facebook tracking San Gabriel Rehabilitation and Care Center, Round Rock TX
Skip to content

San Gabriel Rehabilitation and Care Center

All states › Texas › Round Rock › San Gabriel Rehabilitation and Care Center

4100 College Park Dr Round Rock, TX 78665 · Williamson County

(512) 334-8000

All 5 nursing homes in Round Rock, TX (5 take Medicaid)

Cited for abuse Accepts Medicare Accepts Medicaid 142 certified beds For profit

CMS certification number 676308 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on Care Compare.

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is San Gabriel Rehabilitation and Care Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for San Gabriel Rehabilitation and Care Center as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 31 citations in the last three years. CMS imposed 2 penalties, including $19,393 in fines, in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 5 out of 5. CMS currently shows its abuse icon for this home (see above).

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.01 hours per resident per day at San Gabriel Rehabilitation and Care Center, below the Texas median of 3.30 (US median: 3.72). About 0.30 of those hours are from registered nurses. On weekends it falls to 2.80 hours, 7% below its all-week average. 47.4% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 3.01 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.30 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.80 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 47.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 50% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds142
Residents per day 94 About 66% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 2012
Part of a chainFundamental Healthcare
Legal business nameSOUTH LIMESTONE HOSPITAL DISTRICT

Paying for care at San Gabriel Rehabilitation and Care Center: Medicare and Medicaid

San Gabriel Rehabilitation and Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on July 17, 2025 and found 8 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 31 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 31 citations at San Gabriel Rehabilitation and Care Center across 12 inspection dates, 12 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 12, 2025 (complaint inspection). The most common areas cited were freedom from abuse, neglect, and exploitation (6) and quality of life and care (5). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, September 12, 2025). 6 citations were under CMS's abuse, neglect and exploitation rules.

April 30, 2026 · 2 citations · includes complaint inspection

EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (May 6, 2026)

EProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (May 6, 2026)

December 23, 2025 · 1 citation · includes complaint inspection

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Dec 30, 2025)

September 12, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection

JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Sep 13, 2025)

JRespond appropriately to all alleged violations.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Sep 13, 2025)

July 17, 2025 · 8 citations

EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Aug 7, 2025)

EEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Deficient, Provider has date of correction (Aug 7, 2025)

EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Deficient, Provider has date of correction (Aug 7, 2025)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Aug 7, 2025)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Aug 7, 2025)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Aug 7, 2025)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Aug 7, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 7, 2025)

April 14, 2025 · 1 citation · includes complaint inspection

EReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Complaint inspection · Deficient, Provider has date of correction (Apr 29, 2025)

March 18, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Mar 19, 2025)

January 22, 2025 · 1 citation · includes complaint inspection

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Feb 10, 2025)

September 25, 2024 · 2 citations · includes complaint inspection

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Aug 21, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Aug 14, 2024)

June 20, 2024 · 1 citation · includes complaint inspection

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Jun 30, 2024)

May 30, 2024 · 6 citations

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Jun 25, 2024)

DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Deficient, Provider has date of correction (Jun 25, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jun 25, 2024)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Jun 25, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jun 25, 2024)

DMake sure that a working call system is available in each resident's bathroom and bathing area.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0919 · Deficient, Provider has date of correction (Jun 25, 2024)

March 21, 2024 · 1 citation · includes complaint inspection

DMake sure that a working call system is available in each resident's bathroom and bathing area.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0919 · Complaint inspection · Deficient, Provider has date of correction (Apr 10, 2024)

April 5, 2023 · 5 citations

EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Apr 15, 2023)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 15, 2023)

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (Apr 15, 2023)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Apr 15, 2023)

DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0806 · Deficient, Provider has date of correction (Apr 15, 2023)

Questions to ask on a tour of San Gabriel Rehabilitation and Care Center

  1. Inspectors cited the home at the immediate-jeopardy level on September 12, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on April 30, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $19,393 in fines.

DateTypeAmount or length
Sep 12, 2025 Fine $11,112
Mar 18, 2025 Fine $8,281

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 1/5 5/5
August 2026 1/5 1/5 1/5 3/5
Add this rating badge to your websiteFree. Shows San Gabriel Rehabilitation and Care Center's Medicare star rating and updates itself.

Size and colour

Preview

San Gabriel Rehabilitation and Care Center Medicare star rating badge

Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.

Examples, sizes and help on the badge page ›

Location

Hospitals near San Gabriel Rehabilitation and Care Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 2.5 mi
    Seton Medical Center Williamson Round Rock
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 59m for patients treated and sent home
  • 3.0 mi
    Scott & White Hospital-Round Rock Round Rock
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 3h 15m for patients treated and sent home
  • 4.0 mi
    Round Rock Medical Center Round Rock
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 13m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Trinity Care Center Round Rock · 1.7 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 179 beds · Medicaid
Bel Air at Teravista Round Rock · 2.8 mi away ★★★☆☆ Inspection 2/5 · Staffing 3/5 112 beds · Medicaid
Hearthstone Nursing and Rehabilitation Round Rock · 3.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 120 beds · Medicaid
Park Valley Inn Health Center Round Rock · 4.2 mi away ★★☆☆☆ Inspection 1/5 · Staffing 2/5 128 beds · Medicaid
Falcon Ridge Rehabilitation Hutto · 4.5 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 140 beds · Medicaid

More nursing homes near San Gabriel Rehabilitation and Care Center ›   All nursing homes in Round Rock ›

Compare San Gabriel Rehabilitation and Care Center with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Other Fundamental Healthcare nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 66 Fundamental Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

Compare

https://www.nursinghomesineachstate.com/texas/round-rock/san-gabriel-rehabilitation-and-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.