Texas › Williamson County › Round Rock
Hearthstone Nursing and Rehabilitation
401 Oakwood Blvd, Round Rock, TX 78681
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 120 beds, Hearthstone Nursing and Rehabilitation serves Round Rock in Williamson County, Texas and has taken Medicare and Medicaid residents since 1988.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 2 and quality measures 4.
Inspectors recorded 24 health deficiencies across the three most recent survey cycles (7, 4, 13 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 20.0 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $26K.
Reported nurse staffing is 2.9 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 53.3%.
Compared with county, state and nation
| Measure | This facility | Williamson Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 24 | 24 | 25 | 28.7 |
| Citations per 100 beds | 20.0 | 20.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 53.3% | 50.7% | 52.1% | 45.8% |
| Fines listed | $25,626 | $19,393 | $16,801 | — |
County and state figures are medians across facilities (15 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Apr 2026, 30 Jan 2025.
Severity mix: K ×3 G ×1 D ×10 E ×10
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Apr 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 17 Apr 2026 |
| 3 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 Apr 2026 |
| 3 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Apr 2026 |
| 3 Apr 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 17 Apr 2026 |
| 14 Jan 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 26 Jan 2026 |
| 19 Nov 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 26 Nov 2025 |
| 19 Nov 2025 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Complaint investigation | 26 Nov 2025 |
| 30 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 17 Feb 2025 |
| 30 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Feb 2025 |
| 19 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 3 Dec 2024 |
| 19 Dec 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 14 Jan 2025 |
| 3 Apr 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 25 Apr 2024 |
| 13 Feb 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Complaint investigation | 11 Mar 2024 |
| 13 Feb 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 11 Mar 2024 |
| 13 Feb 2024 | F0758 | 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. | D | Complaint investigation | 11 Mar 2024 |
| 14 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 20 Jan 2024 |
| 14 Dec 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 20 Jan 2024 |
| 14 Dec 2023 | F0803 | 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. | E | Standard survey | 20 Jan 2024 |
| 14 Dec 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 20 Jan 2024 |
| 14 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Jan 2024 |
| 2 Dec 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | Complaint investigation | 16 Nov 2023 |
| 2 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 16 Nov 2023 |
| 2 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint investigation | 16 Nov 2023 |
| 2 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 8 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Dec 2024 | Fine | $10,033 | |
| 2 Dec 2023 | Fine | $15,593 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 53.3%, RNs 28.6%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.0% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: Stratford Hospital District. Chain: Caraday Healthcare (8 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Stratford Hospital District | 5% or greater direct ownership interest | 100% | 06/01/2020 |
| Granite Hearthstone Health Center, LLC | 5% or greater mortgage interest | NOT APPLICABLE | 06/01/2020 |
| Caraday Hearthstone LLC | Operational/managerial control | NOT APPLICABLE | 06/01/2020 |
| Granite Hearthstone Health Center, LLC | Adp of the snf | NOT APPLICABLE | 06/01/2020 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Williamson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| The Center At Parmer | Austin | 80 | 5 | 4 | 3 | 21 | 26.3 | — | 30 Jan 2026 |
| Cedar Pointe Health and Wellness Center | Cedar Park | 122 | 4 | 4 | 2 | 9 | 7.4 | — | 23 Jan 2026 |
| Georgetown Nursing and Transitional Care | Georgetown | 142 | 4 | 4 | 2 | 17 | 12.0 | $8K | 24 Jun 2026 |
| New Hope Manor | Cedar Park | 114 | 4 | 3 | 2 | 21 | 18.4 | $22K | 18 Mar 2026 |
| Sagebrook Nursing and Rehabilitation | Cedar Park | 124 | 4 | 4 | 2 | 21 | 16.9 | — | 14 May 2025 |
| The Springs Healthcare and Rehabilitation | Cedar Park | 120 | 4 | 3 | 2 | 24 | 20.0 | $21K | 6 Jun 2026 |
| Bel Air At Teravista | Round Rock | 112 | 3 | 2 | 3 | 23 | 20.5 | $19K | 4 Jun 2026 |
| Trinity Care Center | Round Rock | 179 | 3 | 2 | 2 | 26 | 14.5 | $10K | 23 Jan 2026 |
All 15 facilities in Williamson County
Questions and answers
How many deficiencies has Hearthstone Nursing and Rehabilitation been cited for?
24 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Hearthstone Nursing and Rehabilitation been fined?
Yes. CMS lists fines totalling $26K in the period covered.
How does staffing at Hearthstone Nursing and Rehabilitation compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Hearthstone Nursing and Rehabilitation?
It is part of the Caraday Healthcare chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Stratford Hospital District and Caraday Hearthstone LLC. Individual owners and managers are not listed on this site.
When was Hearthstone Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 3 Apr 2026; the most recent standard health survey was 3 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.