nursing home in Round Rock, TX
San Gabriel Rehabilitation and Care Center
4100 College Park Dr, Round Rock, TX 78665 · (512) 334-8000
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★3
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
San Gabriel Rehabilitation and Care Center at a glance
San Gabriel Rehabilitation and Care Center is a 142-bed for-profit nursing home in Round Rock, Texas (Williamson County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.2 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (July 17, 2025) found 13 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $19,393.
Nursing staff turnover is 55.1% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 142
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Fundamental Healthcare
- Medicare-certified since
- February 8, 2012
- Resident/family council
- Resident
- County
- Williamson County
- CMS Certification Number
- 676308
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.18 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.40 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.87 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.95 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 55.1% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 192.3 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $19,393 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 142 | 113 | 107 | |
| Average residents per day | 87 | 76 | 86 | |
| Occupancy | 61.4% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.1% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.6% | 3.8% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 16.8% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 13% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 11.1% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0.8% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.4% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17.2% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 2.7% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 97.7% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 92.8% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.4% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 63% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 58% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 31 health deficiencies and 1 fire safety deficiency in the inspection records CMS currently publishes. 3 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 30, 2026 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected May 6, 2026 |
| April 30, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected May 6, 2026 |
| December 23, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected December 30, 2025 |
| September 12, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected September 13, 2025 |
| September 12, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | J Immediate jeopardy, isolated | Corrected September 13, 2025 |
| July 17, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected August 7, 2025 |
| July 17, 2025 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | E Potential harm, pattern | Corrected August 7, 2025 |
| July 17, 2025 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected August 7, 2025 |
| July 17, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 7, 2025 |
| July 17, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 7, 2025 |
| July 17, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected August 7, 2025 |
| July 17, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected August 7, 2025 |
| July 17, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected August 7, 2025 |
| April 14, 2025 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected April 29, 2025 |
| March 18, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected March 19, 2025 |
| January 22, 2025 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected February 10, 2025 |
| September 25, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 14, 2024 |
| September 25, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected August 21, 2024 |
| June 20, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 30, 2024 |
| May 30, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected March 5, 2025 |
| May 30, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 30, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 30, 2024 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 30, 2024 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 30, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 30, 2024 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected June 25, 2024 |
| March 21, 2024 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected April 10, 2024 |
| April 5, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 15, 2023 |
| April 5, 2023 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected April 15, 2023 |
| April 5, 2023 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected April 15, 2023 |
| April 5, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected April 15, 2023 |
| April 5, 2023 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected April 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $19,393 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 12, 2025 | Fine | $11,112 |
| March 18, 2025 | Fine | $8,281 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SOUTH LIMESTONE HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 04/01/2017 |
| GARCIA, MARY Individual | adp of the snf | NOT APPLICABLE | 12/04/2024 |
| KROL, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 12/01/2025 |
| PRICE, LARRY Individual | corporate director | NOT APPLICABLE | 04/01/2017 |
| FORMAN, MURRAY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/30/2025 |
| CARE INN OF SEGUIN LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| GARCIA, MARY Individual | operational/managerial control | NOT APPLICABLE | 12/04/2024 |
| KROL, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 12/01/2025 |
Other nursing homes near San Gabriel Rehabilitation and Care Center
Trinity Care Center
1000 E Main St, Round Rock, TX 78664 · 1.7 mi
For-profit · 179 beds · Part of Caraday Healthcare
★★★★★3AverageBel Air at Teravista
4105 Teravista Club Drive, Round Rock, TX 78665 · 2.8 mi
For-profit · 112 beds · Part of Cantex Continuing Care
★★★★★3AverageHearthstone Nursing and Rehabilitation
401 Oakwood Blvd, Round Rock, TX 78681 · 3.8 mi
Government · 120 beds · Part of Caraday Healthcare
★★★★★3AveragePark Valley Inn Health Center
17751 Park Valley Drive, Round Rock, TX 78681 · 4.2 mi
For-profit · 128 beds · Part of Cantex Continuing Care
- Abuse citation
★★★★★2Below averageFalcon Ridge Rehabilitation
149 Klattenhoff Lane, Hutto, TX 78634 · 4.5 mi
For-profit · 140 beds · Part of Fundamental Healthcare
★★★★★2Below averageFive Points of Pflugerville
521 South Heatherwilde Boulevard, Pflugerville, TX 78660 · 5.1 mi
Government · 111 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below average
Frequently asked questions
What is San Gabriel Rehabilitation and Care Center's rating?
San Gabriel Rehabilitation and Care Center has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did San Gabriel Rehabilitation and Care Center receive?
Its most recent standard health inspection found 13 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does San Gabriel Rehabilitation and Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns San Gabriel Rehabilitation and Care Center?
It is for profit - limited liability company and part of Fundamental Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is San Gabriel Rehabilitation and Care Center and how do I contact it?
San Gabriel Rehabilitation and Care Center is at 4100 College Park Dr, Round Rock, TX 78665. Phone: (512) 334-8000.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.