Stone Oak Care Center
San Antonio · 0.5 mi · 152 beds
Citations0Substantiated0
Sonterra Health Center
18514 SONTERRA PLACE, San Antonio, TX, 78258
Nursing home124 licensed beds0 citations on record
5 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 16 deficiencies against Sonterra Health Center in San Antonio, Texas at its most recent standard inspection on 2025-05-15, 2 of them arising from complaints. 3 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 3 times, totalling $80,964. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
124certified beds
16deficiencies at the last inspection
3immediate-jeopardy findings on record
2actual-harm findings on record
3federal fines, $80,964
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.3
Actual harmA resident was harmed, but not placed in immediate danger.2
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.45
Potential for minimal harmThe least serious band.0
Most recentGGDDDDDDDDDDDDDDDDJD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
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.
Resident Rights Deficiencies · F0578 · 2025-05-15 · standard survey · Actual harm to a resident
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · F0697 · 2025-05-15 · standard survey · Actual harm to a resident
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-05-15 · standard survey · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2025-05-15 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0585 · 2025-05-15 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-05-15 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2025-05-15 · from a complaint · No actual harm, potential for more than minimal harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · F0640 · 2025-05-15 · standard survey · No actual harm, potential for more than minimal harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · F0655 · 2025-05-15 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-05-15 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-05-15 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-05-15 · standard survey · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0700 · 2025-05-15 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2025-05-15 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2025-05-15 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-05-15 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2025-04-25 · from a complaint · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2025-04-25 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2025-03-21 · from a complaint · Immediate jeopardy to resident health or safety
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-03-21 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.53223
Nursing staff turnoverShare of nursing staff who left in a year54.6%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS3
Total fined$80,964
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one4
Ownership
Who owns Sonterra Health Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| ASHTON, ANDREW | Individual | NOT APPLICABLE | since 04/01/2017 |
| MANSOOR, SAAD | Individual | NOT APPLICABLE | since 04/29/2019 |
| ALEXANDER, ALMA | Individual | NOT APPLICABLE | since 05/27/2020 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | Individual | NOT APPLICABLE | since 03/01/2011 |
| BRACKENRIDGE HEALTHCARE INC | Organization | NOT APPLICABLE | since 04/01/2017 |
| ASHTON, ANDREW | Individual | NOT APPLICABLE | since 04/01/2017 |
| MANSOOR, SAAD | Individual | NOT APPLICABLE | since 04/29/2019 |
| BRACKENRIDGE HEALTHCARE INC | Organization | NOT APPLICABLE | since 10/24/2025 |
| ENSIGN SERVICES INC | Organization | NOT APPLICABLE | since 05/01/2016 |
| NATIONAL HEALTH INVESTORS, INC. | Organization | NOT APPLICABLE | since 04/01/2017 |
| TEXAS NHI INVESTORS, LLC | Organization | NOT APPLICABLE | since 04/01/2017 |
Part of the THE ENSIGN GROUP group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
The Enclave
San Antonio · 1.1 mi · 142 beds
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Coronado at Stone Oak
San Antonio · 1.8 mi · 112 beds
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Estates at Shavano Park
Shavano Park · 4.7 mi · 112 beds
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Castle Hills Rehabilitation and Care Center
San Antonio · 5.4 mi · 143 beds
Citations0Substantiated0
Contact
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 676158.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction