HEARTHSTONE NURSING AND REHABILITATION
401 OAKWOOD BLVD, ROUND ROCK, TX 78681 · CCN 455771
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 120
- Avg residents/day
- 88.9
- Phone
- 5123887494
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-30 | 5 | 9.1 | 9.5 | -4.1 better |
| 2 | 2023-12-14 | 8 | 9.4 | 9.8 | -1.4 better |
| 3 | 2022-10-20 | 14 | 8.1 | 9.3 | +5.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 4 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.93 | 69.4% |
| RN staffing (reported) | 0.45 | 54.5% |
| Total nurse staffing (adjusted) | 3.38 | — |
Fines & penalties
- Total fines
- $152,617
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- CARADAY HEALTHCARE
- Facilities in chain
- 9
- Chain avg overall
- 2.60 / 5
Inspection citations (27)5 immediate jeopardy1 actual harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2026-01-14 · Health · corrected 2026-01-26
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-11-19 · Health · corrected 2025-11-26
Potential for more than minimal harm
- DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2025-11-19 · Health · corrected 2025-11-26
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-30 · Health · corrected 2025-02-17
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-01-30 · Health · corrected 2025-02-17
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-12-19 · Health · corrected 2024-12-03
Actual harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-19 · Health · corrected 2025-01-14
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-03 · Health · corrected 2024-04-25
Potential for more than minimal harm
- EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-02-13 · Health · corrected 2024-03-11
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-02-13 · Health · corrected 2024-03-11
Potential for more than minimal harm
- DF0758Implement 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.2024-02-13 · Health · corrected 2024-03-11
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-14 · Health · corrected 2024-01-20
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2023-12-14 · Health · corrected 2024-01-20
Potential for more than minimal harm
- EF0803Ensure 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.2023-12-14 · Health · corrected 2024-01-20
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-12-14 · Health · corrected 2024-01-20
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-12-14 · Health · corrected 2024-01-20
Potential for more than minimal harm
- KF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-12-02 · Health · corrected 2023-11-16
Immediate jeopardy
- KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-02 · Health · corrected 2023-11-16
Immediate jeopardy
- KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-02 · Health · corrected 2023-11-16
Immediate jeopardy
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-02 · Health · corrected 2023-12-08
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-07-31 · Health · corrected 2023-08-25
Immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-31 · Health · corrected 2023-08-25
Immediate jeopardy
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-10-20 · Health · corrected 2022-11-18
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-10-20 · Health · corrected 2022-11-18
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-10-20 · Health · corrected 2022-12-05
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2022-10-20 · Health · corrected 2022-12-05
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2022-10-20 · Health · corrected 2022-12-05
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| STRATFORD HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-06-01 |
| CARADAY HEARTHSTONE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-06-01 |
| MOORE, GREGORY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-06-01 |
| CHUMLEY, RICHARD | Individual | CORPORATE OFFICER | — | 2020-06-01 |
| GRANITE HEARTHSTONE HEALTH CENTER, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2020-06-01 |
Other facilities in ROUND ROCK
| Name | Overall | Beds |
|---|---|---|
| BEL AIR AT TERAVISTA | ★★★★☆ | 112 |
| PARK VALLEY INN HEALTH CENTER | ★★☆☆☆ | 128 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.