San Gabriel Rehabilitation And Care Center
San Gabriel Rehabilitation and Care Center in Round Rock, TX — inspection on December 23, 2025.
Found 1 citation. 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
feeding tube. An interview with the DON on [DATE] at 2:15 PM was conducted.
The DON stated the orders for Ingrezza 80 mg were written by the Doctor on [DATE] with a start date of [DATE].
The DON stated, she had placed a verbal order to the pharmacy on [DATE] and she was asked by the Pharmacy Technician for a written, signed order.
The DON stated, she sent the written, signed order and she didn't find out that the pharmacy did not have the prescription in stock until Monday morning [DATE].
The DON stated she placed a follow up call to the pharmacy on [DATE] and she was told the prescription had been ordered from the manufacturer and the expectation was that it would arrive on [DATE].
The DON stated she could not preorder the medication because R#1 did not have prescription coverage until [DATE].An Interview with the Doctor on [DATE] at 4:01 PM was conducted.
The Doctor stated he ordered Ingrezza 80 mg. for R#1 on [DATE] with a start date of [DATE].
The Doctor stated he was working with the Manufacture Representative to try and get samples delivered to the facility as soon as possible.
The Doctor stated if R#1 did not get her medication her symptoms from Tarda Dyskinesia would return.
The Doctor stated, We have studied this medication, and the patient would not have any escalation of symptoms if she did not get this medication.
The Doctor confirmed he could not prescribe an alternative medication for R#1's condition because this was the only one of its kind that can be administered via a feeding tube.
Record review of the Nursing Policies and Procedures Medication Management Program revised [DATE], revealed medications are administered no more than one hour before to one hour after the medication pass time.Record Review of PHARMACY SERVICES POLICIES AND PROCEDSECTION 7 - MEDICATION PROCUREMENTSUBJECT: 7.1.0 ACQUISITION OF ROUTINE MEDICATION ORDERSPOLICY:1.
The facility must provide or obtain routine medications and biologicals to meet the needs of each resident.PROCEDURES1.
New admission / readmission / New OrdersA.
For hard-copy medical records, ensure that all medications and biological orders are written, dated and signed by the Physician/Prescriber lawfully authorized to give such an order. B.
Fax hard copy physician/prescriber orders to the pharmacy, whenapplicable
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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.