Nursing home
San Gabriel Rehabilitation and Care Center
4100 College Park Dr, Round Rock, TX 78665 · Map
For profit - Limited Liability company · Part of Fundamental Healthcare (69 facilities) · 142 certified beds
San Gabriel Rehabilitation and Care Center is a Medicare-certified nursing home in Round Rock, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.97 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jul 17, 2025 cited 13 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 1 fine totaling $8,281In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How San Gabriel Rehabilitation and Care Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.97 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.38 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.72 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 54.5% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 13.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $8,281, 1 total penalty.
What inspectors found at San Gabriel Rehabilitation and Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 23, 2025 · Full report (PDF) - Immediate jeopardy
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 12, 2025 · Full report (PDF) - Immediate jeopardy
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 · Sep 12, 2025 · Full report (PDF) - Potential for harm
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 · Jul 17, 2025 · Full report (PDF) - Potential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Jul 17, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Apr 14, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4100 College Park Dr
Round Rock, TX 78665 - CMS certification #
- 676308
- Ownership
- For profit - Limited Liability company
- Certified beds
- 142
- Avg residents/day
- 95.6
- Provider type
- Medicare and Medicaid
- First certified
- 2012-02-08
- Chain
- Fundamental Healthcare (69 facilities)
- Setting
- Urban
Part of Fundamental Healthcare
Fundamental Healthcare operates 69 nursing facilities across the United States. View all Fundamental Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around San Gabriel Rehabilitation and Care Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day, transportation
- Workplace safety 2 OSHA workplace safety inspections since 2020, no violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What San Gabriel Rehabilitation and Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Sep 1, 2020: referral inspection, partial (health). Case open. No violations cited. OSHA record. OSHA recorded the employer as San Gabriel Rehabilitation and Care Center.
- Aug 10, 2020: fatality or catastrophe inspection, partial (health). Case closed Nov 18, 2020. No violations cited. OSHA record. OSHA recorded the employer as Care Inn of Seguin, LLC. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Ascension Seton Williamson, Round Rock. 2.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Trinity Care Center, Round Rock. 1.7 miles away, straight line.
- Nearest home health agency office
- Ambe Care Home Health LLC, Round Rock. 0.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78665 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Nna - Roundrock, Round Rock, 1.2 miles away, straight line (CMS rating 3 of 5 stars)
Scott & White Round Rock Dialysis Center, Round Rock, 2.3 miles away, straight line (CMS rating 3 of 5 stars)
Davita Round Rock Dialysis, Round Rock, 3.3 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 58 Medicare hospices tell CMS they serve ZIP code 78665.
Divinity Hospice, office in Round Rock, 0.8 miles away, straight line
Gilead Hospice LLC, office in Round Rock, 1.8 miles away, straight line
Profound Hospice Care, LLC, office in Round Rock, 2.2 miles away, straight line - Nearest geriatric medicine practice
- Scott And White Clinic, Round Rock. 2.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane very low, inland flooding relatively low, wildfire relatively low, tornado relatively low, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is San Gabriel Rehabilitation and Care Center a good nursing home?
CMS gives San Gabriel Rehabilitation and Care Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is San Gabriel Rehabilitation and Care Center staffed?
San Gabriel Rehabilitation and Care Center reports 2.97 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has San Gabriel Rehabilitation and Care Center had inspection problems?
Its most recent CMS inspection cited 13 deficiencies.
How many beds does San Gabriel Rehabilitation and Care Center have?
San Gabriel Rehabilitation and Care Center is certified for 142 beds.