San Gabriel Rehabilitation and Care Center: Staffing, Turnover, and Inspection Record
San Gabriel Rehabilitation and Care Center is a 142-bed for-profit nursing home in Round Rock, Texas, part of Fundamental Healthcare. In the CMS August 2026 release it reported 1.87 nurse aide hours per resident per day, 6% below the Texas average of 2.00, and 55.1% nursing staff turnover (Texas average 55.3%).
San Gabriel Rehabilitation and Care Center
4100 College Park DrRound Rock, TX 78665
Williamson County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At San Gabriel Rehabilitation and Care Center, nurse aides logged 1.87 hours per resident per day, 6% below the Texas average. With about 87 residents a day, that works out to roughly 163 aide hours a day, or about 20 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.87 | 2.00 | 2.32 |
| Licensed practical nurses | 0.91 | 0.95 | 0.86 |
| Registered nurses | 0.40 | 0.43 | 0.69 |
| All nursing staff | 3.18 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.95 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
55.1% of nursing staff at San Gabriel Rehabilitation and Care Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 50.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 17, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $19,393 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 12, 2025 | Fine | $11,112 |
| Mar 18, 2025 | Fine | $8,281 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. San Gabriel Rehabilitation and Care Center holds 1 of 5 overall; the Texas average is 2.6.
About San Gabriel Rehabilitation and Care Center
- Ownership: For profit - Limited Liability company
- Chain: Fundamental Healthcare, 66 homes
- Legal name: South Limestone Hospital District
- Medicare and Medicaid certified since: Feb 8, 2012
- Councils: resident council
- Area: urban
Nursing homes near San Gabriel Rehabilitation and Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Trinity Care Center Round Rock | 1.7 | 179 | 2.05 | 3.12 | 51.3% | 3 | $10,293 |
| Bel Air at Teravista Round Rock | 2.8 | 112 | 1.97 | 3.38 | 42.9% | 3 | $19,188 |
| Hearthstone Nursing and Rehabilitation Round Rock | 3.8 | 120 | 1.95 | 2.92 | 53.3% | 3 | $25,626 |
| Park Valley Inn Health Center Round Rock · abuse citation | 4.2 | 128 | 2.09 | 3.28 | 55.3% | 2 | $132,582 |
| Falcon Ridge Rehabilitation Hutto | 4.5 | 140 | 1.91 | 2.99 | 40.8% | 2 | $8,577 |
| Five Points of Pflugerville Pflugerville | 5.1 | 111 | 1.93 | 3.08 | 71.6% | 1 | $59,449 |
| Ignite Medical Resort Round Rock, LLC Austin | 5.4 | 70 | 1.77 | 3.89 | 61.2% | 2 | $63,733 |
| The Center at Parmer Austin | 5.7 | 80 | 2.20 | 4.51 | 53.5% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.