Hearthstone Nursing and Rehabilitation
Nursing home in Round Rock, Texas, CMS certification number 455771
401 Oakwood Blvd, Round Rock, TX 78681 · Williamson County
- CMS overall rating
- 3 of 5 stars
- Certified beds
- 120
- Certified for
- Medicare and Medicaid
- Last standard inspection
- April 3, 2026
- Deficiencies at that inspection
- 7
- Fines in 3 years
- $25,626 (2)
Does Hearthstone Nursing and Rehabilitation take Medicare and Medicaid?
Yes to both. Hearthstone Nursing and Rehabilitation is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 3 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 4 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Hearthstone Nursing and Rehabilitation reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 2.97
- Registered nurse hours
- 0.38
- Licensed practical nurse hours
- 0.62
- Nurse aide hours
- 1.97
- Weekend total hours
- 2.66
- Nursing staff turnover
- 48.5%
- Registered nurse turnover
- 30%
- Administrators who left
- 2
Health inspections and complaints
Inspectors last made a standard visit on April 3, 2026 and cited 7 deficiencies, plus 3 from complaint visits.
The visit before, on January 30, 2025, found 2.
Infection control citations: 3.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Hearthstone Nursing and Rehabilitation 2 times in the past 3 years, for $25,626 in total.
Beds and residents
On an average day 99.3 residents live here, about 83% of its 120 certified beds.
- Certified beds
- 120
- Average residents per day
- 99.3
- Certified since
- September 26, 1988
- Resident or family council
- Both
Who owns Hearthstone Nursing and Rehabilitation
- Legal business name
- Stratford Hospital District
- Ownership type
- Government - Hospital district
- Chain
- 8 homes nationally under Caraday Healthcare, 3-star chain average
Other nursing homes near Hearthstone Nursing and Rehabilitation
- Park Valley Inn Health Center17751 Park Valley Drive, Round Rock 78681
- Ignite Medical Resort Round Rock, LLC16219 Ranch Road 620 N, Austin 78717
- The Center at Parmer13800 N FM 620 Rd SB, Austin 78717
- Trinity Care Center1000 E Main St, Round Rock 78664
- San Gabriel Rehabilitation and Care Center4100 College Park Dr, Round Rock 78665
See also all nursing homes in Round Rock.
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, the 5 in Round Rock, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Hearthstone Nursing and Rehabilitation, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Hearthstone Nursing and Rehabilitation
What is the CMS star rating of Hearthstone Nursing and Rehabilitation?
3 out of 5 stars overall.
Does Hearthstone Nursing and Rehabilitation accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Hearthstone Nursing and Rehabilitation?
7 cited at the last standard visit.
Who owns Hearthstone Nursing and Rehabilitation?
Stratford Hospital District, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.