The nursing home failed to protect residents from abuse and neglect by others. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
San Gabriel Rehabilitation and Care Center
Round Rock, TX · Medicare-certified · 142 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
San Gabriel Rehabilitation and Care Center has a 1-star overall rating, with 1-star health inspection and staffing ratings and a 3-star quality measures rating. It reported 3.18 nursing hours per resident per day versus the 4.1 federal benchmark, had $19,393 in fines in the last 24 months, and has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.183 hrs/resident/day
Quality measures
Last inspection: April 30, 2026Penalties, last 24 months: $19,393recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.183.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.91
- Nurse aides
- 1.87
- Weekend nursing
- 2.95
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
19.6%12.3%Improving
Residents with a fall causing major injury
5.1%4.9%No change
Residents with pressure ulcers (bedsores)
6.6%3.3%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.6%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.7%1.8%Improving
Residents whose ability to walk got worse
—11.1%—
Long-stay residents on antianxiety or sleep medication
15.2%16.4%Worsening
Short-stay residents newly given an antipsychotic
0.9%3.1%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
1.4%2.7%Worsening
Residents with depressive symptoms
4.1%2.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.7%—
Long-stay residents given the pneumonia vaccine
100%86.4%Worsening
Short-stay residents given the seasonal flu vaccine
—63%—
Short-stay residents given the pneumonia vaccine
83.4%20.8%Worsening
What the inspectors found
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $11,112 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,281 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $19,393 in total fines.
- $11,112
Federal fine
Sep 12, 2025
- $8,281
Federal fine
Mar 18, 2025
Operator & ownership
Recent ownership change · Apr 1, 2017
Now operated by South Limestone Hospital District, previously Care Inn of Seguin LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of FUNDAMENTAL HEALTHCARE · 67 homes · 2.4 stars avg
- Occupancy
- 87.2 residents on an average day (61% of 142 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 14 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.