Skilled nursing facility · CMS certification number 676158
Sonterra Health Center
San Antonio, Texas · Medicare and Medicaid · 124 certified beds in Care Compare
Download Sonterra Health Center’s record (CSV, each figure with its worksheet, line and column)
In Care Compare’s provider information: Penalties: 4 · Fines: 3 · Fines, total amount: $80,964.00 · Payment denials: 1. The most recent penalty on file: April 25, 2025, Fine, $17,345. Every penalty on file ↓
Sonterra Health Center: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering October 1, 2023 to September 30, 2024 (365 days), and CMS processed it on January 21, 2025.
- Net patient revenue fell from $11.8M in fiscal year 2023 to $11.2M in fiscal year 2024.
- Its result from service to patients: $1.1M (2022), $910K (2023), $464K (2024).
- Its cost reports on file run from fiscal year 2007 to fiscal year 2024.
- Its net patient revenue of $11.2M ranks 95th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 3 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.
Sonterra Health Center: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1402483 | 2023 · report 1375174 | 2022 · report 1344792 | 2021 · report 1314068 | 2020 · report 1283781 | 2019 · report 1252380 | 2018 · report 1222688 | 2017 · report 1189637 | 2016 · report 1174161 | 2015 · report 1142450 | 2014 · report 1146366 | 2013 · report 1118493 | 2012 · report 1080918 | 2011 · report 1014938 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | October 1, 2023 | October 1, 2022 | October 1, 2021 | October 1, 2020 | October 1, 2019 | October 1, 2018 | October 1, 2017 | April 1, 2017 | May 1, 2016 | January 1, 2015 | December 4, 2013 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | September 30, 2024 | September 30, 2023 | September 30, 2022 | September 30, 2021 | September 30, 2020 | September 30, 2019 | September 30, 2018 | September 30, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 3, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | — | — | — | — | — | 182 | 244 | — | — | — | — | — |
| Processed by CMS | January 21, 2025 | March 18, 2024 | March 22, 2023 | April 21, 2022 | May 12, 2021 | March 12, 2020 | April 17, 2019 | May 9, 2018 | August 21, 2017 | August 24, 2016 | November 14, 2016 | February 3, 2016 | November 25, 2014 | October 26, 2012 |
| Total patient revenue | $12,288,100 | $12,628,953 | $10,501,205 | $9,621,024 | $9,867,020 | $10,521,469 | $8,979,342 | $3,863,398 | $5,671,054 | $12,193,454 | $12,907,243 | $8,452,521 | $10,361,772 | $9,746,448 |
| Contractual allowances and discounts | $1,066,237 | $826,670 | −$532,105 | −$1,249,867 | −$1,103,916 | −$29,575 | $79,850 | −$40,400 | $190,735 | $3,373,463 | $3,579,763 | $1,530,504 | $1,999,016 | $1,384,458 |
| Net patient revenue | $11,221,863 | $11,802,283 | $11,033,310 | $10,870,891 | $10,970,936 | $10,551,044 | $8,899,492 | $3,903,798 | $5,480,319 | $8,819,991 | $9,327,480 | $6,922,017 | $8,362,756 | $8,361,990 |
| Total operating expenses | $10,757,690 | $10,891,994 | $9,959,277 | $9,885,136 | $9,877,379 | $9,701,490 | $8,568,534 | $3,842,132 | $5,467,147 | $7,842,239 | $8,639,974 | $6,861,015 | $7,841,948 | $7,788,265 |
| Net income from service to patients | $464,173 | $910,289 | $1,074,033 | $985,755 | $1,093,557 | $849,554 | $330,958 | $61,666 | $13,172 | $977,752 | $687,506 | $61,002 | $520,808 | $573,725 |
| Total other income | $5,243 | $3,183 | $5,886 | −$135 | $5,716 | $12,613 | $20,739 | $11,065 | $1,437 | $1,777 | $1,818 | — | — | — |
| Net income after other income | $469,416 | $913,472 | $1,079,919 | $985,620 | $1,099,273 | $862,167 | $351,697 | $72,731 | $14,609 | $979,529 | $689,324 | $61,002 | $520,808 | $573,725 |
| Net income | $468,512 | $913,351 | $1,079,919 | $985,070 | $1,096,392 | $861,785 | $351,697 | $72,731 | $14,609 | $940,078 | $689,323 | $61,002 | $520,808 | $573,725 |
| Total facility beds, all components | 122 | 122 | 122 | 122 | 122 | 122 | 124 | 124 | 124 | 125 | 125 | 124 | 124 | 124 |
| Bed days available, all components | 44,652 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 2,251 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 13,128 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 16,153 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 31,532 | 31,007 | 29,976 | 29,052 | 31,923 | 35,717 | 34,449 | 16,852 | 24,476 | 37,585 | 39,735 | 31,582 | 34,543 | 33,742 |
| Medicare discharges | 79 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 18 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 677 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 774 | 842 | 688 | 735 | 624 | 590 | 612 | 206 | 250 | 350 | 276 | 190 | 145 | 183 |
| Average length of stay, Medicare, in days | 28.49 | 23.34 | 25.46 | 19.39 | 22.31 | 20.83 | 24.1 | 24.21 | 23.67 | 34.86 | 44.52 | 46.65 | 105.02 | 69.47 |
| Average length of stay, Medicaid, in days | 729.33 | 1,052.78 | 594.44 | 531.35 | 406.18 | 833.33 | 780.63 | 1,292 | 970.67 | 324.71 | 950.19 | 1,347.27 | 609.16 | 386.45 |
| Average length of stay, all patients, in days | 40.74 | 36.83 | 43.57 | 39.53 | 51.16 | 60.54 | 56.29 | 81.81 | 97.9 | 107.39 | 143.97 | 166.22 | 238.23 | 184.38 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 433043 | 2009 · report 388859 | 2008 · report 362312 | 2007 · report 325093 |
|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | November 1, 2007 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 |
| Days, where not a full year | — | — | — | 60 |
| Processed by CMS | October 26, 2012 | October 25, 2010 | January 13, 2010 | August 27, 2008 |
| Net patient revenue | $7,346,154 | $6,111,930 | $3,838,572 | $105,122 |
| Total operating expenses | $7,289,209 | $6,513,135 | $4,800,808 | $514,421 |
| Net income from service to patients | $56,945 | −$401,205 | −$962,236 | −$409,299 |
| Total other expenses | — | — | — | $28,971 |
| Net income | $56,945 | −$401,205 | −$962,236 | −$438,270 |
| Total facility beds, all components | 124 | 124 | 124 | 124 |
| Total patient days, all components | 34,344 | 24,674 | 16,627 | 322 |
| Total discharges, all components | 498 | 272 | 273 | — |
| Average length of stay, Medicare, in days | 35.59 | 35.55 | 35.72 | — |
| Average length of stay, Medicaid, in days | 202.19 | 859.7 | 163.16 | — |
| Average length of stay, all patients, in days | 68.96 | 90.71 | 60.9 | — |
Net income, fiscal years 2010, 2009, 2008, 2007. Checked against the form’s own arithmetic: what that check shows.
Sonterra Health Center: nurse staffing hours by quarter →
Who owns Sonterra Health Center, as filed with CMS
Care Compare
- ADP OF THE SNF: ASHTON, ANDREW (individual), since 04/01/2017; BRACKENRIDGE HEALTHCARE INC (organization), since 10/24/2025; ENSIGN SERVICES INC (organization), since 05/01/2016; MANSOOR, SAAD (individual), since 04/29/2019; NATIONAL HEALTH INVESTORS, INC. (organization), since 04/01/2017; TEXAS NHI INVESTORS, LLC (organization), since 04/01/2017
- CORPORATE OFFICER: ALEXANDER, ALMA (individual), since 05/27/2020; BURNAM, SOON (individual), since 04/01/2017; KEETCH, CHAD (individual), since 03/01/2011
- MANAGING CONTROL - GOVERNING BODY: ASHTON, ANDREW (individual), since 04/01/2017; MANSOOR, SAAD (individual), since 04/29/2019
- OPERATIONAL/MANAGERIAL CONTROL: ASHTON, ANDREW (individual), since 04/01/2017; BRACKENRIDGE HEALTHCARE INC (organization), since 04/01/2017; MANSOOR, SAAD (individual), since 04/29/2019
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of DEWITT MEDICAL DISTRICT (enrollment ID O20170602000841).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: DEWITT MEDICAL DISTRICT (organization), 100.00%, since 04/01/2017
- ADP OF THE SNF: ANDREW ASHTON (individual), since 04/01/2017; BRACKENRIDGE HEALTHCARE INC (organization), since 10/24/2025; ENSIGN SERVICES INC (organization), since 05/01/2016; NATIONAL HEALTH INVESTORS, INC. (organization), since 04/01/2017; SAAD MD MANSOOR (individual), since 04/29/2019; TEXAS NHI INVESTORS, LLC (organization), since 04/01/2017
- CORPORATE OFFICER: ALMA ALEXANDER (individual), since 05/27/2020; CHAD KEETCH (individual), since 03/01/2011; SOON BURNAM (individual), since 04/01/2017
- MANAGING CONTROL - GOVERNING BODY: ANDREW ASHTON (individual), since 04/01/2017; SAAD MD MANSOOR (individual), since 04/29/2019
- OPERATIONAL/MANAGERIAL CONTROL: ANDREW ASHTON (individual), 100.00%, since 04/01/2017; BRACKENRIDGE HEALTHCARE INC (organization), 100.00%, since 04/01/2017; SAAD MD MANSOOR (individual), since 04/29/2019
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: DEWITT MEDICAL DISTRICT; BRACKENRIDGE HEALTHCARE INC; ENSIGN SERVICES INC; NATIONAL HEALTH INVESTORS, INC.; TEXAS NHI INVESTORS, LLC; BRACKENRIDGE HEALTHCARE INC.
Private equity company, real estate investment trust and holding company: Paused by CMS: ANDREW ASHTON; SAAD MD MANSOOR; ALMA ALEXANDER; CHAD KEETCH; SOON BURNAM; ANDREW ASHTON; SAAD MD MANSOOR; ANDREW ASHTON; SAAD MD MANSOOR.
Changes in ownership
- December 1, 2025, enrollment ownership file; no longer listed: SOON BURNAM (OPERATIONAL/MANAGERIAL CONTROL); ALMA ALEXANDER (OPERATIONAL/MANAGERIAL CONTROL); first listed: SOON BURNAM (CORPORATE OFFICER), associated since April 1, 2017; BRACKENRIDGE HEALTHCARE INC (ADP OF THE SNF), associated since October 24, 2025; CHAD A KEETCH (CORPORATE OFFICER), associated since March 1, 2011; SAAD MD MANSOOR (ADP OF THE SNF), associated since April 29, 2019; SAAD MD MANSOOR (MANAGING CONTROL - GOVERNING BODY), associated since April 29, 2019; SAAD MD MANSOOR (OPERATIONAL/MANAGERIAL CONTROL), associated since April 29, 2019; ENSIGN SERVICES INC (ADP OF THE SNF), associated since May 1, 2016; TEXAS NHI INVESTORS, LLC (ADP OF THE SNF), associated since April 1, 2017; ANDREW ASHTON (ADP OF THE SNF), associated since April 1, 2017; ANDREW ASHTON (MANAGING CONTROL - GOVERNING BODY), associated since April 1, 2017; NATIONAL HEALTH INVESTORS, INC. (ADP OF THE SNF), associated since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- October 31, 2022, enrollment ownership file; no longer listed: GREGORY S PRITCHETT (OPERATIONAL/MANAGERIAL CONTROL); GREGORY S PRITCHETT (OFFICER); MATTHEW LLOYD (OPERATIONAL/MANAGERIAL CONTROL); first listed: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2016; ALMA ALEXANDER (OPERATIONAL/MANAGERIAL CONTROL), associated since May 28, 2020; ALMA ALEXANDER (OFFICER), associated since May 28, 2020; ANDREW ASHTON (OPERATIONAL/MANAGERIAL CONTROL), associated since June 5, 2017. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- September 1, 2026: ownership_type: Government - Hospital district → For profit - Limited Liability company. NH_ProviderInfo_Sep2026_3.csv
- July 10, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 10, 2026: A deficiency was cited under tag F 0655, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 10, 2026: A deficiency was cited under tag F 0641, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 10, 2026: A deficiency was cited under tag F 0635, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 10, 2026: A deficiency was cited under tag F 0849, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 10, 2026: A deficiency was cited under tag F 0812, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 10, 2026: A deficiency was cited under tag F 0656, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 10, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
Inspections of Sonterra Health Center
- Cycle 1: health July 10, 2026 (9 deficiencies), fire safety July 10, 2026 (5)
- Cycle 2: health May 15, 2025 (20 deficiencies), fire safety May 15, 2025 (1)
- Cycle 3: health April 19, 2024 (17 deficiencies), fire safety April 19, 2024 (1)
- Cycle 3: health February 24, 2023 (21 deficiencies), fire safety February 24, 2023 (2)
Deficiencies cited at Sonterra Health Center
59 deficiencies on file, by tag, newest citation first
every one from a health inspection; 21 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0635, resident assessment and care planning: July 10, 2026 (D, Deficient, Provider has date of correction, corrected July 30, 2026).
- F 0641, resident assessment and care planning: July 10, 2026 (D, Deficient, Provider has date of correction, corrected July 30, 2026); April 19, 2024 (E, Deficient, Provider has date of correction, corrected April 24, 2024).
- F 0655, resident assessment and care planning: July 10, 2026 (D, Deficient, Provider has date of correction, corrected July 30, 2026); May 15, 2025 (D, Deficient, Provider has date of correction, corrected June 13, 2025).
- F 0656, resident assessment and care planning: July 10, 2026 (E, Deficient, Provider has date of correction, corrected July 30, 2026); May 15, 2025 (D, Deficient, Provider has date of correction, corrected June 13, 2025); August 14, 2024 (J, from a complaint, Deficient, Provider has date of correction, corrected August 15, 2024); April 19, 2024 (E, Deficient, Provider has date of correction, corrected April 24, 2024); December 1, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected December 28, 2023); February 24, 2023 (D, Deficient, Provider has date of correction, corrected March 24, 2023).
- F 0812, nutrition and dietary: July 10, 2026 (E, Deficient, Provider has date of correction, corrected July 30, 2026); June 14, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected June 15, 2024); April 19, 2024 (E, Deficient, Provider has date of correction, corrected April 26, 2024); February 24, 2023 (E, Deficient, Provider has date of correction, corrected March 24, 2023).
- F 0849, administration: July 10, 2026 (E, Deficient, Provider has date of correction, corrected July 30, 2026); February 24, 2023 (D, Deficient, Provider has date of correction, corrected March 24, 2023).
- F 0880, infection control: July 10, 2026 (D, Deficient, Provider has date of correction, corrected July 30, 2026); May 15, 2025 (D, Deficient, Provider has date of correction, corrected June 13, 2025).
- F 0761, pharmacy service: June 17, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected June 18, 2026); June 7, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected June 8, 2026); May 15, 2025 (D, Deficient, Provider has date of correction, corrected June 13, 2025); September 14, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected September 15, 2024); June 14, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected June 15, 2024); March 22, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected April 10, 2024).
- F 0550, resident rights: May 15, 2025 (D, Deficient, Provider has date of correction, corrected June 13, 2025); February 24, 2023 (D, Deficient, Provider has date of correction, corrected March 24, 2023).
- F 0558, resident rights: May 15, 2025 (D, Deficient, Provider has date of correction, corrected June 13, 2025).
- F 0578, resident rights: May 15, 2025 (G, Deficient, Provider has date of correction, corrected June 13, 2025); February 24, 2023 (D, Deficient, Provider has date of correction, corrected March 24, 2023).
- F 0585, resident rights: May 15, 2025 (D, Deficient, Provider has date of correction, corrected June 13, 2025).
- F 0609, freedom from abuse, neglect, and exploitation: May 15, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected June 13, 2025); March 21, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected March 24, 2025); February 24, 2023 (D, Deficient, Provider has date of correction, corrected March 24, 2023).
- F 0610, freedom from abuse, neglect, and exploitation: May 15, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected June 13, 2025); February 24, 2023 (D, Deficient, Provider has date of correction, corrected March 24, 2023).
- F 0640, resident assessment and care planning: May 15, 2025 (D, Deficient, Provider has date of correction, corrected June 13, 2025).
- F 0689, quality of life and care: May 15, 2025 (D, Deficient, Provider has date of correction, corrected June 13, 2025); August 14, 2024 (J, from a complaint, Deficient, Provider has date of correction, corrected August 15, 2024).
- F 0695, quality of life and care: May 15, 2025 (D, Deficient, Provider has date of correction, corrected June 13, 2025); February 24, 2023 (D, Deficient, Provider has date of correction, corrected March 24, 2023).
- F 0697, quality of life and care: May 15, 2025 (G, Deficient, Provider has date of correction, corrected June 13, 2025).
- F 0700, quality of life and care: May 15, 2025 (D, Deficient, Provider has date of correction, corrected June 13, 2025).
- F 0757, pharmacy service: May 15, 2025 (D, Deficient, Provider has date of correction, corrected June 13, 2025).
- F 0657, resident assessment and care planning: April 25, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected April 30, 2025); April 19, 2024 (D, Deficient, Provider has date of correction, corrected April 24, 2024).
- F 0842, resident assessment and care planning: April 25, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected May 16, 2025); March 22, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected April 10, 2024); August 31, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected September 11, 2023).
- F 0760, pharmacy service: March 21, 2025 (J, from a complaint, Past Non-Compliance, corrected March 17, 2025).
- F 0732, nursing and physician services: June 14, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected June 15, 2024).
- F 0690, quality of life and care: April 19, 2024 (D, Deficient, Provider has date of correction, corrected April 30, 2024).
- F 0727, nursing and physician services: April 19, 2024 (E, Deficient, Provider has date of correction, corrected April 20, 2024).
- F 0583, resident rights: March 22, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected April 10, 2024).
- F 0755, pharmacy service: December 1, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected December 28, 2023).
- F 0580, resident rights: August 31, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected September 11, 2023); February 24, 2023 (D, Deficient, Provider has date of correction, corrected March 24, 2023).
- F 0692, quality of life and care: February 24, 2023 (D, Deficient, Provider has date of correction, corrected March 24, 2023).
- F 0837, administration: February 24, 2023 (F, Deficient, Provider has date of correction, corrected March 17, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 25, 2025 | Fine | $17,345 | 113883 | ||
| March 21, 2025 | Fine | $14,901 | 113696 | ||
| August 14, 2024 | Fine | $48,718 | 113125 | ||
| August 14, 2024 | Payment Denial | September 13, 2024 | 2 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Sonterra Health Center in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: DEWITT MEDICAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 2007-11-28
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Bexar
- Telephone Number: 2105454800
- Chain Name: THE ENSIGN GROUP
- Chain ID: 507
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 96.6
- Overall Rating: 2
- Health Inspection Rating: 2
- QM Rating: 4
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 3
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in San Antonio
Report a figure on Sonterra Health Center’s record that differs from its CMS file, quoting 676158.