CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Hearthstone Nursing and Rehabilitation is a 2-star Medicare and Medicaid certified nursing home in Round Rock, Texas with 120 certified beds. It has been operating since 1988. Its overall CMS rating is 2 out of 5.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that residents are fully informed and understand their health status, care and treatments.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| STRATFORD HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jun 1, 2020 |
| GRANITE HEARTHSTONE HEALTH CENTER, LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Jun 1, 2020 |
| CHUMLEY, RICHARD | CORPORATE OFFICER | Individual | N/A | Jun 1, 2020 |
| CARADAY HEARTHSTONE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jun 1, 2020 |
| MOORE, GREGORY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 1, 2020 |
| CHOI, MARYANN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Apr 4, 2025 |
| CHOI, ROBERT | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Apr 4, 2025 |
| CUNNINGHAM, ERNEST | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Apr 4, 2025 |
| O'DONOGHUE-STALLARD, MAIRE | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Apr 4, 2025 |
| STALLARD, THOMAS | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Apr 4, 2025 |
| WOOD, STEPHEN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Apr 4, 2025 |
| GRANITE HEARTHSTONE HEALTH CENTER, LLC | ADP OF THE SNF | Organization | N/A | Jun 1, 2020 |
| JAVADI, JASMINE | ADP OF THE SNF | Individual | N/A | Jun 1, 2020 |
| WAGES, ADRIANA | ADP OF THE SNF | Individual | N/A | Mar 24, 2025 |
Compare CMS ratings and recorded fines for Hearthstone Nursing and Rehabilitation and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 9 facilities. View all →