San Gabriel Rehabilitation and Care Center
4100 College Park Dr, Round Rock, TX 78665
Round Rock, Texas · CMS verdict
On the federal five-star scale, San Gabriel Rehabilitation and Care Center carries a 1 of 5 CMS overall rating, below-average quality that runs below Texas's state average of 2.8.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
San Gabriel Rehabilitation and Care Center in Round Rock, Texas holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 20 of 100 (grade F). The 142-bed facility operates where a semi-private nursing-home room in Texas runs a median of $5,627 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (larger bed book)
At 142 certified beds, this facility sits in the upper U.S. bed tercile (>120). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 20 is built
Each segment is a dimension's weighted points toward the score, summing to 20.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
San Gabriel Rehabilitation and Care Center's larger certified-bed book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts San Gabriel Rehabilitation and Care Center's overall quality rating at 1 out of 5 stars, a composite of three sub-ratings: health inspection (1/5), staffing (1/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Round Rock, Texas, this facility operates 142 certified beds with an average daily census of roughly 96 residents - an occupancy rate of about 68%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 68% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Texas, San Gabriel Rehabilitation and Care Center is one of 313 for profit - limited liability company nursing homes CMS rates. Its 1-star overall rating sits below the for profit - limited liability company-segment average of 2.5 stars, ahead of roughly 0% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (30 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How San Gabriel Rehabilitation and Care Center's lower-tercile stars compare to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where San Gabriel Rehabilitation and Care Center ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, San Gabriel Rehabilitation and Care Center’s 1-star overall rating is higher than 0% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
267 Texas homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 142 |
| Residents | 96 |
| Ownership | For profit - Limited Liability company |
| County | Williamson |
| Penalties | 1 |
| Deficiencies | 30 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about San Gabriel Rehabilitation and Care Center's larger facility
What is the quality rating for San Gabriel Rehabilitation and Care Center? ▾
1 out of 5 stars is San Gabriel Rehabilitation and Care Center's current CMS overall rating, built from a health inspection rating of 1/5, a staffing rating of 1/5, and a quality measures rating of 3/5.
How much does a nursing home cost per month in Texas? ▾
The median cost for a semi-private nursing home room in Texas is $5,627 per month ($67,525 annually). A private room averages $7,604 per month. Costs are from the CareScout 2025 survey.
What services does San Gabriel Rehabilitation and Care Center offer? ▾
San Gabriel Rehabilitation and Care Center operates as a skilled nursing facility (142 beds with approximately 96 current residents) under for profit - limited liability company ownership. CMS inspections have recorded 30 deficiencies and 1 penalties there.
Does San Gabriel Rehabilitation and Care Center have any deficiencies or penalties? ▾
San Gabriel Rehabilitation and Care Center has multiple deficiencies (30 total) and 1 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Keep reading
Also see the Texas elder-care overview and highest-rated states. Provider ID: 676308.
Read our methodology - how this data is sourced, computed, and verified.