Nursing home
Hearthstone Nursing and Rehabilitation
401 Oakwood Blvd, Round Rock, TX 78681 · Map
Government - Hospital district · Part of Caraday Healthcare (9 facilities) · 120 certified beds
Hearthstone Nursing and Rehabilitation is a Medicare-certified nursing home in Round Rock, Texas. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 2.93 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jan 30, 2025 cited 5 deficiencies.
- 3 fines totaling $152,617In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Hearthstone Nursing and Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.93 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.45 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.91 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 69.4% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 5.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $152,617, 3 total penalties.
What inspectors found at Hearthstone Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 · Jan 14, 2026 · Full report (PDF) - Potential for harm
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Resident Assessment and Care Planning Deficiencies · Nov 19, 2025 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Nov 19, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 30, 2025 · Full report (PDF) - Potential for harm
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 · Jan 30, 2025 · Full report (PDF)
Show all 12 deficiencies
- Actual harm
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 · Dec 19, 2024 · Full report (PDF) - Potential for harm
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 · Dec 19, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Apr 3, 2024 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Feb 13, 2024 · Full report (PDF) - Potential for harm
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 · Feb 13, 2024 · Full report (PDF) - Potential for harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · Feb 13, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 14, 2023 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 401 Oakwood Blvd
Round Rock, TX 78681 - CMS certification #
- 455771
- Ownership
- Government - Hospital district
- Certified beds
- 120
- Avg residents/day
- 88.9
- Provider type
- Medicare and Medicaid
- First certified
- 1988-09-26
- Chain
- Caraday Healthcare (9 facilities)
- Setting
- Urban
Part of Caraday Healthcare
Caraday Healthcare operates 9 nursing facilities across the United States. View all Caraday Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Hearthstone Nursing and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
DOL also concluded 1 case here with no violations found, most recently for a period ending Jun 30, 2020.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Round Rock Medical Center, Round Rock. 0.1 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Park Valley Inn Health Center, Round Rock. 0.5 miles away, straight line.
- Nearest home health agency office
- Apicon Home Health Agency Inc, Round Rock. 0.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78681 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Round Rock Dialysis, Round Rock, 0.6 miles away, straight line (CMS rating 4 of 5 stars)
Scott & White Round Rock Dialysis Center, Round Rock, 1.9 miles away, straight line (CMS rating 3 of 5 stars)
Shc Round Rock, Round Rock, 2.1 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 48 Medicare hospices tell CMS they serve ZIP code 78681.
Hospice Compassus, office in Round Rock, 1.5 miles away, straight line (CMS family survey rating 2 of 5 stars)
Beacon Hospice Of Austin, office in Austin, 1.8 miles away, straight line
Beacon Hospice Of Georgetown, office in Austin, 1.8 miles away, straight line - Nearest geriatric medicine practice
- Premier Provider Health Pa, Round Rock. 0.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively low, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Hearthstone Nursing and Rehabilitation a good nursing home?
CMS gives Hearthstone Nursing and Rehabilitation an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Hearthstone Nursing and Rehabilitation staffed?
Hearthstone Nursing and Rehabilitation reports 2.93 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Hearthstone Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Hearthstone Nursing and Rehabilitation have?
Hearthstone Nursing and Rehabilitation is certified for 120 beds.