San Gabriel Rehabilitation and Care Center

CMS abuse icon · CCN 676308 · SOUTH LIMESTONE HOSPITAL DISTRICT · For profit - Limited Liability company · FUNDAMENTAL HEALTHCARE chain · 142 certified beds · Williamson · TX


San Gabriel Rehabilitation and Care Center is a 142-bed nursing home in Round Rock, Texas. CMS has certified it for Medicare and Medicaid since 2012-02-08. It averages 87.2 residents a day.

What harm was found in the violations cited at San Gabriel Rehabilitation and Care Center?

CMS lists 32 health-inspection deficiencies for San Gabriel Rehabilitation and Care Center since 2023-04-05, 27 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-30.

Survey dateTagDeficiencySeverity
2026-04-30F0600, F0695Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide safe and appropriate respiratory care for a resident when needed.E
2025-12-23F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-09-12F0600, F0610Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations.J
2025-07-17F0584, F0604, F0725Honor 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2025-07-17F0550, F0645, F0677, F0755, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program.D
2025-04-14F0558Reasonably accommodate the needs and preferences of each resident.E
2025-03-18F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-01-22F0761Ensure 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
2024-09-25F0600, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-06-20F0880Provide and implement an infection prevention and control program.D
2024-05-30F0558, F0604, F0641, F0655, F0656, F0919Reasonably accommodate the needs and preferences of each resident. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2024-03-21F0919Make sure that a working call system is available in each resident's bathroom and bathing area.D
2023-08-21F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-04-05F0803, F0880Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Provide and implement an infection prevention and control program.E
2023-04-05F0583, F0695, F0806Keep residents' personal and medical records private and confidential. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D

Why was San Gabriel Rehabilitation and Care Center fined 2 times?

DateTypeAmount
2025-09-12Fine$11,112
2025-03-18Fine$8,281

How is San Gabriel Rehabilitation and Care Center staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.183033.38539
Total nursing staff turnover (%)55.155.3
Average number of residents per day87.275.8

Who owns San Gabriel Rehabilitation and Care Center, and what chain is it in?

San Gabriel Rehabilitation and Care Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name SOUTH LIMESTONE HOSPITAL DISTRICT and belongs to the FUNDAMENTAL HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTSOUTH LIMESTONE HOSPITAL DISTRICTsince 04/01/2017
CORPORATE DIRECTORPRICE, LARRYsince 04/01/2017
OPERATIONAL/MANAGERIAL CONTROLCARE INN OF SEGUIN LLC, ARREDONDO, MARYsince 04/01/2017
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFFORMAN, MURRAYsince 11/30/2025
ADP OF THE SNFFUNDAMENTAL ADMINISTRATIVE SERVICES LLC, FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC, ARREDONDO, MARY, RATHI, ANILsince 01/01/2021

Were you or a family member harmed at San Gabriel Rehabilitation and Care Center?