed nursing home in San Antonio, managed by Brackenridge Healthcare and licensed to Guadalupe County Hospital Board. CMS rates it 3 stars overall, with a 2-star health inspection rating and a 5-star quality measures rating. Three fines totaling $80,964 have been issued. The facility operates at roughly 80% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars. Each resident receives about 223 minutes of total nursing care per day — 18 minutes less than at a 4-star-staffing facility in Texas. About 32% of Texas nursing homes share this staffing rating. Registered nurse time is 20 minutes per resident per day, against 37 minutes at a 4-star-staffing facility in the state.
Three CMS fines totaling $80,964 have been issued. Texas's median fine total across penalized facilities is about $20,699, and roughly 30% of facilities in the state have received no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Weekend nursing hours run at 3.1 hours per resident per day versus 3.7 on weekdays — ask how many nurses and aides are on the floor overnight and on Saturdays and Sundays.
Details behind the three fines
CMS recorded three fines totaling $80,964; ask what the citations were for and what specific changes were made afterward.
Health inspection deficiencies
The health inspection rating is 2 stars — ask to see the most recent inspection report and which deficiencies are still under correction plans.
Infection control record
CMS recorded five infection-control citations; ask what protocols have changed and what the current infection rates look like for residents.
Resident Council participation
The facility has a Resident Council but no Family Council — ask how family members raise concerns and how frequently administration meets with the Resident Council.
Relationship with Ensign Group
CMS lists The Ensign Group as the chain operator while the state license is held by Guadalupe County Hospital Board — ask who sets staffing budgets and clinical policy day to day.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.