Sonterra Health Center

    18514 Sonterra Pl, San Antonio, TX, 78258
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Good therapy, but dangerous management

    I'm torn: I saw genuinely caring, professional CNAs and therapists and a clean, effective rehab program that helped my loved one improve. But after new ownership I witnessed high turnover, understaffing, diaper/medication mishandling, underfeeding/dehydration, safety/maintenance hazards, and poor management response - even neglect resulting in hospitalization. Proceed with caution: excellent staff and therapy at times, but verify staffing, safety, and leadership before committing long-term.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.29 · 207 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.1
    • Staff

      4.3
    • Meals

      2.8
    • Amenities

      3.4
    • Value

      1.0

    Pros

    • Caring and compassionate CNAs and aides praised repeatedly
    • Strong, effective physical and occupational therapy teams
    • Many reports of successful rehabilitation and functional improvement
    • Attentive, responsive nursing staff in numerous accounts
    • Front desk and admissions staff often polite and welcoming
    • Clean, odor-free and well-maintained areas reported by many reviewers
    • Private rooms and visitor-friendly room setups in some units
    • Good wound care and specialty services claimed in some reviews
    • Activities and social programming appreciated by many residents
    • Timely communication and follow-up by some administrators
    • Therapy-driven goal-based care and timely discharge when appropriate
    • Amenity offerings (hair salon, manicure, cafeteria) mentioned positively
    • Secure facility features and visitor screening praised
    • Some units described as bright, modern, and nicely decorated
    • Several named staff members singled out for excellence and compassion
    • Many reviewers would recommend Sonterra and gave high ratings
    • Some families reported peace of mind and family-like atmosphere
    • Food quality praised in multiple reviews (though inconsistent)
    • Medically competent diagnosis and treatments credited by some
    • Strong hospice endorsements in at least one report

    Cons

    • Wide variation in care quality with strongly polarized experiences
    • Frequent reports of understaffing and high staff turnover
    • Multiple accounts of neglect: missed checks, residents left soiled or soaked
    • Serious safety incidents including falls and uninstalled bed rails
    • Medication problems: lost meds, wrong meds, forced or alleged drugging
    • Long or inconsistent nurse response times and poor bedside manner
    • Hygiene and sanitation issues: dried feces, urine exposure, roaches reported
    • Food frequently described as cold, bland, or inedible by many
    • Poor communication from management in numerous negative reports
    • Premature discharges and rushed transitions tied to insurance pressure
    • Inconsistent therapy delivery versus staff claims about frequency
    • Instances of infection, dehydration, UTI, MRSA, and hospital transfers
    • Allegations of dishonest paperwork handling and billing pressure
    • Occasional rude, abrasive, or unprofessional staff and administrators
    • Maintenance problems and unsafe physical plant items reported
    • Visitation restrictions and inconsistent enforcement of policies
    • HIPAA/medication errors (discharge with another patient's prescription)
    • Claims of hiring practices that raised safety concerns (felon hires)
    • Reports of inadequate RN coverage and reliance on temporary agency aides
    • Some reviewers observed cleanliness and service decline under new ownership
    • Noise and environmental issues: lights on, doors slamming, beeping alarms
    • Discrepancies between marketing claims and actual services delivered
    • Inconsistent activity engagement — some residents report no activities
    • Occasional weekend decline in cleanliness and staffing levels
    • Instances where management response was inadequate or dismissive

    Summary review

    Overall sentiment is highly polarized: reviews of Sonterra Health Center range from enthusiastic five-star endorsements to scathing, zero-star condemnations. A substantial portion of reviewers praise the facility for excellent rehabilitation outcomes, compassionate direct-care staff, and a clean, welcoming environment. At the same time, a distinct and recurring set of concerns—some of them severe—appear often enough to indicate systemic inconsistencies in staffing, safety, and management.

    Care quality and clinical outcomes show two clear patterns. Many families and residents credit Sonterra with successful rehab and recovery: patients progressing from bedridden to walking, stroke and hip-recovery improvements, strong wound care outcomes in some cases, and therapy teams described as motivating, thorough, and instrumental in returning patients home. Several reviewers specifically named physical therapists, RNs, and CNAs as standout contributors to these positive outcomes. Conversely, numerous other reviews describe neglectful care: missed medication doses for extended periods, delayed or missing nursing checks, residents left in soiled bedding, dehydration, and serious clinical deteriorations resulting in hospital transfers, infections (UTI, MRSA), and even death. These negative accounts also include allegations of wrong drugs, lost medications, forced medication or 'drugging', and risky medication changes without proper oversight.

    Staffing, staff behavior, and management responsiveness are central themes. Positive reviews frequently highlight attentive CNAs, caring nurses, helpful front-desk staff, and administrators who called back and resolved issues. Amenities such as hair salons, well-organized nursing stations, secure visitor systems, and activity programming were appreciated. However, a recurrent counter-theme is high staff turnover and understaffing, especially on day shifts and weekends, which reviewers tie directly to poor resident monitoring and decline in care quality. Many reviews mention rude or unprofessional staff behavior, poor bedside manner, eye-rolling, and abrasive administrators. Some families report prompt, compassionate responses from named leaders (examples of proactive nursing supervisors and helpful managers), while others describe management as dismissive, dishonest about paperwork submission, or primarily driven by insurance and billing concerns.

    Safety and facility issues merit special attention. Multiple reports of falls — including a fall caused by uninstalled bed rails and an unlocked wheelchair — and a fall in the shower indicate lapses in basic safety protocols. There are also accounts of maintenance problems (unsafe bathroom sink, wall damage, oxygen tubing on the floor), inconsistent infection control and hygiene (dried feces in bathrooms, brown residue in shower chairs, roach sightings), and inconsistent cleaning standards that reviewers say worsen on weekends. The volume and severity of these safety complaints have led several families to recommend avoiding the facility, seeking external sitters, or transferring loved ones elsewhere.

    Dining, activities, and environment produce mixed feedback. Some reviewers praise the cafeteria and food service, with multiple mentions of plentiful meals and good dining staff. Others describe food as horrendous, inedible, overly seasoned, served cold, or inconsistent with dietary needs. Activity programming is likewise uneven: some residents report a lively calendar, engaging staff-led events, and opportunities for outings, while others say there were no activities, residents were confined to rooms, or programming participation was limited. The physical plant itself is described both as clean, bright, and modern in many accounts and as depressing, dim, or in disrepair in others, reflecting variability by unit or timeframe.

    Administrative and operational patterns include concerns about premature discharges tied to insurance, incomplete or mishandled intake/discharge paperwork, privacy breaches (medication with another resident’s prescription), and misleading marketing claims (services or ratings not matching experience). Several reviewers suggested stronger oversight: unannounced inspections, webcam monitoring, and more RN coverage. Yet other reviews show an organized administration, proactive problem-solving, and accessible managers who addressed family concerns quickly. This dichotomy suggests inconsistent leadership presence and variable unit-level cultures.

    Taken together, the reviews indicate that Sonterra Health Center can deliver very good, even outstanding, care in many cases—particularly in rehabilitation and when supported by engaged, stable staff and attentive therapy teams. However, there is a nontrivial and repeated set of reports describing neglect, safety lapses, hygiene failures, and administrative shortcomings that have caused serious harm in some instances. Families considering Sonterra should weigh the facility's strong rehabilitation reputation and many positive staff reports against the documented variability in staffing levels, safety practices, food quality, and management consistency. Prospective families may want to ask specific, recent questions about RN staffing ratios, fall-prevention protocols, turnover rates, infection-control practices, weekend staffing, and documented handling of medication and discharge paperwork; consider in-person visits across different shifts; and request transparent responses from administration about how systemic negative issues have been addressed.

    Location

    Map showing location of Sonterra Health Center

    About Sonterra Health Center

    Sonterra Health Center runs around the clock every day and takes care of people who need long-term help for things like chronic illnesses, and you'll find staff who know how to handle many health conditions since they're specially trained for that kind of care, which also includes people who need memory care and those who need to work on getting better after an injury or illness with rehabilitation services, and you can tell the building has been fixed up not long ago because the common spaces feel inviting and the outdoor areas give residents a chance to relax outside when they want to. The place tries to honor every resident's dignity and comfort by coming up with care plans that fit each person, and both the skilled nurses and therapy staff work together with families and doctors to make things smoother for everyone living here. Medicare.gov gives Sonterra Health Center a 4-star survey rating, which says something about how they aim for safe and comfortable care. Residents who like to stay busy will notice all sorts of activities and outings, while people focused on getting better can use state-of-the-art in-house therapy, with both new equipment and the old tried-and-true methods. The nursing home is run for profit, and whether someone is staying for a short time to heal or they're planning on a longer move because of ongoing health needs, the focus stays on recovery, comfort, and encouraging as much independence as possible.

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