Hearthstone Nursing and Rehabilitation
Nursing Home Facility
401 Oakwood Blvd, Round Rock, TX 78681
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.
Operated by Caraday Healthcare, which runs 4 communities in our directory.
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 3 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.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 24 problems at Hearthstone Nursing and Rehabilitation. 4 findings involved harm to a resident, including 3 that put residents in immediate danger. 13 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $25,626.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Environmental
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
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
Resident & family reviews
No one has shared a review of Hearthstone Nursing and Rehabilitation yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.