Hearthstone Nursing and Rehabilitation
Nursing Home · Round Rock, TX
CMS certification number455771
Contact & location
401 Oakwood BlvdRound Rock, TX 78681
Williamson County
- Phone
- (512) 388-7494
- ZIP code
- 78681 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 93.8 (78% occupied)
- Ownership
- Government - Hospital district
- Legal name
- Stratford Hospital District
- Chain
- Caraday Healthcare (8 facilities, avg 2.8★)
- Medicare certified since
- September 26, 1988
- Participates in
- Medicare and Medicaid
- Council
- Both council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.92 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.38 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.59 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.95 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.53 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 53.3 (state 55.3 · U.S. 45.8)%
- RN turnover
- 28.6 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- April 3, 2026
- Health deficiencies (last cycle)
- 7.0 (state 9.3 · U.S. 9.3)
- From complaints
- 3
- Infection control citations
- 3
- Citations on record (3 years)
- 24 health · 3 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-03 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-04-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-04-03 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-04-03 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-01-14 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-26 |
| 2025-11-19 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-26 |
| 2025-11-19 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. F0646 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-26 |
| 2025-01-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-17 |
| 2025-01-30 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-17 |
| 2024-12-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-12-03 |
| 2024-12-19 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-14 |
| 2024-04-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-25 |
| 2024-02-13 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-11 |
| 2024-02-13 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-11 |
| 2024-02-13 | 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. F0758 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-11 |
| 2023-12-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-20 |
| 2023-12-14 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-20 |
| 2023-12-14 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-20 |
| 2023-12-14 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-20 |
| 2023-12-14 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-20 |
| 2023-12-02 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2023-11-16 |
| 2023-12-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2023-11-16 |
| 2023-12-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2023-11-16 |
| 2023-12-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $25,626 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-12-19 | Fine | $10,033 |
| 2023-12-02 | Fine | $15,593 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Stratford Hospital District (organization) | 5%+ Direct Ownership Interest · 100% | |
| Granite Hearthstone Health Center, LLC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Granite Hearthstone Health Center, LLC (organization) | Administrator · NOT APPLICABLE | |
| Javadi, Jasmine (individual) | Administrator · NOT APPLICABLE | |
| Wages, Adriana (individual) | Administrator · NOT APPLICABLE | |
| Chumley, Richard (individual) | Corporate Officer · NOT APPLICABLE | |
| Choi, Maryann (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Choi, Robert (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Cunningham, Ernest (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| O'donoghue-Stallard, Maire (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Stallard, Thomas (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Wood, Stephen (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Caraday Hearthstone LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Moore, Gregory (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Hearthstone Nursing and Rehabilitation?
Hearthstone Nursing and Rehabilitation has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Hearthstone Nursing and Rehabilitation have?
It has 120 certified beds and cares for about 94 residents per day.
Has Hearthstone Nursing and Rehabilitation been fined?
Yes. CMS lists 2 penalties totaling $25,626 in the last three years.
Who owns Hearthstone Nursing and Rehabilitation?
It is part of Caraday Healthcare and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Hearthstone Nursing and Rehabilitation?
(512) 388-7494. The facility is located at 401 Oakwood Blvd, Round Rock, TX 78681.
Other nursing homes in Round Rock
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Park Valley Inn Health Center
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San Gabriel Rehabilitation and Care Center
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.