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HomeTexasHearthstone Nursing and Rehabilitation

Hearthstone Nursing and Rehabilitation

401 Oakwood Blvd, Round Rock, TX 786815123887494WebsiteGoogle Maps
3.3on Google(83 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
2/5
Quality
4/5
Beds
120
certified
3 fine(s) totaling $152,617

How Hearthstone Nursing and Rehabilitation Compares in Texas

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.

CMS overall rating
2/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
2/5
TX average
1.9/5
Close to state average
Nursing hours per resident
2.92 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.38 hrs/day
TX average
0.43 hrs/day
Close to state average
Staff turnover
53.3%
TX average
55.3%
Close to state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 2.92 hours per resident per day, below the state average of 3.39.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
14
deficiency citations
Inspected Jan 30, 2025
Most recent cycle
7
deficiency citations
Inspected Apr 3, 2026
The most recent cycle recorded 7 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Williamson County 65+
77,609
12.6% of county
County Population
617,396
Williamson County

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.

Beds
120
Avg Residents/Day
93.8
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 26, 1988
Sprinklers
Yes
Council
Both
County
Williamson
Last Inspection
Apr 3, 2026
Deficiencies (Cycle 1)
7
Weighted Score
97.5
Infection Citations
3

Deficiency Citations (26)

F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Apr 3, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Apr 3, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 3, 2026Corrected: NoCycle: 1
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Apr 3, 2026Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jan 14, 2026Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Nov 19, 2025Corrected: NoCycle: 1
F0646Potential for Harm

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Survey: Nov 19, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jan 30, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 30, 2025Corrected: NoCycle: 2
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Dec 19, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Dec 19, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Apr 3, 2024Corrected: NoCycle: 3
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Feb 13, 2024Corrected: NoCycle: 3
F0553Potential for Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey: Feb 13, 2024Corrected: NoCycle: 3
F0758Potential for Harm

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.

Survey: Feb 13, 2024Corrected: NoCycle: 3
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 14, 2023Corrected: NoCycle: 3
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Dec 14, 2023Corrected: NoCycle: 3
F0803Potential for Harm

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.

Survey: Dec 14, 2023Corrected: NoCycle: 3
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Dec 14, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 14, 2023Corrected: NoCycle: 3
F0580Immediate Jeopardy

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Dec 2, 2023Corrected: NoCycle: 3
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Dec 2, 2023Corrected: NoCycle: 3
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Dec 2, 2023Corrected: NoCycle: 3
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 2, 2023Corrected: NoCycle: 3
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jul 31, 2023Corrected: NoCycle: 3
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jul 31, 2023Corrected: NoCycle: 3
Total Fines
$152,617
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineDec 19, 2024
$10,033
FineDec 2, 2023
$15,593
FineJul 31, 2023
$126,991

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.95 hrs
National avg: 2.32 hrs
LPN0.59 hrs
National avg: 0.86 hrs
RN0.38 hrs
National avg: 0.69 hrs
Total Nursing2.92 hrs
National avg: 3.86 hrs
Weekend Total2.53 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
53.3%
RN Turnover
28.6%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
STRATFORD HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 1, 2020
GRANITE HEARTHSTONE HEALTH CENTER, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AJun 1, 2020
CHUMLEY, RICHARDCORPORATE OFFICERIndividualN/AJun 1, 2020
CARADAY HEARTHSTONE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 1, 2020
MOORE, GREGORYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 1, 2020
CHOI, MARYANNINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 4, 2025
CHOI, ROBERTINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 4, 2025
CUNNINGHAM, ERNESTINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 4, 2025
O'DONOGHUE-STALLARD, MAIREINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 4, 2025
STALLARD, THOMASINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 4, 2025
WOOD, STEPHENINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 4, 2025
GRANITE HEARTHSTONE HEALTH CENTER, LLCADP OF THE SNFOrganizationN/AJun 1, 2020
JAVADI, JASMINEADP OF THE SNFIndividualN/AJun 1, 2020
WAGES, ADRIANAADP OF THE SNFIndividualN/AMar 24, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Hearthstone Nursing and Rehabilitation and nearby alternatives.

All Texas facilities
Hearthstone Nursing and Rehabilitation
Round Rock, TXCurrent facility
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $152,617
Park Valley Inn Health Center
Round Rock, TX2,640 ftAbuse flag
CMS
2/5
Health
2/5
Staffing
1/5
Recorded fines: $97,032
Ignite Medical Resort Round Rock, LLC
Austin, TX1.8 mi
CMS
2/5
Health
1/5
Staffing
3/5
Recorded fines: $63,733
The Center at Parmer
Austin, TX1.9 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
Trinity Care Center
Round Rock, TX2.6 miAbuse flag
CMS
3/5
Health
2/5
Staffing
2/5
Recorded fines: $10,293
San Gabriel Rehabilitation and Care Center
Round Rock, TX3.8 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $19,393
Bel Air at Teravista
Round Rock, TX4.6 mi
CMS
4/5
Health
3/5
Staffing
3/5
Recorded fines: $19,188
FacilityDistanceCMSHealthStaffingRecorded fines
Hearthstone Nursing and Rehabilitation
Round Rock, TX · Current facility
—2/52/52/5$152,617
Park Valley Inn Health Center
Round Rock, TX
2,640 ft2/52/51/5$97,032
Ignite Medical Resort Round Rock, LLC
Austin, TX
1.8 mi2/51/53/5$63,733
The Center at Parmer
Austin, TX
1.9 mi5/54/53/5None recorded
Trinity Care Center
Round Rock, TX
2.6 mi3/52/52/5$10,293
San Gabriel Rehabilitation and Care Center
Round Rock, TX
3.8 mi1/51/51/5$19,393
Bel Air at Teravista
Round Rock, TX
4.6 mi4/53/53/5$19,188

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.

Frequently Asked Questions

What is the CMS rating for Hearthstone Nursing and Rehabilitation?▾
Hearthstone Nursing and Rehabilitation has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Hearthstone Nursing and Rehabilitation cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Hearthstone Nursing and Rehabilitation participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Hearthstone Nursing and Rehabilitation had any health inspection violations?▾
Hearthstone Nursing and Rehabilitation had 7 deficiency citations in its most recent health inspection (Apr 3, 2026). The current CMS dataset records 3 fine(s) totaling $152,617. It also has 3 infection control citation(s).
What are the staffing levels at Hearthstone Nursing and Rehabilitation?▾
Hearthstone Nursing and Rehabilitation provides 2.92 total nursing staff hours per resident per day, including 0.38 RN hours, 0.59 LPN hours, and 1.95 nurse aide hours. The total staff turnover rate is 53.3%.
How many beds does Hearthstone Nursing and Rehabilitation have?▾
Hearthstone Nursing and Rehabilitation has 120 certified beds with an average of 93.8 residents per day, resulting in approximately 78% occupancy. The facility is Government - Hospital district owned and is part of the Caraday Healthcare chain.
Are there other nursing homes near Hearthstone Nursing and Rehabilitation?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 4 in Round Rock. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Hearthstone Nursing and Rehabilitation?▾
On Google Maps, Hearthstone Nursing and Rehabilitation has a rating of 3.3 out of 5 based on 83 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Caraday Healthcare

This chain operates 9 facilities. View all →