All states › Texas › Round Rock › Hearthstone Nursing and Rehabilitation
401 Oakwood Blvd Round Rock, TX 78681 · Williamson County
All 5 nursing homes in Round Rock, TX (5 take Medicaid)
CMS certification number 455771 · See this home on Medicare Care Compare
Is Hearthstone Nursing and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Hearthstone Nursing and Rehabilitation as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.97 hours per resident per day at Hearthstone Nursing and Rehabilitation, below the Texas median of 3.30 (US median: 3.72). About 0.38 of those hours are from registered nurses. On weekends it falls to 2.66 hours, 11% below its all-week average. 48.5% of nursing staff left within a year (Texas median 50.2%). 2 administrators left in the past year.
About this nursing home
Paying for care at Hearthstone Nursing and Rehabilitation: Medicare and Medicaid
Hearthstone Nursing and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 3, 2026 and found 4 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 24 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 24 citations at Hearthstone Nursing and Rehabilitation across 9 inspection dates, 13 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 2, 2023 (complaint inspection). The most common areas cited were resident assessment and care planning (6) and infection control (3). The most serious was cited under the CMS rule to "immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident" (tag F0580, level K, December 2, 2023). 2 citations were under CMS's abuse, neglect and exploitation rules.
April 3, 2026 · 4 citations
EEnsure each resident receives an accurate assessment.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
January 14, 2026 · 1 citation · includes complaint inspection
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
November 19, 2025 · 2 citations · includes complaint inspection
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.
January 30, 2025 · 2 citations
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide and implement an infection prevention and control program.
December 19, 2024 · 2 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
April 3, 2024 · 1 citation · includes complaint inspection
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
February 13, 2024 · 3 citations · includes complaint inspection
EEnsure that residents are fully informed and understand their health status, care and treatments.
DAllow resident to participate in the development and implementation of his or her person-centered plan of care.
DImplement 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.
December 14, 2023 · 5 citations
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide enough food/fluids to maintain a resident's health.
EEnsure 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
December 2, 2023 · 4 citations, includes immediate jeopardy · includes complaint inspection
KImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Questions to ask on a tour of Hearthstone Nursing and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on December 2, 2023 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 19, 2024. How are staff trained, and how are concerns reported?
- There were 3 infection-control citations. Who leads infection prevention, and what is the current outbreak policy?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $25,626 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 19, 2024 | Fine | $10,033 |
| Dec 2, 2023 | Fine | $15,593 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 2/5 | 4/5 |
| August 2026 | 3/5 | 3/5 | 2/5 | 4/5 |
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Location
Hospitals near Hearthstone Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.2 mi
Round Rock Medical Center Round RockEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 13m for patients treated and sent home
- 1.3 mi
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3.9 mi
Scott & White Hospital-Round Rock Round RockEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 15m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Hearthstone Nursing and Rehabilitation › All nursing homes in Round Rock ›
Compare Hearthstone Nursing and Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- The Center at Parmer · Austin · 5 stars · 1.9 mi
- Gracy Woods II Living Center · Austin · 5 stars · 7.6 mi
- Cedar Pointe Health and Wellness Center · Cedar Park · 4 stars · 5.9 mi
- The Springs Healthcare and Rehabilitation · Cedar Park · 4 stars · 6.0 mi
Other Caraday Healthcare nursing homes in Texas
- Regency House · San Angelo · 4 stars
- Sagebrook Nursing and Rehabilitation · Cedar Park · 4 stars
- Stonebridge Health Rehab · Austin · 3 stars
- Caraday of Lampasas · Lampasas · 3 stars
- Trinity Care Center · Round Rock · 3 stars
- Wurzbach Nursing and Rehabilitation · San Antonio · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 8 Caraday Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.