Data / Nursing homes / Texas / San Gabriel Rehabilitation and Care Center
San Gabriel Rehabilitation and Care Center, Round Rock, TX: 2 star rating, fined $19,393 across 2 fines
San Gabriel Rehabilitation and Care Center in Round Rock, TX is owned by South Limestone Hospital District, is rated 2 of 5 stars by Medicare, and was fined $19,393 across 2 fines in the three years to October 1, 2026. CMS lists 26 health citations from inspections in that time, the latest survey on April 30, 2026, and 3 of them found actual harm or immediate jeopardy.
SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.
- Address
- 4100 College Park Dr, Round Rock, TX 78665
- Overall rating
- 2 of 5 stars
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 5 of 5
- Certified beds
- 142
- Residents per day
- 94 on average
- Ownership type
- For profit, limited liability company
- Legal business name
- South Limestone Hospital District
- Chain
- Fundamental Healthcare, 66 facilities
- Abuse icon
- CMS shows an abuse icon on Care Compare
- Fines
- $19,393 across 2 fines, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 26, of which 3 with actual harm or immediate jeopardy
- Latest survey
- April 30, 2026
- CMS Certification Number
- 676308
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| September 12, 2025 | Fine | $11,112 | Not listed | data.cms.gov | |
| March 18, 2025 | Fine | $8,281 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| April 30, 2026 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 6, 2026 | data.cms.gov |
| April 30, 2026 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 6, 2026 | data.cms.gov |
| December 23, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 30, 2025 | data.cms.gov |
| September 12, 2025 | F610 | Respond appropriately to all alleged violations. | J: isolated, immediate jeopardy | Corrected | September 13, 2025 | data.cms.gov |
| September 12, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J: isolated, immediate jeopardy | Corrected | September 13, 2025 | data.cms.gov |
| July 17, 2025 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 7, 2025 | data.cms.gov |
| July 17, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 7, 2025 | data.cms.gov |
| July 17, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 7, 2025 | data.cms.gov |
| July 17, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 7, 2025 | data.cms.gov |
| July 17, 2025 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 7, 2025 | data.cms.gov |
| July 17, 2025 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 7, 2025 | data.cms.gov |
| July 17, 2025 | F584 | 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: pattern, no actual harm, potential for more than minimal harm | Corrected | August 7, 2025 | data.cms.gov |
| July 17, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 7, 2025 | data.cms.gov |
| April 14, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 29, 2025 | data.cms.gov |
| March 18, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J: isolated, immediate jeopardy | Corrected | March 19, 2025 | data.cms.gov |
| January 22, 2025 | F761 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | February 10, 2025 | data.cms.gov |
| September 25, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Past noncompliance | August 14, 2024 | data.cms.gov |
| September 25, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D: isolated, no actual harm, potential for more than minimal harm | Past noncompliance | August 21, 2024 | data.cms.gov |
| June 20, 2024 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 30, 2024 | data.cms.gov |
| May 30, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 25, 2024 | data.cms.gov |
| May 30, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 25, 2024 | data.cms.gov |
| May 30, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 25, 2024 | data.cms.gov |
| May 30, 2024 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 25, 2024 | data.cms.gov |
| May 30, 2024 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 25, 2024 | data.cms.gov |
| May 30, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 25, 2024 | data.cms.gov |
| March 21, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 10, 2024 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 6 individual or personal trusts (2 managers, 2 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| South Limestone Hospital District | Direct owner | 100% | April 1, 2017 | data.cms.gov |
| Care Inn of Seguin LLC | Operational or managerial control | Not listed | April 1, 2017 | data.cms.gov |
Also on SpecStream
- All nursing homes in Texas
- Every nursing home South Limestone Hospital District owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.