Nursing homes › Texas › Round Rock › San Gabriel Rehabilitation and Care Center
4100 College Park Dr, Round Rock, TX 78665 · (512) 334-8000 · 142 certified beds
Per CMS filings, this facility is affiliated with Fundamental Healthcare, a group operating 67 facilities in 6 states. Group record: average rating 2.4/5, 6 abuse citation icons, 3 facilities on the Special Focus list, $2,196,040 in federal fines. This facility rates below its group average (2.4/5).
Total nurse staffing: 3.18 (Texas median: 3.27). RN hours: 0.40. Weekend total: 2.95. Nursing staff turnover: 55%.
All-time on record: 32 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | corrected 2026-05-06 |
| 2026-04-30 | Provide safe and appropriate respiratory care for a resident when needed. | E | complaint | corrected 2026-05-06 |
| 2025-12-23 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-12-30 |
| 2025-09-12 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2025-09-13 |
| 2025-09-12 | Respond appropriately to all alleged violations. | J | complaint | corrected 2025-09-13 |
| 2025-07-17 | 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. | E | Health | corrected 2025-08-07 |
| 2025-07-17 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Health | corrected 2025-08-07 |
| 2025-07-17 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Health | corrected 2025-08-07 |
| 2025-07-17 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-08-07 |
| 2025-07-17 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-08-07 |
| 2025-07-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-08-07 |
| 2025-07-17 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-08-07 |
| 2025-07-17 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-08-07 |
| 2025-04-14 | Reasonably accommodate the needs and preferences of each resident. | E | complaint | corrected 2025-04-29 |
| 2025-03-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-03-19 |
| 2025-01-22 | 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. | D | complaint | corrected 2025-02-10 |
| 2024-09-25 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-08-21 |
| 2024-09-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-08-14 |
| 2024-06-20 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-06-30 |
| 2024-05-30 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-06-25 |
| 2024-05-30 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2024-06-25 |
| 2024-05-30 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-06-25 |
| 2024-05-30 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-06-25 |
| 2024-05-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-06-25 |
| 2024-05-30 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2024-06-25 |
| 2024-03-21 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | complaint | corrected 2024-04-10 |
| 2023-08-21 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2023-08-25 |
| 2023-04-05 | 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. | E | Health | corrected 2023-04-15 |
| 2023-04-05 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-04-15 |
| 2023-04-05 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2023-04-15 |
| 2023-04-05 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-04-15 |
| 2023-04-05 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2023-04-15 |
| Date | Type | Amount |
|---|---|---|
| 2025-09-12 | Fine | $11,112 |
| 2025-03-18 | Fine | $8,281 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SOUTH LIMESTONE HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2017 |
| PRICE, LARRY | Corporate Director | Individual | NOT APPLICABLE | since 04/01/2017 |
| CARE INN OF SEGUIN LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2017 |
| ARREDONDO, MARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/09/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676308. Corrections: data@carerecords.org.