San Gabriel Rehabilitation And Care Center has received an F grade based on CMS data, with a score of 21/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Round Rock facility should carefully review its inspection history and quality metrics.
With 2.97 total nurse hours per resident per day, San Gabriel Rehabilitation And Care Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 30 deficiencies at San Gabriel Rehabilitation And Care Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.97 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.38 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.87 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.72 | 2.4 | Below Average |
| Weekend Total Nursing | 2.71 | 3.8 | Below Average |
| Weekend RN Hours | 0.21 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Dec 22, 2025 · Pharmacy Service Deficiencies
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Sep 11, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0610 Severity JRespond appropriately to all alleged violations.Sep 11, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dJul 16, 2025 · Resident Rights Deficiencies
- Tag 0604 Severity EEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.Jul 16, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.8% | 4.5% | Average |
| Falls with major injury | 3.9% | 3.0% | Worse |
| On antipsychotic medication | 20.7% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 19.7% | 14.0% | Worse |
| Excessive weight loss | 1.9% | 7.5% | Better |
| New/worsened incontinence | 6.7% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $8,281
How This Grade Was Calculated
This facility's grade of F is based on a score of 21 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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