San Gabriel Rehabilitation And Care Center
4100 College Park Dr, Round Rock, TX, 78665
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Order the reportFederal 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 June 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 93 residents/day
- Total nursing staff turnover
- 53.7% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $19,393 total
Medicare certification
- CMS Certification Number
- 676308
- Certified beds
- 142 beds · avg 93 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- South Limestone Hospital District
- Chain affiliation
- Fundamental Healthcare
CMS Care Compare, processing date June 1, 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 May 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 32)
- E0695·Apr 30, 2026Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0600·Apr 30, 2026Complaint
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.
- 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.
Federal penalties
By year
- 20252 fines · $19K
Most recent events
- Sep 12, 2025Fine · $11K
- Mar 18, 2025Fine · $8,281
Largest single fine on record: $11K.
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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about San Gabriel Rehabilitation And Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.