Hearthstone Nursing and Rehabilitation

Hearthstone Nursing and Rehabilitation is a senior care community located in Round Rock, TX. It provides nursing home care, in-home care, and senior living for older adults in the Round Rock area. To learn more or schedule a tour, call (512) 388-7494.

Hearthstone Nursing and Rehabilitation is licensed for 120 beds, about typical for the area, where senior care communities in Round Rock average about 115 beds.

Federal reporting puts occupancy at about 78% of its licensed beds.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in April 2026 and recorded 7 deficiencies.

Residents receive about 2.9 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 53%.

The community is located in Williamson County, TX.

Medicare five-star ratings

• Overall ★★★★★ 2/5
• Health inspections ★★★★★ 2/5
• Staffing ★★★★★ 2/5
• Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Hearthstone Nursing and Rehabilitation offers nursing home care, in-home care, and senior living.

Facility details

• Organization type for-profit corporation
• Beds / units 120
• Occupancy 78%
• Nursing hours per resident/day 2.9
• Annual staff turnover 53%
• Last health inspection April 2026