San Gabriel Rehabilitation And Care Center
San Gabriel Rehabilitation and Care Center in Round Rock, TX — inspection on April 30, 2026.
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 the investigation, the facility protects the patient/resident, as appropriate, including but not limited to the following:A.
Removal of the alleged abuser from the patient/resident care setting.B.
Enforcing a Zero Tolerance standard for retaliation against the alleged victim.
676308 04/30/2026
San Gabriel Rehabilitation and Care Center 4100 College Park Dr Round Rock, TX 78665
if the nurse did. Resident #3 stated that the nurses at the facility were helpful and that she received
04/30/26 at 1:40 PM, RN A stated she was the nurse responsible for Resident #1 and was tasked
from external environmental factors, there was a risk of cross-contamination and microorganism colonization, which could lead to serious respiratory and other infections. RN A stated as the charge nurse on that day, she should have identified this noncompliance and corrected it immediately.During an interview on 04/30/26 at 1:50 PM, LVN B stated she was the charge nurse for Resident #2 and Resident #3.
She stated she usually stores the nebulizer masks immediately after medication administration.
She stated she was unsure about what happened on this day and that the residents or their family members might have taken the masks out of the packet. LVN B stated she was ultimately responsible for ensuring they were stored safely in a bag.
She stated that sanitizing and protecting the masks and tubes help to limit the spread of respiratory diseases through contamination.In an interview conducted on 04/30/26 at 3:30 PM, the DON stated that nebulizer masks, tubing, and oxygen nasal cannulas should be cleaned and stored in a clean protective bag after use.
She stated the practice was intended to minimize the risk of respiratory infections caused by contaminated equipment.
The DON stated it was the nurses' responsibility to ensure this process was completed after medication administration.
She stated it was important for nurses to conduct regular rounds to verify the proper storage of respiratory devices.
Record review of the in-service since [DATE] revealed there were no in services on safe handling of respiratory equipment.
Review of the facility policy Respiratory treatment, care and services program revised on 05/05/26 reflected: The Facility ensures the safe, appropriate and effective provision of respiratory treatment, care and services in accordance with professional standards of practice, the resident's plan of care and personal choice.
Respiratory Equipment Maintenance: Maintenance of all respiratory equipment is in accordance with manufacturer specifications and consistent with federal, state, and local laws and regulations.Infection control practices including standard and transmission-based precautions are followed during:A.
Provision of respiratory care, treatment, and services.B.
Handling of equipment, including cleaning, storage, and disposal of regular and biohazardous waste.
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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.