San Gabriel Rehabilitation And Care Center
San Gabriel Rehabilitation and Care Center in Round Rock, TX — inspection on September 12, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 09/11/25 at 6:29 PM, the ADM stated CNA A had been terminated
jeopardy to resident health or safety
676308 09/12/2025
San Gabriel Rehabilitation and Care Center 4100 College Park Dr Round Rock, TX 78665
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 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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.