nursing home in Round Rock, TX
Hearthstone Nursing and Rehabilitation
401 Oakwood Blvd, Round Rock, TX 78681 · (512) 388-7494
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Hearthstone Nursing and Rehabilitation at a glance
Hearthstone Nursing and Rehabilitation is a 120-bed government nursing home in Round Rock, Texas (Williamson County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 2.9 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (April 3, 2026) found 7 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $25,626.
Nursing staff turnover is 53.3% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Caraday Healthcare
- Medicare-certified since
- September 26, 1988
- Resident/family council
- Both
- County
- Williamson County
- CMS Certification Number
- 455771
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.92 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.38 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.95 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.53 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 53.3% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 28.6% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 60 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $25,626 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 94 | 76 | 86 | |
| Occupancy | 78.2% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 8.7% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.6% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 16% | 9.6% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 13.5% | 15.8% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 17.1% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7.4% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.4% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.5% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 18.3% | 13.4% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 86.9% | 98% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 61.1% | 96.6% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 49.5% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 27.4% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 24 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 3, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 17, 2026 |
| April 3, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected April 17, 2026 |
| April 3, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 17, 2026 |
| April 3, 2026 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected April 17, 2026 |
| January 14, 2026 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected January 26, 2026 |
| November 19, 2025 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected November 26, 2025 |
| November 19, 2025 Complaint | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Tag F0646 | D Potential harm, isolated | Corrected November 26, 2025 |
| January 30, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected March 25, 2025 |
| January 30, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected March 25, 2025 |
| January 30, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 17, 2025 |
| January 30, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 17, 2025 |
| December 19, 2024 Complaint | 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 · Tag F0600 | G Actual harm, isolated | Corrected December 3, 2024 |
| December 19, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected January 14, 2025 |
| April 3, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected April 25, 2024 |
| February 13, 2024 Complaint · Infection control | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | E Potential harm, pattern | Corrected March 11, 2024 |
| February 13, 2024 Complaint · Infection control | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | D Potential harm, isolated | Corrected March 11, 2024 |
| February 13, 2024 Complaint · Infection control | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected March 11, 2024 |
| December 14, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected February 9, 2024 |
| December 14, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 20, 2024 |
| December 14, 2023 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected January 20, 2024 |
| December 14, 2023 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected January 20, 2024 |
| December 14, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | E Potential harm, pattern | Corrected January 20, 2024 |
| December 14, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected January 20, 2024 |
| December 2, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | K Immediate jeopardy, pattern | Corrected November 16, 2023 |
| December 2, 2023 Complaint | 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 · Tag F0600 | K Immediate jeopardy, pattern | Corrected November 16, 2023 |
| December 2, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | K Immediate jeopardy, pattern | Corrected November 16, 2023 |
| December 2, 2023 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected December 8, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $25,626 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| December 19, 2024 | Fine | $10,033 |
| December 2, 2023 | Fine | $15,593 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| STRATFORD HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 06/01/2020 |
| GRANITE HEARTHSTONE HEALTH CENTER, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 06/01/2020 |
| GRANITE HEARTHSTONE HEALTH CENTER, LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2020 |
| JAVADI, JASMINE Individual | adp of the snf | NOT APPLICABLE | 06/01/2020 |
| WAGES, ADRIANA Individual | adp of the snf | NOT APPLICABLE | 03/24/2025 |
| CHUMLEY, RICHARD Individual | corporate officer | NOT APPLICABLE | 06/01/2020 |
| CHOI, MARYANN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/04/2025 |
| CHOI, ROBERT Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/04/2025 |
| CUNNINGHAM, ERNEST Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/04/2025 |
| O'DONOGHUE-STALLARD, MAIRE Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/04/2025 |
| STALLARD, THOMAS Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/04/2025 |
| WOOD, STEPHEN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/04/2025 |
| CARADAY HEARTHSTONE LLC Organization | operational/managerial control | NOT APPLICABLE | 06/01/2020 |
| MOORE, GREGORY Individual | operational/managerial control | NOT APPLICABLE | 06/01/2020 |
Other nursing homes near Hearthstone Nursing and Rehabilitation
Park Valley Inn Health Center
17751 Park Valley Drive, Round Rock, TX 78681 · under 1 mi
For-profit · 128 beds · Part of Cantex Continuing Care
- Abuse citation
★★★★★2Below averageIgnite Medical Resort Round Rock, LLC
16219 Ranch Road 620 N, Austin, TX 78717 · 1.8 mi
For-profit · 70 beds · Part of Ignite Medical Resorts
★★★★★3AverageThe Center at Parmer
13800 N Fm 620 Rd Sb, Austin, TX 78717 · 1.9 mi
For-profit · 80 beds · Part of Veritas Management Group
- CMS high performer
★★★★★5Much above averageTrinity Care Center
1000 E Main St, Round Rock, TX 78664 · 2.6 mi
For-profit · 179 beds · Part of Caraday Healthcare
★★★★★3AverageSan Gabriel Rehabilitation and Care Center
4100 College Park Dr, Round Rock, TX 78665 · 3.8 mi
For-profit · 142 beds · Part of Fundamental Healthcare
- Abuse citation
★★★★★1Much below averageBel Air at Teravista
4105 Teravista Club Drive, Round Rock, TX 78665 · 4.6 mi
For-profit · 112 beds · Part of Cantex Continuing Care
★★★★★3Average
Frequently asked questions
What is Hearthstone Nursing and Rehabilitation's rating?
Hearthstone Nursing and Rehabilitation has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Hearthstone Nursing and Rehabilitation receive?
Its most recent standard health inspection found 7 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Hearthstone Nursing and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Hearthstone Nursing and Rehabilitation?
It is government - hospital district and part of Caraday Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Hearthstone Nursing and Rehabilitation and how do I contact it?
Hearthstone Nursing and Rehabilitation is at 401 Oakwood Blvd, Round Rock, TX 78681. Phone: (512) 388-7494.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.