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Hearthstone Nursing And Rehabilitation is a 3-star rated nursing home in Round Rock, TX with 120 beds. CMS sub-ratings: health inspections 3/5, staffing 2/5, quality measures 2/5.

The facility has 41 health violations on record. Federal fines total $1,625 across 2 enforcement actions. Most recent inspection: January 30, 2025.

Staff turnover rate: 76.7% — significantly above the national average.

Data synthesized from CMS.gov and Texas public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.

Inspection History Overview

Data current as of May 6, 2026 · Source: CMS Provider Data

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Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 1 penalties totaling $975

$975

Fine

2020 1 penalties totaling $650

$650

Fine

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Health Violations by Year

2025 2 violations

Tag 0656 D Jan 30, 2025

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
Tag 0880 D Jan 30, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 17, 2025

2024 4 violations

Tag 0755 D Apr 3, 2024

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

✓ Corrected: Apr 25, 2024
Tag 0552 E Feb 13, 2024

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

Tag 0553 D Feb 13, 2024

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

Tag 0758 D Feb 13, 2024

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.

2023 11 violations

Tag 0689 E Dec 14, 2023

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

✓ Corrected: Jan 20, 2024
Tag 0692 E Dec 14, 2023

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

✓ Corrected: Jan 20, 2024
Tag 0803 E Dec 14, 2023

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
Tag 0804 E Dec 14, 2023

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

✓ Corrected: Jan 20, 2024
Tag 0880 E Dec 14, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 20, 2024
Tag 0580 K Dec 2, 2023

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
Tag 0600 K Dec 2, 2023

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

✓ Corrected: Nov 16, 2023
Tag 0684 K Dec 2, 2023

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

✓ Corrected: Nov 16, 2023
Tag 0755 E Dec 2, 2023

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

✓ Corrected: Dec 8, 2023
Tag 0600 J Jul 31, 2023

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

✓ Corrected: Aug 25, 2023
Tag 0689 J Jul 31, 2023

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

✓ Corrected: Aug 25, 2023

2022 6 violations

Tag 0803 D Dec 27, 2022

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, 2023
Tag 0755 D Oct 20, 2022

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

✓ Corrected: Nov 18, 2022
Tag 0761 D Oct 20, 2022

Ensure 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.

✓ Corrected: Nov 18, 2022
Tag 0880 D Oct 20, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 5, 2022
Tag 0881 F Oct 20, 2022

Implement a program that monitors antibiotic use.

✓ Corrected: Dec 5, 2022
Tag 0882 F Oct 20, 2022

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

✓ Corrected: Dec 5, 2022

2021 3 violations

Tag 0600 G May 27, 2021

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

Tag 0610 D May 27, 2021

Respond appropriately to all alleged violations.

Tag 0886 F May 27, 2021

Perform COVID19 testing on residents and staff.

2019 5 violations

Tag 0583 E Jul 29, 2019

Keep residents' personal and medical records private and confidential.

✓ Corrected: Jul 30, 2019
Tag 0688 E May 30, 2019

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Jun 14, 2019
Tag 0758 E May 30, 2019

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: Jun 14, 2019
Tag 0759 E May 30, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jun 14, 2019
Tag 0880 D May 30, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 14, 2019

2018 6 violations

Tag 0641 D Jun 6, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Jun 29, 2018
Tag 0644 D Jun 6, 2018

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

✓ Corrected: Jun 29, 2018
Tag 0657 E Jun 6, 2018

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

✓ Corrected: Jun 29, 2018
Tag 0679 E Jun 6, 2018

Provide activities to meet all resident's needs.

✓ Corrected: Jun 29, 2018
Tag 0755 E Jun 6, 2018

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

✓ Corrected: Jun 29, 2018
Tag 0812 F Jun 6, 2018

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

✓ Corrected: Jun 29, 2018

2017 4 violations

Tag 0252 E Jul 13, 2017

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

✓ Corrected: Aug 1, 2017
Tag 0281 E Jul 13, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jul 13, 2017
Tag 0371 F Jul 13, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Aug 14, 2017
Tag 0465 F Jul 13, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Aug 1, 2017

Frequently Asked Questions About Hearthstone Nursing And Rehabilitation

What violations has Hearthstone Nursing And Rehabilitation received?
Hearthstone Nursing And Rehabilitation has 41 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of Hearthstone Nursing And Rehabilitation?
Hearthstone Nursing And Rehabilitation has a 3-star rating out of 5 from CMS. This is an average rating, meeting basic quality standards. The rating is based on health inspections, staffing levels, and quality measures.
When was Hearthstone Nursing And Rehabilitation last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is Hearthstone Nursing And Rehabilitation safe?
Safety at Hearthstone Nursing And Rehabilitation should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact Hearthstone Nursing And Rehabilitation?
Phone: (512) 388-7494. Address: 401 Oakwood Blvd, Round Rock, TX. For visiting hours and admission information, call the facility directly.
What services does Hearthstone Nursing And Rehabilitation offer?
Hearthstone Nursing And Rehabilitation is a skilled nursing facility with 120 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near Round Rock, TX?
Compare Hearthstone Nursing And Rehabilitation with other nursing homes in Round Rock, TX on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.

Compare Nursing Homes in Round Rock, TX

Facility Rating Violations Beds
Hearthstone Nursing And Rehabilitation (this facility) ★★★☆☆ 41 120
Bel Air At Teravista ★★★★☆ 24 112
Park Valley Inn Health Center ★★★★☆ 0 78
Park Valley Inn Health Center ★★☆☆☆ 53 128
Reliant Rehabilitation Hospital Central Texas ★☆☆☆☆ 0 21
San Gabriel Rehabilitation And Care Center ★☆☆☆☆ 29 142
Trinity Care Center ★☆☆☆☆ 33 179

Editorial Standards & Data Oversight

Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.

Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.

Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.

Last verified: January 30, 2025 | Our methodology | Editorial standards | Report an error

This page is maintained by NursingHomeNews.org and is not affiliated with Hearthstone Nursing And Rehabilitation.

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