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Medicare-certifiedSkilled Nursing

San Gabriel Rehabilitation and Care Center

(512) 334-8000

About San Gabriel Rehabilitation and Care Center

San Gabriel Rehabilitation and Care Center brings compassionate skilled nursing and rehabilitation services to Round Rock, Texas families. Our dedicated team focuses on recovery, healing, and helping each person regain independence through personalized care plans and evidence-based therapies.

Community at a glance

Capacity

142 residents

Location

Round Rock, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

4100 College Park Dr, Round Rock, Texas 78665

(512) 334-8000

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Medicare flags San Gabriel Rehabilitation and Care Center for a citation related to abuse of residents in its recent inspections.

At its most recent standard inspection, on July 17, 2025, state inspectors cited 13 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 11 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.

Medicare fined San Gabriel Rehabilitation and Care Center 2 times in the last three years, $19,393 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 11 minutesBelow the Texas average
Registered nurse time per resident, per day24 minutesBelow the Texas average
Nursing staff who left in the past year55%

Inspections

26 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

April 30, 2026 · Complaint investigation · 2 citations

  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected May 6, 2026
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 6, 2026

December 23, 2025 · Complaint investigation · 1 citation

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

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Dec 30, 2025
September 12, 2025 · Complaint investigation · 2 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 13, 2025
  • Respond appropriately to all alleged violations.

    Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 13, 2025
July 17, 2025 · Standard inspection · 8 citations+
  • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Aug 7, 2025
  • Honor 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Aug 7, 2025
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Aug 7, 2025
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 7, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 7, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 7, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 7, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Aug 7, 2025
April 14, 2025 · Complaint investigation · 1 citation+
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Apr 29, 2025
March 18, 2025 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Mar 19, 2025
January 22, 2025 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Feb 10, 2025
September 25, 2024 · Complaint investigation · 2 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Aug 21, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed by Aug 14, 2024
June 20, 2024 · Complaint investigation · 1 citation+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jun 30, 2024
May 30, 2024 · Standard inspection · 6 citations+
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 25, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 25, 2024
  • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 25, 2024
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Jun 25, 2024
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 25, 2024
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 25, 2024
March 21, 2024 · Complaint investigation · 1 citation+
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Apr 10, 2024

Fines and payment denials

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

  • September 12, 2025Fine: $11,112
  • March 18, 2025Fine: $8,281

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
South Limestone Hospital District
Medicare-certified beds
142
Average residents per day
87
Accepts
Medicare and Medicaid
First certified
February 8, 2012
Part of a chain
Fundamental Healthcare, 66 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
676308

Location

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4100 College Park DrRound Rock, TX 78665

12 other communities within 10 miles

Senior living near Round Rock

Questions about San Gabriel Rehabilitation and Care Center

How did San Gabriel Rehabilitation and Care Center do on its last inspection?+

State inspectors visited on July 17, 2025 and cited 13 health deficiencies, 5 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at San Gabriel Rehabilitation and Care Center?+

Nurses and aides spend 3 hours 11 minutes with each resident per day, including 24 minutes from registered nurses. 55% of nursing staff left over the past year.

Has San Gabriel Rehabilitation and Care Center been fined by Medicare?+

Yes. Medicare fined San Gabriel Rehabilitation and Care Center 2 times in the last three years, totaling $19,393.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Round Rock Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026