San Gabriel Rehabilitation And Care Center
4100 College Park Dr, Round Rock, TX 78665 · Williamson County
For-profit · 142 certified beds · 61% occupancy · (512) 334-8000
The U.S. government (CMS) rates San Gabriel Rehabilitation And Care Center 1 out of 5 stars overall — much below average. Its nurse staffing is 3% below the Texas median. It currently carries a federal abuse-warning icon. Inspectors cited it for 3 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.18 nurse hours per resident per day. 3% below the Texas median of 3.27.
Nursing staff turnover: 55.1% · RN turnover: 50%
Safety & compliance flags
- Federal abuse warning icon
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0600 · Sep 12, 2025ComplaintCorrected Sep 13, 2025
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
- Immediate jeopardyTag F0610 · Sep 12, 2025ComplaintCorrected Sep 13, 2025
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0600 · Apr 30, 2026ComplaintCorrected May 6, 2026
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
- Potential for harmTag F0695 · Apr 30, 2026ComplaintCorrected May 6, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0584 · Jul 17, 2025Corrected Aug 7, 2025
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
- Potential for harmTag F0604 · Jul 17, 2025Corrected Aug 7, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0725 · Jul 17, 2025Corrected Aug 7, 2025
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
- Potential for harmTag F0755 · Dec 23, 2025ComplaintCorrected Dec 30, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0550 · Jul 17, 2025Corrected Aug 7, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0645 · Jul 17, 2025Corrected Aug 7, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Showing the 10 most recent and serious of 32 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Fundamental Healthcare chain (67 facilities), chain average overall rating 2.4★.