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Complaint Investigation

San Gabriel Rehabilitation And Care Center

April 30, 2026 · Round Rock, TX · 4100 College Park Dr
Citations 2
CMS Rating 1/5
Beds 142
Provider ID 676308
Healthcare Facility
San Gabriel Rehabilitation And Care Center
Round Rock, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

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

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies

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.

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.


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About This Inspection Report

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.