# Hearthstone Nursing and Rehabilitation

Hearthstone Nursing and Rehabilitation is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Round Rock, TX, CMS Certification Number 455771, with 120 certified beds and about 99 residents per day. CMS rates it 3/5 overall (health inspections 3/5, staffing 2/5, quality measures 4/5).

## Key facts
- Status: Active CMS certification
- Address: 401 Oakwood Blvd, Round Rock, TX 78681 (Williamson County)
- Ownership type: Government - Hospital district

- Operator (legal business name): [Stratford Hospital District](https://carefield.site/operator/op-stratford-hospital-district)
- CMS chain: [Caraday Healthcare](https://carefield.site/chain/cms-chain-103) — 8 facilities

- Phone: 5123887494
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/455771

## Inspection record
12 inspections in the CMS window (latest 2026-04-03); 27 citations (24 health, 3 fire safety); 1 at actual harm and 3 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2023-12-02 — [F-0580](https://carefield.site/deficiency/cms-f0580) Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident. — scope/severity K (Immediate jeopardy to resident health or safety); Past non-compliance; complaint survey
- 2023-12-02 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity K (Immediate jeopardy to resident health or safety); Past non-compliance; complaint survey
- 2023-12-02 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity K (Immediate jeopardy to resident health or safety); Past non-compliance; complaint survey
- 2024-12-19 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity G (Actual harm (not immediate jeopardy)); Past non-compliance; complaint survey
- 2026-04-03 — [F-0641](https://carefield.site/deficiency/cms-f0641) Ensure each resident receives an accurate assessment. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-04-03 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-04-03 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-04-03 — [F-0925](https://carefield.site/deficiency/cms-f0925) Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-14 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-11-19 — [F-0644](https://carefield.site/deficiency/cms-f0644) Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-11-19 — [F-0646](https://carefield.site/deficiency/cms-f0646) Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-01-30 — [K-0321](https://carefield.site/deficiency/cms-k0321) Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-01-30 — [K-0363](https://carefield.site/deficiency/cms-k0363) Install corridor and hallway doors that block smoke. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-01-30 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-01-30 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-12-19 — [F-0842](https://carefield.site/deficiency/cms-f0842) Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-04-03 — [F-0755](https://carefield.site/deficiency/cms-f0755) Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-02-13 — [F-0552](https://carefield.site/deficiency/cms-f0552) Ensure that residents are fully informed and understand their health status, care and treatments. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-02-13 — [F-0553](https://carefield.site/deficiency/cms-f0553) Allow resident to participate in the development and implementation of his or her person-centered plan of care. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-02-13 — [F-0758](https://carefield.site/deficiency/cms-f0758) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- …and 7 more on the source page.

## Penalties
- 2024-12-19 — Civil money penalty (fine): $10,033
- 2023-12-02 — Civil money penalty (fine): $15,593

## Staffing (PBJ, hours per resident per day)
- Total nurse: 2.97213 (state avg 3.41615, US 3.90085)
- RN: 0.38063
- Nursing staff turnover: 48.5%

## Owners and managers of record (CMS disclosures)
- [Stratford Hospital District](https://carefield.site/owner/org-stratford-hospital-district) — Direct owner, 100%, since 2020-06-01
- [Caraday Hearthstone LLC](https://carefield.site/owner/org-caraday-hearthstone-llc) — Operational / managerial control, since 2020-06-01
- Gregory Moore — Operational / managerial control, since 2020-06-01

## Nearby nursing homes
- [Park Valley Inn Health Center](https://carefield.site/facility/cms-676471) — 0.8 km, CMS overall 2/5
- [Ignite Medical Resort Round Rock, LLC](https://carefield.site/facility/cms-676440) — 2.9 km, CMS overall 3/5
- [The Center at Parmer](https://carefield.site/facility/cms-676487) — 3.1 km, CMS overall 5/5
- [Trinity Care Center](https://carefield.site/facility/cms-675546) — 4.1 km, CMS overall 3/5
- [San Gabriel Rehabilitation and Care Center](https://carefield.site/facility/cms-676308) — 6.1 km, CMS overall 2/5
- [Bel Air at Teravista](https://carefield.site/facility/cms-676345) — 7.4 km, CMS overall 3/5
- [Cedar Pointe Health and Wellness Center](https://carefield.site/facility/cms-676432) — 9.5 km, CMS overall 4/5
- [Five Points of Pflugerville](https://carefield.site/facility/cms-675913) — 9.5 km, CMS overall 1/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455771&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455771&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455771&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455771&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455771&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455771&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-455771 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.