San Gabriel Rehabilitation and Care Center
4100 College Park Dr · Round Rock, TX · 78665 · 5123348000
142 certified beds For profit - Limited Liability company Chain: Fundamental Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
2.88 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 2.65 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 2 · $19,393 |
Inspection citations (32 in the current record)
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Potential for harm · E April 30, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 30, 2026 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · D December 23, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 30, 2025 · Pharmacy Service
-
Immediate jeopardy · J September 12, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J September 12, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 17, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 7, 2025 · Resident Rights
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Potential for harm · E July 17, 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.
Corrected August 7, 2025 · Resident Rights
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Potential for harm · E July 17, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected August 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 17, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 7, 2025 · Quality of Life and Care
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Potential for harm · E July 17, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 7, 2025 · Nursing and Physician Services
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Potential for harm · D July 17, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 7, 2025 · Pharmacy Service
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Potential for harm · D July 17, 2025
Provide and implement an infection prevention and control program.
Corrected August 7, 2025 · Infection Control
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Potential for harm · E April 14, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected April 29, 2025 · Resident Rights
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Immediate jeopardy · J March 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 19, 2025 · Quality of Life and Care
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Potential for harm · D January 22, 2025 · found via 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 February 10, 2025 · Pharmacy Service
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Potential for harm · D September 25, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 25, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 14, 2024 · Quality of Life and Care
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Potential for harm · D June 20, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 30, 2024 · Infection Control
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Potential for harm · D May 30, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected June 25, 2024 · Resident Rights
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Potential for harm · D May 30, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected June 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 30, 2024
Ensure each resident receives an accurate assessment.
Corrected June 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 30, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 30, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 30, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected June 25, 2024 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 12, 2025 | Fine | $11,112 |
| March 18, 2025 | Fine | $8,281 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676308 · certified since February 8, 2012. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.