RecordWell Data

Hearthstone Nursing And Rehabilitation

Nursing home · 401 OAKWOOD BLVD, Round Rock, TX 78681 · Williamson County

3★Medicare overall
27cited deficiencies
4harm or jeopardy level
2penalties

Prices

Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.

Facility

Type
Nursing home · Nursing · MEDICARE/MEDICAID · certified
Capacity
120
State license
005264
Medicare CCN
455771
Licensed entity
STRATFORD HOSPITAL DISTRICT
Chain
CARADAY HEALTHCARE
Ownership
Government - Hospital district
Phone
(512) 388-7494
Nurse staffing
2.92 hours per resident per day; 53.3% nursing staff turnover
Medicare ratings
Inspections 3★ · Staffing 2★ · Quality 4★
Official record
Texas HHSC provider search (TULIP)
Official record
Medicare Care Compare

Other public records for this operator

Penalties

Inspection findings

  1. Apr 3, 2026 Health · 4 findings
    • Not serious Scope/severity E

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected Apr 17, 2026 · CMS health inspection

    • Not serious Scope/severity E

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Apr 17, 2026 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Apr 17, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0925 Environmental Deficiencies

      Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

      Corrected Apr 17, 2026 · CMS health inspection

  2. Jan 14, 2026 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0657 Resident Assessment and Care Planning Deficiencies

      Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      Corrected Jan 26, 2026 · CMS health inspection

  3. Nov 19, 2025 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0644 Resident Assessment and Care Planning Deficiencies

      Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      Corrected Nov 26, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0646 Resident Assessment and Care Planning Deficiencies

      Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

      Corrected Nov 26, 2025 · CMS health inspection

  4. Jan 30, 2025 Health · 4 findings
    • Not serious Scope/severity D

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Feb 17, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Feb 17, 2025 · CMS health inspection

    • Not serious Scope/severity D

      K0321 Smoke Deficiencies

      Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      Corrected Mar 25, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Mar 25, 2025 · CMS fire safety

  5. Dec 19, 2024 Health · 2 findings
    • Serious Scope/severity G Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Dec 3, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0842 Resident Assessment and Care Planning Deficiencies

      Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      Corrected Jan 14, 2025 · CMS health inspection

  6. Apr 3, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Apr 25, 2024 · CMS health inspection

  7. Feb 13, 2024 Health · 3 findings
    • Not serious Scope/severity E Complaint

      F0552 Resident Rights Deficiencies

      Ensure that residents are fully informed and understand their health status, care and treatments.

      Corrected Mar 11, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0553 Resident Rights Deficiencies

      Allow resident to participate in the development and implementation of his or her person-centered plan of care.

      Corrected Mar 11, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0758 Pharmacy Service Deficiencies

      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.

      Corrected Mar 11, 2024 · CMS health inspection

  8. Dec 14, 2023 Health · 6 findings
    • Not serious Scope/severity E

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Jan 20, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0692 Quality of Life and Care Deficiencies

      Provide enough food/fluids to maintain a resident's health.

      Corrected Jan 20, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0803 Nutrition and Dietary Deficiencies

      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.

      Corrected Jan 20, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0804 Nutrition and Dietary Deficiencies

      Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      Corrected Jan 20, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jan 20, 2024 · CMS health inspection

    • Not serious Scope/severity E

      K0211 Egress Deficiencies

      Keep aisles, corridors, and exits free of obstruction in case of emergency.

      Corrected Feb 9, 2024 · CMS fire safety

  9. Dec 2, 2023 Health · 4 findings
    • Serious Scope/severity K Complaint

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Nov 16, 2023 · CMS health inspection

    • Serious Scope/severity K Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Nov 16, 2023 · CMS health inspection

    • Serious Scope/severity K Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Nov 16, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Dec 8, 2023 · CMS health inspection

Owners and managers (as published by CMS)

Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.