San Gabriel Rehabilitation and Care Center
Nursing home in Round Rock, Texas, CMS certification number 676308
4100 College Park Dr, Round Rock, TX 78665 · Williamson County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 142
- Certified for
- Medicare and Medicaid
- Last standard inspection
- July 17, 2025
- Deficiencies at that inspection
- 11
- Fines in 3 years
- $19,393 (2)
Does San Gabriel Rehabilitation and Care Center take Medicare and Medicaid?
Yes to both. San Gabriel Rehabilitation and Care Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 5 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 4 of 5 |
Nurse staffing hours and turnover
These are the hours San Gabriel Rehabilitation and Care Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.01
- Registered nurse hours
- 0.30
- Licensed practical nurse hours
- 0.91
- Nurse aide hours
- 1.80
- Weekend total hours
- 2.80
- Nursing staff turnover
- 47.4%
- Registered nurse turnover
- 50%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on July 17, 2025 and cited 11 deficiencies, plus 3 from complaint visits.
The visit before, on May 30, 2024, found 6.
CMS shows an abuse icon for San Gabriel Rehabilitation and Care Center. That means inspectors cited it for abuse, neglect or exploitation in the past year or two.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined San Gabriel Rehabilitation and Care Center 2 times in the past 3 years, for $19,393 in total.
Beds and residents
On an average day 94.1 residents live here, about 66% of its 142 certified beds.
- Certified beds
- 142
- Average residents per day
- 94.1
- Certified since
- February 8, 2012
- Resident or family council
- Resident
Who owns San Gabriel Rehabilitation and Care Center
- Legal business name
- South Limestone Hospital District
- Ownership type
- For profit - Limited Liability company
- Chain
- 66 homes nationally under Fundamental Healthcare, 2.5-star chain average
Other nursing homes near San Gabriel Rehabilitation and Care Center
- Trinity Care Center1000 E Main St, Round Rock 78664
- Bel Air at Teravista4105 Teravista Club Drive, Round Rock 78665
- Hearthstone Nursing and Rehabilitation401 Oakwood Blvd, Round Rock 78681
- Park Valley Inn Health Center17751 Park Valley Drive, Round Rock 78681
- Falcon Ridge Rehabilitation149 Klattenhoff Lane, Hutto 78634
See also all nursing homes in Round Rock.
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, the 5 in Round Rock, or see how assisted living and nursing homes differ.
Is this your facility?
If you run San Gabriel Rehabilitation and Care Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about San Gabriel Rehabilitation and Care Center
What is the CMS star rating of San Gabriel Rehabilitation and Care Center?
2 out of 5 stars overall.
Does San Gabriel Rehabilitation and Care Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at San Gabriel Rehabilitation and Care Center?
11 cited at the last standard visit.
Who owns San Gabriel Rehabilitation and Care Center?
South Limestone Hospital District, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.