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    Nursing home · Round Rock, TX

    San Gabriel Rehabilitation and Care Center

    4100 College Park Dr, Round Rock, TX 78665

    CMS certification number: 676308 · Updated October 1, 2026

    CMS abuse-related concern

    CMS has flagged this facility for abuse-related concerns. Review its official inspection information.

    Request care assistance5123348000Directions

    At a glance

    Official CMS profile

    CMS overall rating

    2 / 5

    Certified beds

    142

    Residents / day

    94.1

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Williamson
    Certified beds
    142
    Average residents per day
    94.1
    First certified
    February 8, 2012

    CMS quality ratings

    Overall
    2 / 5
    Health inspections
    2 / 5
    Staffing
    1 / 5
    Quality measures
    5 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Williamson, Texas. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    2.00
    County peers
    3.07
    n=14
    State peers
    2.76

    Nurse hours / resident / day

    This home
    3.01
    County peers
    3.46
    n=14
    State peers
    3.42
    n=1151

    Weekend nurse hours / resident / day

    This home
    2.80
    County peers
    3.07
    n=14
    State peers
    2.99
    n=1151

    Nursing staff turnover (%)

    This home
    47.40
    County peers
    48.38
    n=14
    State peers
    50.81
    n=1095

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 7.0% below the all-days average. How is weekend coverage maintained?
    • What changes were made after the abuse-related CMS flag, and how are residents protected today?
    • CMS reports 47.4% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    1
    Health citations
    31
    Resident measures
    17
    Ownership records
    8
    Penalties
    2
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.00957
    Reported RN Staffing Hours per Resident per Day
    0.29780
    Reported LPN Staffing Hours per Resident per Day
    0.90717
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.80460
    Total number of nurse staff hours per resident per day on the weekend
    2.79905
    Registered Nurse hours per resident per day on the weekend
    0.16931
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.07244
    Total nursing staff turnover
    47.4
    Registered Nurse turnover
    50.0
    Number of administrators who have left the nursing home
    0
    Chain Name
    FUNDAMENTAL HEALTHCARE
    Number of Facilities in Chain
    66
    Chain Average Overall 5-star Rating
    2.5
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    TX
    Urban
    Y
    Chain ID
    231
    Latitude
    30.5309
    Location
    4100 College Park Dr,Round Rock,TX,78665
    ZIP Code
    78665
    City/Town
    Round Rock
    Longitude
    -97.651
    QM Rating
    5
    Abuse Icon
    Y
    Chain Name
    FUNDAMENTAL HEALTHCARE
    County/Parish
    Williamson
    Provider Name
    San Gabriel Rehabilitation and Care Center
    Provider Type
    Medicare and Medicaid
    Overall Rating
    2
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    2
    Processing Date
    2026-10-01
    Staffing Rating
    1
    Provider Address
    4100 College Park Dr
    Telephone Number
    5123348000
    Geocoding Footnote
    22
    QM Rating Footnote
    Not reported
    Legal Business Name
    SOUTH LIMESTONE HOSPITAL DISTRICT
    Long-Stay QM Rating
    5
    High Performing Icon
    N
    Short-Stay QM Rating
    4
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.45858
    Chain Average QM Rating
    3.8
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    2
    Number of Certified Beds
    142
    Provider SSA County Code
    970
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    50.0
    Total Number of Penalties
    2
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    1.03427
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    47.4
    Chain Average Staffing Rating
    2.2
    Number of Facilities in Chain
    66
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    676308
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    19393.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    64
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    117.250
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    94.1
    Chain Average Overall 5-star Rating
    2.5
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    277
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.5
    Rating Cycle 1 Health Deficiency Score
    64
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    277
    Rating Cycle 1 Standard Survey Health Date
    2025-07-17
    Rating Cycle 2 Standard Health Survey Date
    2024-05-30
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.28567
    Case-Mix RN Staffing Hours per Resident per Day
    0.71534
    Reported RN Staffing Hours per Resident per Day
    0.29780
    Adjusted LPN Staffing Hours per Resident per Day
    0.87023
    Case-Mix LPN Staffing Hours per Resident per Day
    0.89139
    Reported LPN Staffing Hours per Resident per Day
    0.90717
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    11
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    15
    Rating Cycle 1 Number of Standard Health Deficiencies
    8
    Rating Cycle 2 Number of Standard Health Deficiencies
    6
    Reported Licensed Staffing Hours per Resident per Day
    1.20497
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    3
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    1.73112
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.42779
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.80460
    Adjusted Total Nurse Staffing Hours per Resident per Day
    2.88703
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    4.03452
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    9
    Reported Total Nurse Staffing Hours per Resident per Day
    3.00957
    Registered Nurse hours per resident per day on the weekend
    0.16931
    Date First Approved to Provide Medicare and Medicaid Services
    2012-02-08
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.07244
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    2.68508
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.55067
    Total number of nurse staff hours per resident per day on the weekend
    2.79905

    COMMUNITY EXPERIENCE

    Reviews of San Gabriel Rehabilitation and Care Center

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026