San Gabriel Rehabilitation and Care CenterCMS ratings, inspections and fines
- Address
- 4100 College Park Dr, Round Rock, TX 78665
- CCN
- 676308
- Ownership type
- For-profit, limited liability company
- Certified beds
- 142
- Residents per day
- 87
- CMS flags
- CMS abuse icon
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives San Gabriel Rehabilitation and Care Center an overall rating of 1 of 5 stars. The last standard survey was on 17 Jul 2025. The latest survey cycle has 13 health citations. The median for nursing homes in Texas is 8. CMS lists 2 fines with a total of $19,393 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Williamson County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 15 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 17 Jul 2025 | 13 | 8 |
| Cycle 2 | 30 May 2024 | 11 | 8 |
| Cycle 3 | No date | 8 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 6 May 2026 |
| 30 Apr 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 6 May 2026 |
| 23 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 30 Dec 2025 |
| 12 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 13 Sep 2025 |
| 12 Sep 2025 | F0610 | Respond appropriately to all alleged violations. | J | Complaint investigation | 13 Sep 2025 |
| 17 Jul 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 7 Aug 2025 |
| 17 Jul 2025 | F0584 | 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. | E | Standard survey | 7 Aug 2025 |
| 17 Jul 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard survey | 7 Aug 2025 |
| 17 Jul 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 7 Aug 2025 |
| 17 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 Aug 2025 |
| 17 Jul 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 7 Aug 2025 |
| 17 Jul 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 7 Aug 2025 |
| 17 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 Aug 2025 |
Survey cycle 2: 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Apr 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 29 Apr 2025 |
| 18 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 19 Mar 2025 |
| 22 Jan 2025 | F0761 | 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. | D | Complaint investigation | 10 Feb 2025 |
| 25 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 21 Aug 2024 |
| 25 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 14 Aug 2024 |
| 30 May 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 25 Jun 2024 |
| 30 May 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 25 Jun 2024 |
| 30 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 25 Jun 2024 |
| 30 May 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 25 Jun 2024 |
| 30 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Jun 2024 |
| 30 May 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 25 Jun 2024 |
Survey cycle 3: 8 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 30 Jun 2024 |
| 21 Mar 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 10 Apr 2024 |
| 21 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 25 Aug 2023 |
| 5 Apr 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 15 Apr 2023 |
| 5 Apr 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Apr 2023 |
| 5 Apr 2023 | F0803 | Ensure 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. | E | Standard survey | 15 Apr 2023 |
| 5 Apr 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 15 Apr 2023 |
| 5 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Apr 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 12 Sep 2025 | Fine | $11,112 | |
| 18 Mar 2025 | Fine | $8,281 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.18 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.40 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.91 | 0.95 | |
| Nurse aides | 1.87 | 2.00 | |
| All nurse staff, weekends | 2.95 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 55.1%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.0% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.8% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- South Limestone Hospital District
- Chain
- Fundamental Healthcare (66 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| South Limestone Hospital District | 5% or greater direct ownership interest | 100% | 1 Apr 2017 |
| Care Inn of Seguin LLC | Operational/managerial control | 1 Apr 2017 | |
| Fundamental Administrative Services LLC | Adp of the snf | 1 Apr 2017 | |
| Fundamental Clinical and Operational Services, LLC | Adp of the snf | 1 Apr 2017 |
The site shows organisations only. It does not show the names of persons.
Other homes in Williamson County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Trinity Care Center | Round Rock | 3 of 5 | 8 | $10,293 | 23 Jan 2026 | |
| Bel Air at Teravista | Round Rock | 3 of 5 | 10 | $19,188 | 4 Jun 2026 | |
| Hearthstone Nursing and Rehabilitation | Round Rock | 3 of 5 | 7 | $25,626 | 3 Apr 2026 | |
| Park Valley Inn Health Center | Round Rock | 2 of 5 | 16 | $132,582 | 11 Mar 2026 | |
| Falcon Ridge Rehabilitation | Hutto | 2 of 5 | 5 | $8,577 | 20 Mar 2025 | |
| Ignite Medical Resort Round Rock, LLC | Austin | 2 of 5 | 9 | $63,733 | 15 Jan 2026 | |
| The Center at Parmer | Austin | 5 of 5 | 8 | $0 | 30 Jan 2026 | |
| Park Place Care Center | Georgetown | 1 of 5 | 9 | $114,392 | 5 Mar 2026 | |
| Cedar Pointe Health and Wellness Center | Cedar Park | 4 of 5 | 6 | $0 | 8 Jan 2026 | |
| The Springs Healthcare and Rehabilitation | Cedar Park | 4 of 5 | 10 | $21,258 | 21 Apr 2026 | |
| Sagebrook Nursing and Rehabilitation | Cedar Park | 4 of 5 | 2 | $0 | 14 May 2025 | |
| Georgetown Nursing and Transitional Care | Georgetown | 4 of 5 | 2 | $8,281 | 24 Jun 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of San Gabriel Rehabilitation and Care Center (CCN 676308). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/san-gabriel-rehabilitation-and-care-center-round-rock-tx-676308/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was San Gabriel Rehabilitation and Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 30 Apr 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 30 May 2024.
- Who operates San Gabriel Rehabilitation and Care Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Fundamental Healthcare. The CMS ownership file names Care Inn of Seguin LLC for operational or managerial control. This site does not show the names of persons.
- Is San Gabriel Rehabilitation and Care Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.