HEARTHSTONE NURSING AND REHABILITATION

401 OAKWOOD BLVD, ROUND ROCK, TX 78681 · CCN 455771 · 120 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing2 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2024-12-19 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-12-02 IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-12-02 IMMEDIATE JEOPARDY (tag F0684, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2023-12-02 IMMEDIATE JEOPARDY (tag F0580, severity K)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2023-07-31 IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-07-31 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.44

state median 2.67

Weekend staffing gap

−13%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.28

registered nurses only

Contract (agency) staff

6%

share of all nursing hours

Nursing staff turnover

53%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $152,617 in fines.

DateTypeAmount
2024-12-19Fine$10,033
2023-12-02Fine$15,593
2023-07-31Fine$126,991

Ownership

Ownership type: Government - Hospital district. Part of the CARADAY HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 20 · Immediate jeopardy: 5

Survey dateTagCategorySeverityCorrected
2026-04-03F0641Resident Assessment and Care Planning DeficienciesEnot recorded
2026-04-03F0812Nutrition and Dietary DeficienciesEnot recorded
2026-04-03F0880Infection Control DeficienciesEnot recorded
2026-04-03F0925Environmental DeficienciesDnot recorded
2026-01-14F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2025-11-19F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2025-11-19F0646Resident Assessment and Care Planning DeficienciesDnot recorded
2025-01-30F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-01-30F0880Infection Control DeficienciesDnot recorded
2024-12-19F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2024-12-19F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-04-03F0755Pharmacy Service DeficienciesDnot recorded
2024-02-13F0552Resident Rights DeficienciesEnot recorded
2024-02-13F0553Resident Rights DeficienciesDnot recorded
2024-02-13F0758Pharmacy Service DeficienciesDnot recorded
2023-12-14F0689Quality of Life and Care DeficienciesEnot recorded
2023-12-14F0692Quality of Life and Care DeficienciesEnot recorded
2023-12-14F0803Nutrition and Dietary DeficienciesEnot recorded
2023-12-14F0804Nutrition and Dietary DeficienciesEnot recorded
2023-12-14F0880Infection Control DeficienciesEnot recorded
2023-12-02F0580Resident Rights DeficienciesKnot recorded
2023-12-02F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2023-12-02F0684Quality of Life and Care DeficienciesKnot recorded
2023-12-02F0755Pharmacy Service DeficienciesEnot recorded
2023-07-31F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2023-07-31F0689Quality of Life and Care DeficienciesJnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “HEARTHSTONE NURSING AND REHABILITATION, ROUND ROCK” at medicare.gov/care-compare.