San Gabriel Rehabilitation and Care Center

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

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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

    3.76·(115)

    Overall rating

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

      3.6
    • Staff

      3.7
    • Meals

      3.4
    • Amenities

      4.3
    • Value

      4.0

    Pros

    • Compassionate and knowledgeable nursing staff
    • Strong rehabilitation and therapy services
    • Clean, modern, well-maintained facility and grounds
    • Helpful admissions liaison and Medicaid guidance
    • Varied meal selection and three hot meals daily
    • Engaging activities and spiritual services
    • Supportive social-work and care-coordination
    • Reasonable pricing and family-centered approach
    • Smooth short-term admission and discharge processes
    • Welcoming communal spaces and therapy center

    Cons

    • Inconsistent staffing levels and shift-to-shift variability
    • Uneven nurse and aide responsiveness to resident needs
    • Medication-administration delays and medication-management gaps
    • Gaps in clinical documentation and care-plan updates
    • Inconsistent meal preparation and feeding assistance
    • Sanitation and odor concerns in some areas
    • Personal-item management problems and allegations of theft
    • Poor family communication and slow notification of changes
    • Weak end-of-life coordination and hospice integration
    • Heavy reliance on agency/fill-in staff affecting continuity

    Summary of reviews

    The reviews present a mixed but informative picture of San Gabriel Rehabilitation and Care Center. Across many accounts, the facility is praised for its rehabilitation program, therapy staff, and several aspects of clinical care: physical, occupational, and speech therapy teams are repeatedly described as effective and encouraging, and short-term rehabilitation outcomes leading to return home are noted by multiple families. The building, grounds, and common areas receive frequent positive mention for being modern, clean, and well maintained, and the admissions/liaison staff are often described as helpful in arranging benefits such as Medicaid support.

    Care quality and staff performance emerge as polarized themes. Numerous reviewers describe compassionate, knowledgeable nurses, aides, and specialty clinicians (wound care, PT/OT), and there are multiple accounts of individual staff members going above and beyond. At the same time, reviews document variability in day-to-day staffing and performance: third-shift coverage, use of fill-in staff, and periods of understaffing are associated with slower response times to call bells, less time-per-patient, and inconsistent bedside assistance. Reviewers describe delays in attending to basic needs and in some cases raise concerns about staff conduct and responsiveness. Medication-management problems are a recurring operational concern — examples include late medication delivery, inconsistent patch/catheter handling, and other medication-administration delays that cumulatively point to gaps in medication processes and monitoring.

    Dining and activities receive mixed but generally positive feedback. Many families find the meal selection acceptable and note three hot meals daily and decent variety; others describe inconsistent food quality and instances where assistance with feeding or meal plating did not meet expectations. Activity programming, including arts and crafts and Sunday spiritual services, is frequently mentioned as a supportive part of daily life for residents and families.

    Facility upkeep and housekeeping are strengths for many residents: reviewers often note spotless hallways, tidy rooms, and well-kept outdoor spaces. However, there are intermittent sanitation and odor concerns reported in some areas, as well as instances of room-level cleanliness issues (e.g., spills, missed cleaning under beds). Several reviews also raise operational concerns about personal-item handling, including missing laundry or belongings and at least one account characterized as an allegation of theft, which suggests a need for stronger property-management protocols.

    Communication and management responsiveness show a similar pattern of strengths and gaps. Some families describe proactive, informative communication from nurses, social workers, and leadership, and they note that management has been responsive when engaged. Conversely, other families report difficulty reaching staff, voicemail problems, delayed or absent family notifications about care changes or room moves, and a perception that formal grievances are needed to prompt corrective action. A small number of reviews express serious concerns about end-of-life care coordination and hospice integration; these matters are significant and suggest families should ask specifically about the facility’s policies and experience with hospice providers during tours and admission discussions.

    Overall, San Gabriel demonstrates clear strengths in rehabilitation services, a generally clean and modern environment, and numerous individual staff members who provide compassionate care. The dominant operational weaknesses center on staffing consistency, medication and clinical documentation processes, family communication, and safeguards around personal property and end-of-life coordination. Prospective residents and families considering this facility would be well advised to observe shift handoffs, ask for specifics about medication administration and wound-care protocols, review policies on personal-item tracking, and confirm how the facility coordinates with hospice and informs families about clinical changes. These focused inquiries can help determine whether the facility’s strong therapy and facility attributes align with the consistency of daily care you require.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.

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

    Location

    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 22 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.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RqHfaAAF
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity142 residents
    LicenseeSouth Limestone Hospital District
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    5

    Reports

    18

    Citations

    0

    Complaints

    1

    Years

    08 Oct 2026Inspection
    Found deficiencies related to care planning requirements: care plans weren't developed within 7 days after assessments, and plans lacked timeframes and measurable actions.
    • —Health Visit
    • —Health Visit
    24 Sept 2026Inspection
    Found a deficiency in care and services not aligned with the resident's assessment and care plan. The deficiency affected the resident's ability to attain or maintain well-being.
    • —Health Visit
    04 Sept 2026Inspection
    Identified four deficiencies related to infection control, food safety, and residents' rights.
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    03 Sept 2026Life Safety
    Found deficiencies in sprinkler head inspection and NFPA compliance, generator program recordkeeping, and weekly generator load testing.
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    15 Aug 2025Inspection
    Identified eight deficiencies related to residents' rights, restraints, care planning, staffing, medication security, infection control, room safety, and PL1-admission procedures.
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit

    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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