During the first quarter of 2026, San Gabriel Rehabilitation and Care Center ranked as the second largest nursing facility in Williamson County, tied with The Wesleyan Skilled Nursing and Rehabilitation. This information is based on data from the Centers for Medicare and Medicaid Services (CMS).
The facility provided a total of 142 available beds, surpassing the Williamson County average by 22 beds in the first quarter of 2026. San Gabriel Rehabilitation and Care Center served an average of 92.5 residents in that timeframe.
The CMS gave the center an overall rating of 1 out of 5, which was lower than Texas’ nursing home average of 2.7 at that time.
Trinity Care Center led as the county’s largest nursing home during the same period, offering 179 beds.
As of the first quarter of 2026, San Gabriel Rehabilitation and Care Center had paid a total of $19,393 through two fines and received two penalties.
There were 11 for-profit nursing homes operating in Williamson County, Texas during this period.
U.S. Census Bureau estimates show the older adult population in the United States continues to rise while younger cohorts decline. Between 2020 and 2024, Americans age 65 and over rose by 13%, while the number of people under 18 dropped by 1.7%. The older adult population has rapidly increased over the past 100 years, growing from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 report estimated that close to half of adults 65 and older—around 28 million Americans—may need long-term services and supports. That report also indicated that more than one-third could eventually require care in a nursing facility.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance-focused educational group. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Trinity Care Center | 1 |
| 2 | The Wesleyan Skilled Nursing and Rehabilitation | 2 |
| 2 | San Gabriel Rehabilitation and Care Center | 1 |
| 4 | Falcon Ridge Rehabilitation | 2 |
| 5 | Park Valley INN Health Center | 2 |
| 6 | Sagebrook Nursing and Rehabilitation | 4 |
| 7 | Cedar Pointe Health and Wellness Center | 4 |
| 8 | The Springs Healthcare and Rehabilitation | 5 |
| 8 | Hearthstone Nursing and Rehabilitation | 3 |
| 10 | Park Place Care Center | 1 |
| 11 | New Hope Manor | 4 |
| 12 | Bel Air at Teravista | 4 |
| 13 | SPJST Rest Home 1 | 2 |
| 14 | The Center at Parmer | 5 |
| 15 | Ignite Medical Resort Round Rock, LLC | 2 |
Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.
