Hearthstone Nursing and Rehabilitation
401 Oakwood Blvd, Round Rock, TX 78681 · (512) 388-7494
Government - Hospital district · 120 certified beds
Hearthstone Nursing and Rehabilitation has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2026, found 4 citations (the Texas average is 9.4). It was fined 2 times in the last three years, $25,626 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · Average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on April 3, 2026 found 4 citations. What an inspection citation means
- Ensure each resident receives an accurate assessment.April 3, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 3, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.April 3, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.April 3, 2026 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 13 citations.
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.January 14, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.November 19, 2025 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.November 19, 2025 · F0646 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.December 19, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.December 19, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 3, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are fully informed and understand their health status, care and treatments.February 13, 2024 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Allow resident to participate in the development and implementation of his or her person-centered plan of care.February 13, 2024 · F0553 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 13, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.December 2, 2023 · F0580 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.December 2, 2023 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 2, 2023 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 2, 2023 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $10,033December 19, 2024
- Fine of $15,593December 2, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.92 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.38 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.59 | 0.95 | 0.86 |
| Nurse aides | 1.95 | 2.01 | 2.32 |
| Total nursing staff turnover | 53.3% | 55.3% | 45.8% |
About this home
| Ownership | Government - Hospital district |
| Certified beds | 120 |
| Average residents per day | 93.8 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Bel Air at Teravista Round Rock · ★★★★★ 3 out of 5 stars
- Trinity Care Center Round Rock · ★★★★★ 3 out of 5 stars
- Park Valley Inn Health Center Round Rock · ★★★★★ 2 out of 5 stars
- San Gabriel Rehabilitation and Care Center Round Rock · ★★★★★ 1 out of 5 stars
- Cedar Pointe Health and Wellness Center Cedar Park · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Hearthstone Nursing and Rehabilitation on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.