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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasHearthstone Nursing and Rehabilitation

Hearthstone Nursing and Rehabilitation

401 Oakwood Blvd, Round Rock, TX 786815123887494
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
2/5
Quality
3/5
Beds
120
certified
3 fine(s) totaling $152,617

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 120 certified beds with an average of 88.9 residents per day (74% occupancy)

• Last health inspection found 4 deficiencies (inspected Jan 30, 2025)

• Has been fined a total of $152,617 across 3 fine(s)

• Total nursing staff: 2.93 hours per resident per day

• Staff turnover rate: 69.4% (high)

• Part of the Caraday Healthcare chain (10 facilities)

Hearthstone Nursing and Rehabilitation is a 3-star Medicare and Medicaid certified nursing home in Round Rock, Texas with 120 certified beds. It has been operating since 1988. The facility scored at average compared to Texas facilities.

Beds
120
Avg Residents/Day
88.9
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 26, 1988
Sprinklers
Yes
Council
Resident
County
Williamson
Last Inspection
Jan 30, 2025
Deficiencies (Cycle 1)
4
Weighted Score
87.5
Infection Citations
3

Deficiency Citations (26)

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: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 30, 2025Corrected: NoCycle: 1
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: 2
F0552Potential for Harm

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

Survey: Feb 13, 2024Corrected: NoCycle: 2
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: 2
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: 2
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: 2
F0692Potential for Harm

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

Survey: Dec 14, 2023Corrected: NoCycle: 2
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: 2
F0804Potential for Harm

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

Survey: Dec 14, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 14, 2023Corrected: NoCycle: 2
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
F0755Potential for Harm

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

Survey: Oct 20, 2022Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Oct 20, 2022Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 20, 2022Corrected: NoCycle: 3
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Oct 20, 2022Corrected: NoCycle: 3
F0882Potential for Harm

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Survey: Oct 20, 2022Corrected: 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 Aide1.91 hrs
National avg: 2.35 hrs
LPN0.58 hrs
National avg: 0.86 hrs
RN0.45 hrs
National avg: 0.68 hrs
Total Nursing2.93 hrs
National avg: 3.89 hrs
Weekend Total2.51 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
69.4%
RN Turnover
54.5%
Administrators Left
1

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

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
STRATFORD HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 1, 2020
CARADAY HEARTHSTONE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 1, 2020
MOORE, GREGORYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 1, 2020
CHUMLEY, RICHARDCORPORATE OFFICERIndividualN/AJun 1, 2020
GRANITE HEARTHSTONE HEALTH CENTER, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AJun 1, 2020

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Frequently Asked Questions

What is the CMS rating for Hearthstone Nursing and Rehabilitation?▾
Hearthstone Nursing and Rehabilitation has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 2/5, and quality measures rating of 3/5. This facility is rated average.
Has Hearthstone Nursing and Rehabilitation had any health inspection violations?▾
Hearthstone Nursing and Rehabilitation had 4 deficiency citations in its most recent health inspection (Jan 30, 2025). The facility has been fined a total of $152,617 across 3 fine(s). It also has 3 infection control citation(s).
What are the staffing levels at Hearthstone Nursing and Rehabilitation?▾
Hearthstone Nursing and Rehabilitation provides 2.93 total nursing staff hours per resident per day, including 0.45 RN hours, 0.58 LPN hours, and 1.91 nurse aide hours. The total staff turnover rate is 69.4%.
How many beds does Hearthstone Nursing and Rehabilitation have?▾
Hearthstone Nursing and Rehabilitation has 120 certified beds with an average of 88.9 residents per day, resulting in approximately 74% 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, there are 4 other nursing homes in Round Rock, Texas with an average rating of 2.6/5. You can compare all facilities on the Round Rock nursing homes page.

Part of Caraday Healthcare

This chain operates 10 facilities. View all →