San Gabriel Rehabilitation and Care Center – Round Rock, TX

CMS Verified | 2026-03-01

San Gabriel Rehabilitation And Care Center

4100 College Park Dr, Round Rock, TX 78665
(512) 334-8000
142 beds
All Round Rock facilities
1.0*
Overall
1.0*
Health Inspection
3.0*
Quality Care
1.0*
Staffing
57.56
Score /100
#12727
National Rank

#12727
of 14703 facilities
National
13.4% position
#1016
of 1177 in TX
State Rank
#14
of 15 in Williamson
County Rank
#5
of 5 in Round Rock
City Rank
#2
of 2 in ZIP 78665
ZIP Rank






About San Gabriel Rehabilitation And Care CenterSan Gabriel Rehabilitation And Care Center is located at 4100 College Park Dr, Round Rock, TX, reachable at (512) 334-8000. This For profit – Limited Liability company facility operates 142.0 certified beds and serves an average of 95 residents per day. It is part of the Fundamental Healthcare network (69 facilities nationwide). Medicare and Medicaid services have been provided since 2012-02-08. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

San Gabriel Rehabilitation And Care Center

Address

4100 College Park Dr, Round Rock, TX 78665

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 142 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: FUNDAMENTAL HEALTHCARE

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 7 fine(s) over 5 years
5-Year Trend
Declining over 5 years
57.56
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#12727 of 14703 nationally – #1016 of 1177 in Texas

Who Is This Facility Best For?

San Gabriel Rehabilitation And Care Center may be considered for families with limited options in Round Rock, TX, but its lower CMS ratings suggest careful due diligence is warranted. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

1 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightSan Gabriel Rehabilitation And Care Center currently provides 2 hours 58 minutes of total nurse staffing per resident per day, including 23 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 54.5%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing2 hours 58 minutes
Nurse Aide Hours1 hour 43 minutes
Licensed Practical Nurse (LPN) Hours52 minutes
Registered Nurse (RN) Hours23 minutes
Physical Therapist Hours4 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 43 minutes
Weekend Registered Nurse (RN) Hours12 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance Summary⚠️ CMS has flagged San Gabriel Rehabilitation And Care Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 1 fine(s) totaling $8,281. 10 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $8281.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record Y
Total Weighted Health Survey Score 224.75 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#12,727
of 14,703
National
Bottom 13%
#1,016
TX State
Bottom 14% in TX
#14
of 15
️ Williamson County
#14 of 15
#5
of 5
️ Round Rock
#5 of 5
#2
of 2
ZIP 78665
#2 of 2

Nationally, San Gabriel Rehabilitation And Care Center ranks 12727th out of 14,703 facilities (composite score: 57.6/100), placing it in the bottom 25% nationwide. Within TX, it ranks 1016th out of 1,177 nursing homes. In Round Rock, it ranks 5th out of 5 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #13,265 nationally and RN hours rank #11,255 nationally (#538 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 3.64 #6,795 / 14,703 #272 / 1,177 Above average
2023 3.29 #9,663 / 14,703 #501 / 1,177 Below average
2024 3.21 #10,957 / 14,703 #534 / 1,177 Below average
2025 3.18 #11,809 / 14,703 #636 / 1,177 ⚠️ Bottom 25%
2026 2.97 #13,265 / 14,703 #929 / 1,177 ⚠️ Bottom 10%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.36 #11,621 / 14,703 #542 / 1,177 ⚠️ Bottom 25%
2023 0.39 #10,490 / 14,703 #367 / 1,177 Below average
2024 0.30 #12,397 / 14,703 #672 / 1,177 ⚠️ Bottom 25%
2025 0.42 #10,348 / 14,703 #407 / 1,177 Below average
2026 0.38 #11,255 / 14,703 #538 / 1,177 ⚠️ Bottom 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

San Gabriel Rehabilitation And Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2012-02-08. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (512) 334-8000 or your local Medicaid office to verify current eligibility.

San Gabriel Rehabilitation And Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 57.6/100, placing it #12727 of 14703 facilities nationally and #1016 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at San Gabriel Rehabilitation And Care Center receives a reported average of 2 hours 58 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 23 minutes; Licensed Practical Nurse (LPN) — 52 minutes; Nurse Aide — 1 hour 43 minutes. On weekends, total nurse staffing is 2 hours 43 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 54.5%. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged San Gabriel Rehabilitation And Care Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 1 fine(s) totaling $8,281. 10 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $8,281, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 224.75 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, San Gabriel Rehabilitation And Care Center ranks 12727th out of 14,703 facilities (composite score: 57.6/100), placing it in the bottom 25% nationwide. Within TX, it ranks 1016th out of 1,177 nursing homes. In Round Rock, it ranks 5th out of 5 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #13,265 nationally and RN hours rank #11,255 nationally (#538 in TX). Our composite quality score of 57.6/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Round Rock, visit: https://nursinghomesnearme.org/texas/round-rock/

Contact and Location

ADR
Address

4100 College Park Dr, Round Rock, TX 78665
Get directions on Google Maps

TEL
LLC
Legal Name

SOUTH LIMESTONE HOSPITAL DISTRICT

MAP
Browse by Location

All Texas ·
Williamson County ·
Round Rock ·
ZIP 78665

Facility Details

Number of Certified Beds 142
Average Residents / Day 95 (67% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Williamson County, TX
City Round Rock, TX
ZIP Code 78665
Approved Since February 8, 2012
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 676308
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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