Nursing HomeInspections

San Gabriel Rehabilitation and Care Center

Nursing home in Round Rock, TX

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (512) 334-8000Send a messageMap ↗

Public-record details

Address
4100 College Park Dr, Round Rock, TX 78665
Phone
(512) 334-8000
Listed under
For-profit
Medicare CCN
676308
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
142
Average residents per day
87
Ownership
For-profit, limited Liability company
Legal business name
South Limestone Hospital District
Chain
Fundamental Healthcare (66 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 8, 2012
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676308. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 17, 2025. CMS lists 32 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 5, 2023 to Apr 30, 2026): 13 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Apr 30, 2026Protect 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 · complaint inspection		E
Potential for more than minimal harm, pattern
Apr 30, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Dec 23, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 12, 2025Protect 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 · complaint inspection		J
Immediate jeopardy, isolated
Sep 12, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated
Jul 17, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 17, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 17, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 17, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jul 17, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Jul 17, 2025Honor 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		E
Potential for more than minimal harm, pattern
Jul 17, 2025Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 32. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $19,393 in the last three years.

Sep 12, 2025Fine: $11,112
Mar 18, 2025Fine: $8,281

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.18 hours
Registered nurse (RN) time per resident per day
0.40 hours
Nurse aide time per resident per day
1.87 hours
Total nurse staffing on weekends
2.95 hours
Nursing staff turnover (yearly)
55%
RN turnover (yearly)
50%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Round Rock

Bel Air at Teravista4105 Teravista Club Drive · Round Rock, TX 78665 · (512) 310-3700 · For-profit23 health citations in 3 inspection cycles · last standard inspection Jun 4, 2026 · $19,188 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Hearthstone Nursing and Rehabilitation401 Oakwood Blvd · Round Rock, TX 78681 · (512) 388-7494 · Government-owned24 health citations in 3 inspection cycles · last standard inspection Apr 3, 2026 · $25,626 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Trinity Care Center1000 E Main St · Round Rock, TX 78664 · (512) 634-3000 · For-profit26 health citations in 3 inspection cycles · last standard inspection Jan 23, 2026 · $10,293 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Park Valley Inn Health Center17751 Park Valley Drive · Round Rock, TX 78681 · (512) 218-6000 · For-profit41 health citations in 3 inspection cycles · last standard inspection Mar 11, 2026 · $132,582 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon

All 5 in Round Rock →