San Gabriel Rehabilitation And Care Center
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
was readily available and posted at the nursing stations. All staff were able to define types of abuse and neglect and state how to identify it. The staff gave examples of abuse and were able to name different types of abuse. They all stated they learned all complaints were documented on a grievance report to be given to
the ADM or SW. Staff stated all reports of abuse should be investigated and the resident assessed for injuries. Staff stated they learned the alleged perpetrator was suspended during the investigation. During an
interview on 09/12/25 at 6:13 PM, the DON stated CNA A had been terminated. She stated before the termination, he had issues with being late and not following directions. She stated she was not aware of an ANE allegations against him. She stated notes were reviewed and no resident issues were identified. The DON stated she received ANE and grievance in-service from the clinical consultant on 09/12/25. She stated
she learned ANE can be identified when it is seen or reported by a resident, found during an assessment, or witnessed. She was able to define abuse and give examples of different types of abuse. The DON stated if an alleged perpetrator is identified, they were immediately suspended and had to leave immediately. She stated the ADM would be notified and provide further direction. She stated abuse was reported if it was valid and met the state criteria. The DON stated the resident was assessed and the findings documented in
the progress notes. She stated all allegations were investigated. The DON stated the documentation was kept in a soft file as the investigation was conducted. In the EMR a physical assessment was documented
in the progress notes and depending on what it was, document for three days. She stated staff and residents and whoever worked that shift were interviewed. The DON stated staff were in-serviced on ANE and grievances and a test was completed, and a copy was provided to the staff. She stated new staff were trained during orientation. The DON stated everyone who had come into the building had been educated and sent a test message with the information then the test completed and returned. She stated the 10:00 PM staff were to be educated prior to the start of their shift. The DON stated incident reports and grievances would be reviewed daily at the morning meeting. She stated the DON was responsible for the incident reports and the SW responsible for the grievance reports. The weekend supervisor was responsible for both on the weekend. The results will be documented on the tracking form. The DON stated
the SW would interview four residents per day and HRD would interview three staff a day. The DON stated
the QAPI meeting was conducted on 09/11/25. During an interview on 09/11/25 at 6:29 PM, the ADM stated CNA A had been terminated related to a violation on the code of conduct and he had som
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/12/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
San Gabriel Rehabilitation and Care Center
4100 College Park Dr Round Rock, TX 78665
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0610
F 0610 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
criteria. The DON stated the resident was assessed and the findings documented in the progress notes.
She stated all allegations were investigated. The DON stated the documentation was kept in a soft file as
the investigation was conducted. In the EMR a physical assessment was documented in the progress notes and depending on what it was, document for three days. She stated staff and residents and whoever worked that shift were interviewed. The DON stated staff were in-serviced on ANE and grievances and a test was completed, and a copy was provided to the staff. She stated new staff were trained during orientation. The DON stated everyone who had come into the building had been educated and sent a test message with the information then the test completed and returned. She stated the 10:00 PM staff were to be educated prior to the start of their shift. The DON stated incident reports and grievances would be reviewed daily at the morning meeting. She stated the DON was responsible for the incident reports and
the SW responsible for the grievance reports. The weekend supervisor was responsible for both on the weekend. The results will be documented on the tracking form. The DON stated the SW would interview four residents per day and HRD would interview three staff a day. The DON stated the QAPI meeting was conducted on 09/11/25. During an interview on 09/11/25 at 6:29 PM, the ADM stated CNA A had been terminated related to a violation on the code of conduct and he had some write-up. She stated there were no previous allegations of abuse, more so attendance issues. She stated progress notes were reviewed from 06/01/25 through 07/25/25 and no issues were identified, and no reports were made. The ADM stated
she received ANE and grievance training from the regional clinical nurse on 09/11/25. She stated Abuse was identified through observation, in writing, and it could be from watching trends in the residents. She defined abuse as the willful infliction of injury or unreasonable confin
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San Gabriel Rehabilitation and Care Center in Round Rock, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Round Rock, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from San Gabriel Rehabilitation and Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.