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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.

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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.

DateTypeFine amountDenial startsDenial daysSource
September 12, 2025Fine$11,112Not listeddata.cms.gov
March 18, 2025Fine$8,281Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 30, 2026F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 6, 2026data.cms.gov
April 30, 2026F600Protect 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 harmCorrectedMay 6, 2026data.cms.gov
December 23, 2025F755Provide 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 harmCorrectedDecember 30, 2025data.cms.gov
September 12, 2025F610Respond appropriately to all alleged violations.J: isolated, immediate jeopardyCorrectedSeptember 13, 2025data.cms.gov
September 12, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedSeptember 13, 2025data.cms.gov
July 17, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2025data.cms.gov
July 17, 2025F755Provide 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 harmCorrectedAugust 7, 2025data.cms.gov
July 17, 2025F725Provide 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 harmCorrectedAugust 7, 2025data.cms.gov
July 17, 2025F677Provide 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 harmCorrectedAugust 7, 2025data.cms.gov
July 17, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2025data.cms.gov
July 17, 2025F604Ensure 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 harmCorrectedAugust 7, 2025data.cms.gov
July 17, 2025F584Honor 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 harmCorrectedAugust 7, 2025data.cms.gov
July 17, 2025F550Honor 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 harmCorrectedAugust 7, 2025data.cms.gov
April 14, 2025F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 29, 2025data.cms.gov
March 18, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedMarch 19, 2025data.cms.gov
January 22, 2025F761Ensure 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 harmCorrectedFebruary 10, 2025data.cms.gov
September 25, 2024F689Ensure 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 harmPast noncomplianceAugust 14, 2024data.cms.gov
September 25, 2024F600Protect 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 harmPast noncomplianceAugust 21, 2024data.cms.gov
June 20, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
May 30, 2024F919Make 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 harmCorrectedJune 25, 2024data.cms.gov
May 30, 2024F656Develop 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 harmCorrectedJune 25, 2024data.cms.gov
May 30, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedJune 25, 2024data.cms.gov
May 30, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 25, 2024data.cms.gov
May 30, 2024F604Ensure 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 harmCorrectedJune 25, 2024data.cms.gov
May 30, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 25, 2024data.cms.gov
March 21, 2024F919Make 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 harmCorrectedApril 10, 2024data.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.

OrganizationRoleShareSinceSource
South Limestone Hospital DistrictDirect owner100%April 1, 2017data.cms.gov
Care Inn of Seguin LLCOperational or managerial controlNot listedApril 1, 2017data.cms.gov

Also on SpecStream

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.