All 5 Medicare-certified nursing homes in Round Rock,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Bel Air At Teravista runs 112 certified beds in Round Rock under corporate ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 11% below the home's own weekday coverage, so the thinnest shifts land exactly when families tend to visit. Turnover is 42.9%, a touch better than the 45.8% national figure, and the quality measure rating is a perfect 5 out of 5. The inspection record is the weaker side: 23 deficiencies, two of them serious enough to involve harm or jeopardy, plus $19,188 in fines, with the most recent inspection in April 2025.
Trinity Care Center runs 179 certified beds in Round Rock under corporate ownership, and the numbers show a split picture worth understanding. Nurse staffing sits at 3.12 hours per resident day, roughly 19 percent under the national average, and weekends dip another 9 percent below the home's own weekday level, so coverage thins out right when families tend to visit. Staff turnover is 51.3 percent against a national rate of 45.8 percent, meaning more than half the nursing team turns over in a year, which makes consistent care harder to build. The inspection record carries 26 deficiencies, including two at the harm level and three tied to abuse, with one fine of $10,293. The last inspection was in January 2026, so the record is current.
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.
Park Valley Inn runs on thin staffing. At 3.28 nurse hours per resident day, it sits about 15% under the national average, weekends drop roughly 13% below its own weekday coverage, and more than half the nursing staff turns over each year, 55.3% against a national 45.8%. The inspection record backs that up: 35 deficiencies, three serious enough to put residents in harm's way, six tied to abuse, and $97,032 in fines. The 5/5 quality measure score looks good on paper, but quality measures are largely self-reported, and a home can chart well while running short-staffed. Williamson County families comparing options should weigh the 1/5 staffing rating and the March 2026 inspection against that number, not instead of it.
San Gabriel Rehabilitation and Care Center runs 142 beds in Round Rock under for-profit LLC ownership. Nurse staffing sits at 3.18 hours per resident day, roughly 18% under the national average, and weekends run thinner still, about 7% below what the home staffs on weekdays. Turnover is 55.1%, close to ten points above the national rate, which means the aides and nurses your family member sees may keep changing.
The inspection record is the harder part: 32 deficiencies, three at harm or jeopardy level, six tied to abuse, and $19,393 in fines. CMS gave it one star each for health inspections and staffing. The most recent inspection was July 2025, so the record is current, not stale.