Hearthstone Nursing And Rehabilitation
401 Oakwood Blvd, Round Rock, TX 78681 · Williamson County
Government · 120 certified beds · 78% occupancy · (512) 388-7494
Hearthstone Nursing And Rehabilitation reviews: what the government record shows
The U.S. government (CMS) rates Hearthstone Nursing And Rehabilitation 3 out of 5 stars overall, average. Its nurse staffing is 11% below the Texas median. Inspectors cited it for 3 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 3 of 5 stars
- Nurse staffing
- 2.92 hrs/resident/day (-11% vs TX median)
- Antipsychotic drug use
- 16% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 8.7% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $25,626
- Inspection findings
- 24 cited, 3 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Concerns
- !Nurse staffing of 2.92 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 3 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Serious-fall rate of 8.7% is well above the Texas median of 3%.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
- ·What is your fall-prevention program, and how is it staffed overnight?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Hearthstone Nursing And Rehabilitation
Is Hearthstone Nursing And Rehabilitation a good nursing home?
Hearthstone Nursing And Rehabilitation in Round Rock, Texas holds a 3 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Hearthstone Nursing And Rehabilitation staffed?
Hearthstone Nursing And Rehabilitation reports 2.92 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Hearthstone Nursing And Rehabilitation been fined or flagged for abuse?
Hearthstone Nursing And Rehabilitation has paid approximately $25,626 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
2.92 nurse hours per resident per day. 11% below the Texas median of 3.27.
Nursing staff turnover: 53.3% · RN turnover: 28.6%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0641 · Apr 3, 2026Corrected Apr 17, 2026
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0812 · Apr 3, 2026Corrected Apr 17, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Apr 3, 2026Corrected Apr 17, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0925 · Apr 3, 2026Corrected Apr 17, 2026
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
- Potential for harmTag F0657 · Jan 14, 2026ComplaintCorrected Jan 26, 2026
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
- Potential for harmTag F0644 · Nov 19, 2025ComplaintCorrected Nov 26, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0646 · Nov 19, 2025ComplaintCorrected Nov 26, 2025
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Resident Assessment and Care Planning Deficiencies
- Actual harmTag F0600 · Dec 19, 2024ComplaintCorrected Dec 3, 2024
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
- Potential for harmTag F0656 · Jan 30, 2025Corrected Feb 17, 2025
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
- Potential for harmTag F0880 · Jan 30, 2025Corrected Feb 17, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Showing the 10 most recent and serious of 24 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is above the national median. Ask how the home decides to start these medications and how often it reviews them.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at least double the Texas median. Ask the staff directly about their fall-prevention program: how they assess risk, how often they check on residents, and whether staffing at night is enough to respond quickly.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is government (government - hospital district). It is part of the Caraday Healthcare chain, which operates 8 facilities, with a chain-average CMS rating of 2.8 stars.