San Gabriel Rehabilitation and Care Center

    4100 College Park Dr, Round Rock, TX 78665
    • Skilled Nursing

    Compassionate staff clean facility recommended

    I'm very pleased with the compassionate, attentive staff-nurses, CNAs and therapists-who kept my loved one comfortable and made steady rehab progress. The facility is clean, well-managed, with good meals and clear communication; I would recommend it to a friend.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.72·(112)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.6
    • Staff

      3.6
    • Meals

      3.4
    • Amenities

      4.3
    • Value

      4.0

    Pros

    • Compassionate, attentive nursing and caregiving staff
    • Strong rehabilitation and physical/occupational therapy program
    • Clean, modern facility and well‑maintained grounds
    • Organized admissions and helpful intake coordination
    • Engaging activities and spiritual programming
    • Supportive social-work and care-coordination services
    • Varied meal selections and nutrition availability
    • Accessible therapy center and spacious dining areas
    • Family‑communication tools (video calls, liaison support)
    • Responsive clinical specialists (wound care, PT) when involved

    Cons

    • Inconsistent staffing and shift-to-shift variability
    • Medication-administration and medication-management gaps
    • Delays in responding to call lights and basic care needs
    • Inconsistent communication and family updates
    • Reactive, complaint-driven problem resolution
    • Gaps in care-plan documentation and clinical handoffs
    • Inconsistent meal preparation and dining-assistance practices
    • Laundry and personal‑property handling issues
    • Intermittent sanitation and odor concerns in some areas
    • Use of temporary/agency staff with variable performance
    • Allegations of theft and financial misconduct
    • End-of-life care coordination and hospice-communication gaps

    Summary of reviews

    Reviews for San Gabriel Rehabilitation and Care Center present a mixed but detailed picture. Many families and residents praise the facility’s rehabilitation services, citing effective, goal‑oriented physical and occupational therapy and visible functional progress. Numerous comments highlight individual clinical specialists (wound-care nurses, physical therapists) and care coordinators as knowledgeable and helpful. The building and outdoor spaces are frequently described as modern, well maintained, and clean; dining rooms and therapy areas receive positive remarks. Several reviewers specifically praised organized admissions, supportive social-work engagement, and family‑communication tools such as scheduled video calls and a resident-liaison role.

    Care quality and staff performance appear inconsistent across shifts and personnel. While leadership, some nurses, and many aides are described as compassionate and attentive, multiple accounts point to variability in frontline staffing — particularly on night shifts and when temporary agency staff are used. Operational patterns inferred from reviews include delays in attending to basic needs and call-light responses, inconsistent assistance with meals and personal care, and gaps in routine tasks such as turning schedules, catheter/patch protocols, and timely medication administration. These operational gaps have, in several cases, required families to file formal grievances before corrective action was taken.

    Dining and daily living experiences are uneven. A number of reviewers enjoyed a decent selection of meals and found the food acceptable, while others described dry food, inconsistent plating, or insufficient mealtime assistance for residents who require help. Activities programming and spiritual services (including church services and arts/crafts) are generally viewed positively and contribute to family satisfaction and resident engagement.

    Facility upkeep is generally a strength at the institutional level: many reviewers report spotless common areas and an orderly environment. Nevertheless, some noted room‑level sanitation concerns (for example, missed cleaning under beds), intermittent odors in hallways or rooms, and problems with laundry return or lost personal items. These issues coexist with many positive cleanliness reports, indicating variability between units or shifts rather than a uniform condition.

    Management and communication present a mixed pattern. Several families commended specific administrators, the ADON, and social work staff for responsiveness and coordination. Conversely, others described poor communication practices: voicemail or phone unreliability, limited proactive updates to families, room moves without notification, and a perception that problems are addressed only after formal complaints. A few reviews included serious, individual claims — including allegations of theft and concerns following a resident’s death — that led to regulatory complaints for further investigation.

    For prospective residents and families: this facility offers strong rehabilitative services, many caring staff members, and a well‑maintained environment that satisfies numerous families. At the same time, operational weaknesses — inconsistent staffing, medication and basic‑care response lapses, communication gaps, and occasional property handling issues — are recurring themes. When evaluating placement, consider asking targeted questions about staffing ratios by shift, medication-administration protocols and oversight, care‑plan update procedures, laundry/personal‑property policies, and the facility’s escalation and grievance processes. A focused tour of the unit where the resident would be placed, conversations with therapy and nursing leadership, and clarification of hospice coordination procedures can help assess fit given the mix of positive clinical strengths and operational concerns described by reviewers.

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    Medicare Ratings

    1·/ 5
    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of San Gabriel Rehabilitation and Care Center

    San Gabriel Rehabilitation and Care Center is located at 4100 College Park Dr, Round Rock, TX, 78665.

    About San Gabriel Rehabilitation and Care Center

    San Gabriel Rehabilitation And Care Center in Round Rock, TX, offers a mix of short-term and long-term care with 142 certified beds and both private and semi-private suites, and you'll find friendly staff and a clean, well-kept building that residents and their families say feels homey and smells good inside, with organized routines and familiar faces since many workers have stayed a long time, and there's always a nurse available, whether it's a part-time one or someone on duty 24 hours a day. This care center is part of the Plus Care Network and the Fundamental network and is tied to South Limestone Hospital District, and if you need help with things like bathing, dressing, moving around, or taking medicine, the staff provides that every day and night along with basic nursing services, meal help, and cleaning, and they tailor care plans for each person, coordinating therapy, nursing, and other needs as those change. Residents get medical support like on-site physician visits, intravenous and enteral therapy, pulmonary management, wound care, post-surgical care, and services for high acuity cases, and if you need physical, occupational, or speech therapies, there's a 3,500 square foot rehabilitation gym and specialized programs run by trained staff.

    There's inpatient and outpatient rehabilitation, restorative nursing care, and access to wellness and therapy programs, and the center accepts Medicaid, which helps many people with fees, and admissions are open 24/7, even on holidays, so families don't have to worry about rigid schedules or finding someone to help when it's urgent. Food is served three times a day in a restaurant-style dining room, with snacks and even room service if needed, and meals pay attention to dietary needs too, so folks get the nutrition they require. Common areas include lounges, game rooms, a computer room, and Wi-Fi throughout the units, so it's easy to stay connected or enjoy TV and other entertainment; outside, there's a garden, and staff take groups out on trips or just outdoors as weather allows.

    Housekeeping, laundry, and linen services come standard, and getting to appointments, shopping outings, or activities is arranged with the center's transportation services. Residents can join in organized activities-like bingo, arts and crafts, music sessions, literary or educational groups, tabletop games, and even horticultural activities-and there are purposeful group programs and one-to-one interactions to help maintain physical and mental abilities and give people a sense of routine and satisfaction. The center aims for a comfortable and community-like environment where people can feel productive and well, blending technology with caring staff who try for high standards-though there have been past inspection issues, including pharmacy labeling and safety hazards, with 22 deficiencies and 3 infection-related deficiencies reported-but the center continues to work on improvements as it's been managed by Care Inn Of Seguin LLC, South Limestone Hospital District, Leah Gage, and Larry Price, all since April 2017.

    They recommend visiting from 8 a.m. to 8 p.m., which is a good range for most families, and the average is about 97 residents each day with 3.06 nurse hours per resident and a nurse turnover rate of 51.9%. Despite inspection concerns, the center gets mostly positive reviews from residents and families who say they're satisfied with the care, cleanliness, and friendly staff, and with a mix of medical, therapy, and daily support services, San Gabriel Rehabilitation And Care Center remains a place built to help seniors stay as independent as possible, or recover after a hospital stay, with the staff aiming to foster comfort, safety, and well-being each day.

    People often ask...

    San Gabriel Rehabilitation and Care Center offers skilled nursing.

    There are 10 photos of San Gabriel Rehabilitation and Care Center on Mirador.

    The full address for this community is 4100 College Park Dr, Round Rock, TX 78665.

    No, San Gabriel Rehabilitation and Care Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of San Gabriel Rehabilitation and Care Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact San Gabriel Rehabilitation and Care Center directly. There is no cost for this service. We are compensated by the community you select.

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