Nursing Homes · Medicare certified
Hearthstone Nursing and Rehabilitation
401 Oakwood BLVD · Round Rock, TX 78681 · 120 certified beds
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About Hearthstone Nursing and Rehabilitation
Hearthstone Nursing and Rehabilitation is a nursing home in Round Rock, Texas. Its capacity is 120 beds, the same as the Williamson County median for nursing homes. It is run by a nonprofit operator and is part of Caraday Healthcare. It is Medicare certified. Its public inspection record shows 31 citations, the most recent on April 3, 2026. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 2.97 hours per resident per day. It is one of 5 nursing homes listed in Round Rock. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
3.0Staffing
2.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (31)
Records from October 2022 to April 2026.
April 3, 2026
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 17, 2026.
April 3, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 17, 2026.
April 3, 2026
Tag F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 17, 2026.
April 3, 2026
Tag F0641Ensure each resident receives an accurate assessment.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 17, 2026.
January 14, 2026
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 26, 2026.
November 19, 2025
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 26, 2025.
November 19, 2025
Tag F0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 26, 2025.
January 30, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 17, 2025.
January 30, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 17, 2025.
December 19, 2024
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G: isolated, actual harm. Corrected December 3, 2024.
December 19, 2024
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 14, 2025.
April 3, 2024
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 25, 2024.
February 13, 2024
Tag F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 11, 2024.
February 13, 2024
Tag F0552Ensure that residents are fully informed and understand their health status, care and treatments.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 11, 2024.
February 13, 2024
Tag F0758Implement 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 l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 11, 2024.
December 14, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 20, 2024.
December 14, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 20, 2024.
December 14, 2023
Tag F0803Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 20, 2024.
December 14, 2023
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 20, 2024.
December 14, 2023
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 20, 2024.
Penalties (3)
Total fines: $152,617
December 19, 2024 · Fine
CMS recorded a civil money penalty of $10,033 against this nursing home on December 19, 2024.
December 2, 2023 · Fine
CMS recorded a civil money penalty of $15,593 against this nursing home on December 2, 2023.
July 31, 2023 · Fine
CMS recorded a civil money penalty of $126,991 against this nursing home on July 31, 2023.
Staffing
2.97 nurse hours per resident per day in Q2 2026, up from 2.88 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of Caraday Healthcare, a chain of 8 nursing homes.
Average CMS star ratings across the chain: 3.0 overall, 3.1 for health inspections, 1.8 for staffing, 3.8 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in Round Rock.
Park Valley Inn Health Center
San Gabriel Rehabilitation and Care Center
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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