Hearthstone Nursing And Rehabilitation
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.
Data current as of June 20, 2026 · Source: CMS Provider Data
Detailed Inspection Reports
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Fines and Penalties by Year
Fine
Fine
Health Violations by Year
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide and implement an infection prevention and control program.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that residents are fully informed and understand their health status, care and treatments.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough food/fluids to maintain a resident's health.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Provide and implement an infection prevention and control program.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Provide and implement an infection prevention and control program.
Implement a program that monitors antibiotic use.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Respond appropriately to all alleged violations.
Perform COVID19 testing on residents and staff.
Keep residents' personal and medical records private and confidential.
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.
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.
Ensure medication error rates are not 5 percent or greater.
Provide and implement an infection prevention and control program.
Ensure each resident receives an accurate assessment.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide activities to meet all resident's needs.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
Ensure services provided by the nursing facility meet professional standards of quality.
Store, cook, and serve food in a safe and clean way.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Frequently Asked Questions About Hearthstone Nursing And Rehabilitation
Compare Nursing Homes in Round Rock, TX
| Facility | Rating | Violations | Beds |
|---|---|---|---|
| Hearthstone Nursing And Rehabilitation this facility | 3/5 | 41 | 120 |
| Bel Air At Teravista | 4/5 | 24 | 112 |
| Park Valley Inn Health Center | 4/5 | 0 | 78 |
| Park Valley Inn Health Center | 2/5 | 53 | 128 |
| Reliant Rehabilitation Hospital Central Texas | 1/5 | 0 | 21 |
| San Gabriel Rehabilitation And Care Center | 1/5 | 29 | 142 |
| Trinity Care Center | 1/5 | 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.
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