Nursing homeActive
Hearthstone Nursing And Rehabilitation
401 Oakwood Blvd, Round Rock, TX 786815123887494120 certified beds · 94 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
9
since 2023
Deficiencies
24
● 0● 20● 4
Penalties · 3 yrs
$25,626
2 fines
Last survey
2026-04-03
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-03 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2026-01-14 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-11-19 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-01-30 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-12-19 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-04-03 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-02-13 | Infection control | 030 | CMS-2567 (Care Compare) | — |
| 2023-12-14 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2023-12-02 | Complaint | 013 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 455771-20260403-F641
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 455771-20260403-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 455771-20260403-F880
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 455771-20260403-F925
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-26Record 455771-20260114-F657
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-26Record 455771-20251119-F644
F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-26Record 455771-20251119-F646
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 455771-20250130-F656
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 455771-20250130-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-12-03Record 455771-20241219-F600
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-14Record 455771-20241219-F842
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-25Record 455771-20240403-F755
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-11Record 455771-20240213-F552
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-11Record 455771-20240213-F553
F758Implement 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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-11Record 455771-20240213-F758
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-20Record 455771-20231214-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-20Record 455771-20231214-F692
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-20Record 455771-20231214-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-20Record 455771-20231214-F804
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-20Record 455771-20231214-F880
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity KHarm
Dignity & rights
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-11-16Record 455771-20231202-F580
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-11-16Record 455771-20231202-F600
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-11-16Record 455771-20231202-F684
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-08Record 455771-20231202-F755
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-12-19 | Civil money penalty | $10,033 | CMS · Penalties |
| 2023-12-02 | Civil money penalty | $15,593 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.38
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day2.92
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.53
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover53%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover29%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.6% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 8.7% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 16.0% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.6% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.5% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.4% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.5% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Stratford Hospital District Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Caraday Hearthstone LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Moore, Gregory Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Choi, Maryann Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Choi, Robert Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Chumley, Richard Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Cunningham, Ernest Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Granite Hearthstone Health Center, LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Granite Hearthstone Health Center, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Javadi, Jasmine Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| O'donoghue-Stallard, Maire Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stallard, Thomas Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wages, Adriana Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wood, Stephen Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Caraday Healthcare — 8 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Williamson.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Park Valley Inn Health Center Round Rock | 0.5 mi | 2026-06-29 | 0374 |
| Ignite Medical Resort Round Rock, LLC Austin | 1.8 mi | 2026-01-28 | 0236 |
| The Center At Parmer Austin | 1.9 mi | 2026-01-30 | 1160 |
| Trinity Care Center Round Rock | 2.6 mi | 2026-01-23 | 0192 |
| San Gabriel Rehabilitation and Care Center Round Rock | 3.8 mi | 2026-04-30 | 0233 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |