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Nursing homeFAID #14668

San Gabriel Rehabilitation and Care Center

4100 COLLEGE PARK DR, ROUND ROCK, TX, 78665
(512) 334-8000
142 licensed beds

CMS rates San Gabriel Rehabilitation and Care Center 2 out of 5 overall. Federal inspectors issued 32 citations across 15 inspections in the last three years, with $19,393 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections1/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of SAN GABRIEL REHABILITATION AND CARE CENTER
Photo via Google · San Gabriel Rehabilitation And Care Center
What we can show you for free.
Bed capacity
142
CMS facility ID
676308
Care type
Nursing home
County
Williamson
Facility name
San Gabriel Rehabilitation and Care Center
Street address
4100 COLLEGE PARK DR
City / state / ZIP
Round Rock, TX 78665
Phone
(512) 334-8000

San Gabriel Rehabilitation and Care Center is a Medicare/Medicaid-certified skilled nursing facility in Round Rock, Texas. It is licensed for 142 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 21 senior care facilities in Round Rock and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Fundamental Healthcare, a group of 66 facilities on this site.

Federal inspectors have cited San Gabriel Rehabilitation and Care Center 32 times across 15 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $19,393 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Fundamental Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

South Limestone Hospital District
Direct owner — 100% stake — since 2017
Care Inn of Seguin Llc
Operational control — since 2017
Forman, Murray
Owner of a disclosable party — since 2025
Garcia, Mary
Operational control · Additional disclosable party — since 2024
Krol, Michael
Operational control · Additional disclosable party — since 2025
Price, Larry
Director — since 2017

Regulatory standing

Licensed / certified since
2012-02-08
CMS overall rating
2 of 5 stars
Health deficiencies
11 at the last standard inspection
Federal fines
$19,393 total
Last standard inspection
2025-07-17
Nurse staffing
3.0 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$344 per day (≈ $10,460/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
60% Medicaid · 9% Medicare · 31% private/other
Occupancy
65% (fiscal year 2024)
Vs. state median
24% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
142
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily 8:30 AM – 5:30 PM
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-30Health inspectionComplaint-triggered2 citations
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-06
F-0695
E · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-05-06
2025-12-23Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-12-30
11 earlier / fire-safety inspections (29 citations)
2025-09-12Health inspectionComplaint-triggered2 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-13
F-0610
J · Immediate jeopardyFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-09-13
2025-07-17Health inspection8 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-07
F-0584
E · No harm found
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.
Corrected 2025-08-07
F-0604
E · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-08-07
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-08-07
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-07
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-08-07
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-07
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-08-07
2025-04-14Health inspectionComplaint-triggered1 citation
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-29
2025-03-18Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-19
2025-01-22Health inspectionComplaint-triggered1 citation
F-0761
D · No harm foundFrom a 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.
Corrected 2025-02-10
2024-09-25Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-21
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-14
2024-06-20Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-06-30
2024-05-30Health inspection6 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-06-25
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-06-25
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-06-25
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-06-25
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-25
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-06-25
2024-03-21Health inspectionComplaint-triggered1 citation
F-0919
D · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-04-10
2023-04-05Health inspection5 citations
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2023-04-15
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-15
F-0803
E · No harm foundFood safety
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.
Corrected 2023-04-15
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-04-15
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-04-15
2024-05-30Fire-safety inspection1 citation
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-05

Federal penalties

2025-09-12Fine$11,112
2025-03-18Fine$8,281
Total fines$19,393
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676308.
How it compares in Texas.
Inspection citations, 3 years
32
More than 45% of nursing homes in the state
State median: 33
Federal fines, 3 years
$19,393
More than 55% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.0
Higher than 19% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
47%
Higher than 40% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 12 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased11.4%15.8%13.5%Better than state
Lose too much weight1.1%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.0%0.8%1.5%Better than state
Have depressive symptoms1.4%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury3.5%3.2%3.2%Near state average
Assessed and appropriately given the pneumococcal vaccine88.9%96.4%93.7%Near state average
Ability to walk independently worsened11.3%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication18.6%17.8%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine84.8%97.0%95.3%Worse than state
With pressure ulcers3.7%3.7%4.5%Near state average
With new or worsened bowel or bladder incontinence3.6%12.5%18.3%Better than state
Received an antipsychotic medication14.8%9.8%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days1.092.051.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days0.801.971.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine38.4%88.7%82.3%Worse than state
Newly received an antipsychotic medication3.2%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine60.0%85.4%80.1%Worse than state
Were rehospitalized after a nursing home admission20.6%25.5%23.4%Better than state
Had an outpatient emergency department visit8.6%12.2%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0600 3 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
  • F-0695 2 inspections. Provide safe and appropriate respiratory care for a resident when needed.
  • F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  • F-0604 2 inspections. Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  • F-0558 2 inspections. Reasonably accommodate the needs and preferences of each resident.

What its owners also hold

  • South Limestone Hospital District has an ownership stake on file at 26 nursing homes, averaging 2.7 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Ascension Seton Williamson, about 2.8 miles. CMS rating 4 of 5.
  • Baylor Scott & White Medical Center - Round Rock, about 2.9 miles. CMS rating 4 of 5.
  • Round Rock Medical Center, about 3.9 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
3.984 ratings on Google
★★★★★Sandra Staton · 2026-07-14 · via Google

“The staff at San Gabriel Rehabilitation and Care Center have been phenomenal. My 90 year old mother fell and became unable to live at home by herself or with care. Kristine and Kat were awesome at assisting with admitting mom into care and helpful along with Medicaid Done Right with moving forward with getting Medicaid for mom. The staff (all inclusive) have taken mom under their care and are alwa…”

★★★★★Vivian Ciszewski · 2026-07-27 · via Google

“Kristine Ramsey the admissions director at San Gabriel was a God sent to me and my sister Arlene. I couldn't have asked for someone more caring , knowledgeable to help me get my sister into the wonderful caring arms of everyone that I met at San Gabriel while I was in Austin. I live in NJ., and feel so incredibly blessed that my sister is in the care of this incredible staff. A bed is a bed, but …”

★★★★★Savanah Harrington · 2026-06-12 · via Google

“This facility took great care of my grandma during her stay. The staff was incredibly kind. Ben, the CNA, was especially wonderful—he was always there when she needed help and went above and beyond to ensure she was well cared for. Will, her occupational therapist, was also outstanding. He encouraged her during therapy sessions and pushed her to reach her full potential while always being supporti…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 32 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered