San Gabriel Rehabilitation and Care Center, Round Rock, Texas
- 31
- Citations from health inspectionsTexas average: 28 a home
- 3
- Residents harmed or put in dangerTexas average: 2.3 a home
- $19,393
- Fines from the federal governmentTexas average: $44,141 a home
- 1 out of 5
- Overall rating in starsTexas average: 2.7
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
12 inspection visits produced 31 citations. Residents were in immediate danger in three findings. Federal fines came to $19,393 (two fines).
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 3 out of 5
- Nurse time for each resident
- 3.18 hours each dayThe Texas average is 3.39 hours
- Time from registered nurses
- 0.40 hours each dayThe Texas average is 0.43 hours
- Nursing staff who left during one year
- 55.1%against the Texas average of 55.3%
- Beds that are certified
- 142
- Ownership
- Limited Liability company (for profit)
- Chain
- Fundamental Healthcare, with 66 homes
- Street address
- 4100 College Park Dr, Round Rock, Texas 78665
- County
- Williamson
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Two citations dated April 30, 2026
One citation dated Dec. 23, 2025
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Sept. 12, 2025
Eight citations dated July 17, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
- F604 Freedom From Physical Restraints: risk of harm, no one found hurt, a pattern, several residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
One citation dated April 14, 2025
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated March 18, 2025
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated Jan. 22, 2025
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Sept. 25, 2024
One citation dated June 20, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Six citations dated May 30, 2024
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F604 Freedom From Physical Restraints: risk of harm, no one found hurt, one or a few residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
One citation dated March 21, 2024
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated April 5, 2023
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F583 Keep Resident Records Private: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Sept. 12, 2025 | Fine | $11,112 |
| March 18, 2025 | Fine | $8,281 |
Ownership and Management of the Home
- The home is run by Care Inn of Seguin LLC (operational or managerial control).
- The direct 100% owner is South Limestone Hospital District.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 676308. Other homes in Texas.