San Gabriel Rehabilitation And Care Center
4100 COLLEGE PARK DR, Round Rock, TX, 78665
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Fundamental Healthcare
- Certified beds
- 142 · avg 96 residents/day
- Total nursing staff turnover
- 54.5% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 54.5% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,281 total
State licensing & capacity
- License number
- 147675
- Service type
- Medicare/medicaid
- Licensed capacity
- 142 beds
- Bed type breakdown
- 46 Medicare-only · 96 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- January 13, 2012
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- South Limestone Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Care Inn Of Seguin Llc Dba Seguin Care Llc
- Administrator
- Mary Jane Garcia
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Fundamental Healthcare chain — 69 facilities across 7 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (7 on record)
- Mary Arredondo
Operational/managerial Control · since 2024
- Anil Rathi
Adp of The Snf · since 2021
- Care Inn of Seguin Llc
Operational/managerial Control · since 2017
- Fundamental Administrative Services Llc
Adp of The Snf · since 2017
- Fundamental Clinical And Operational Services, Llc
Adp of The Snf · since 2017
- Larry n Price
Corporate Director · since 2017
+ 1 additional owner on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 30)
- D0755·Dec 23, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- J0610·Sep 12, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- J0600·Sep 12, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0880·Jul 17, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0755·Jul 17, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0725·Jul 17, 2025
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D0677·Jul 17, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0645·Jul 17, 2025
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Federal penalties
By year
- 20251 fine · $8,281
Most recent events
- Mar 18, 2025Fine · $8,281
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: May 30, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
San Gabriel Rehabilitation And Care Center is a 142-bed nursing home in Round Rock, Texas, licensed through April 2026 and managed by Care Inn of Seguin LLC under a hospital district licensee. CMS rates it 1 star overall, 1 star on health inspections, and 1 star on staffing — the lowest rating in each category. CMS has substantiated findings of abuse or neglect here within the past 36 months. About 96 of 142 beds are occupied.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier among Texas nursing homes, a group that accounts for about 38% of facilities in the state. Each resident receives roughly 178 minutes of total nursing care per day, about 63 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. That finding underlies the 1-star health inspection rating.
Total nursing staff turnover ran at 54.5% over the past year. That works out to roughly 5 or 6 in 10 nursing staff leaving — a long-stay resident will likely go through two or three primary caregivers over the course of a year. RN turnover matched that same rate of 54.5%.
One administrator has left in the past year. That is one departure, not a pattern, but it coincides with a period of already-low staffing and safety findings.
The facility is running at about 67% of its licensed 142 beds — roughly 96 residents per day. Beds are available.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse or neglect findings
CMS has recorded substantiated abuse or neglect findings here within the past 36 months — ask what happened, what changed, and how the facility monitors for it now.
Staffing levels on nights and weekends
Reported weekend nursing hours run at 2.7 minutes per resident per hour — below the already-low weekday figure; ask how many nurses and aides are on the floor overnight and on Saturdays and Sundays.
RN coverage and continuity
RN turnover reached 54.5% in the past year; ask which RN will be assigned to your family member and how long that person has been in the role.
Recent administrator departure
One administrator left in the past year — ask who is currently leading the facility, how long they have been in this role, and whether a permanent replacement has been named.
Available beds and care priority
The facility is at about 67% occupancy with roughly 46 beds open; ask whether recent departures reflect voluntary discharges, transfers for higher-level care, or other factors.
Resident Council access and activity
The facility has a Resident Council but no Family Council; ask how often the Resident Council meets and how families are informed of concerns raised there.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.