San Gabriel Rehabilitation and Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 79 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (13 vs median 8.0)
- High staff turnover (54%)
- High RN turnover (54%)
Bottom 25% in Texas · Below recommended RN staffing · Worst in FUNDAMENTAL HEALTHCARE chain · $8,281 in fines · Abuse citation
What this means for your family
This facility is a strong candidate for short-term rehabilitation, particularly for those needing intensive physical or occupational therapy. However, families must be extremely vigilant regarding medical monitoring and hygiene, as multiple reviewers have reported serious issues with untreated infections and slow response to call lights. Additionally, ensure you have a plan for in-person visits, as communicating with the nursing station by phone has proven unreliable for many.
Google Reviews
Google Reviews
79 reviews on Google“Families seeking rehabilitation services often praise the facility for its effective physical therapy and compassionate nursing staff. However, there are serious, recurring allegations regarding medical neglect, including untreated infections (UTIs/sepsis) and high fall risks, alongside significant difficulties reaching the facility by phone.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy
- Compassionate and attentive nursing staff
- Clean and well-maintained facility
- Welcoming admissions and administrative staff
Concerns
- Difficulty contacting the facility/nurses station by phone (mentioned by 4 reviewers)
- Allegations of medical neglect and untreated infections (UTI/Sepsis) (mentioned by 4 reviewers)
- Staffing shortages leading to slow response to call lights (mentioned by 3 reviewers)
- Inconsistent cleanliness in certain areas/rooms (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 87 analyzed
How They Respond to Reviews
The owner relies heavily on a small set of repetitive, templated responses for positive reviews, often failing to acknowledge specific details or names mentioned. While they attempt a more professional and serious tone for negative reviews, the overall pattern is highly automated.
Questions for Your Tour
- 1We've heard great things about your therapy programs; can you tell us more about how the physical and occupational therapy sessions are tailored to each resident's needs?
- 2What steps are being taken to ensure that call lights are answered quickly and that staff are available whenever a resident needs assistance?
- 3How does the nursing team manage communication with families, especially if we need to reach the nurses' station or an administrator after hours?
- 4Can you walk us through your protocols for monitoring and treating medical issues like infections to ensure residents receive timely care?
- 5What is the daily meal schedule like, and how do you ensure the dining experience is both nutritious and enjoyable for the residents?
- 6What kind of social activities or daily programs do you have in place to keep the residents engaged and active within the community?
Personalized based on this facility's data
Key Review Excerpts
“I recovered so well that I am able to go home! They also have a great breakfast selection.”
“My mother was neglected and left in her wheelchair wet and cold, she fell due to them not answering the call light!”
“As it turns out, he receives more occupational therapy and physical therapy every day at San Gabriel than he ever [received elsewhere].”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
6
measures
4
measures
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with families filing 12 complaints that triggered federal inspections, revealing recurring issues with abuse protection, safety supervision, and medication management. The facility has faced multiple violations for protecting residents from abuse and neglect, maintaining safe environments free from hazards, and proper pharmaceutical services, with some problems repeating across different surveys. While all deficiencies show correction dates, the frequency of family complaints and repeated issues in critical safety areas warrant careful consideration during any visit.
Dec 23, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 12, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Jul 17, 2025Routine8
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 14, 2025Complaint2
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Mar 18, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 22, 2025Complaint1
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Federal Penalties
Fine
Sep 12, 2025
$11,112
Fine
Mar 18, 2025
$8,281
Ownership & Operations
Who Operates This Facility
South Limestone Hospital District
for profit
CARE INN OF SEGUIN LLC DBA SEGUIN CARE LLC
MARY JANE GARCIA
Chain Affiliation
Fundamental Healthcare
69 facilities nationwide
Chain avg rating: 2.8/5 · Rank 26 of 26 (Worst)
Ownership & Management
Owners
South Limestone Hospital District
Owner · Organization
Forman, Murray
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
79 reviews from families & visitors
Official Website
Visit sangabrielrehabcenter.com
Medicare data downloads
Original nursing home datasets
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