67/100
Average
Hearthstone Nursing And Rehabilitation
401 Oakwood Blvd, Round Rock, TX 78681
- Certified beds
- 120
- Occupancy
- 78%
- Ownership
- Government
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$25,626 in federal fines
CMS has fined this facility across 2 penalty action(s).
Our read on Hearthstone Nursing And Rehabilitation
Hearthstone runs on 2.92 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 13% below its own weekday coverage. Staff turnover sits at 53.3% against a national 45.8%, which matters when the same short-staffed floor keeps training replacements. The current inspection record carries 26 deficiencies, including 6 at harm or jeopardy level and 3 tied to abuse, with $152,617 in fines across three penalties. Quality measures score well, but that's resident outcome data, not a picture of the hands available daily. Hospital district ownership doesn't offset what the staffing and inspection numbers show. If you're weighing this one, ask directly how weekend coverage is filled.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
13/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.28 total nurse hours per resident per day (national median 3.77)
- →0.38 RN hours per resident per day
- →Weekend staffing drops 13% against weekdays
Staff stability
7/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →53% of nursing staff left in the last year
- →-2 for 2 administrator departures
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
5/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$25,626 in federal fines across 2 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: April 3, 2026 (7 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of CARADAY HEALTHCARE, which operates 8 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Hearthstone Nursing And Rehabilitation
What is the ElderGrade for Hearthstone Nursing And Rehabilitation? +
Hearthstone Nursing And Rehabilitation holds an ElderGrade of C (67 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Hearthstone Nursing And Rehabilitation? +
Residents receive an average of 2.92 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Hearthstone Nursing And Rehabilitation been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Hearthstone Nursing And Rehabilitation accept Medicaid? +
Yes, Hearthstone Nursing And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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