Hearthstone Nursing And Rehabilitation
Round Rock, TX · Medicare and Medicaid-certified nursing home (CCN 455771) · 120 certified beds
Health inspection: 3 · Quality measures: 4 · Staffing: 2
Federal fines: 2 totaling $25,626
Phone: (512) 388-7494 · Verify on Medicare Care Compare ↗
Hearthstone Nursing And Rehabilitation has a CMS overall rating of 3 out of 5 stars, which is above the Texas state average of 2.65. Its health inspection rating is 3 stars and its staffing rating is 2 stars.
Hearthstone reports total nurse staffing of 2.92 hours per resident per day, including 0.38 RN hours per resident per day, with a nursing staff turnover rate of 53.3%. CMS gives the facility a staffing star rating of 2 out of 5.
Hearthstone has 2 federal fines on record totaling $25,626.00, with 0 payment denials. CMS does not show an abuse icon or Special Focus Facility designation for this facility in the data provided.
About this facility
Hearthstone Nursing And Rehabilitation is a 120-bed Medicare and Medicaid certified nursing home in Round Rock, Williamson County, Texas, with an average of 93.8 residents. The facility is government-owned, operated by a hospital district, and has been certified since September 1988. Ownership has not changed in the past 12 months.
According to CMS Care Compare, Hearthstone holds an overall star rating of 3 out of 5, which is above the Texas state average of 2.65. Its component ratings are: health inspection rating of 3, quality measure (QM) rating of 4, and staffing rating of 2.
Nurse staffing data reported to CMS shows total nurse hours per resident per day of 2.92, including 0.38 RN hours per resident per day. Nursing staff turnover is reported at 53.3%.
On penalties, CMS records show 2 federal fines totaling $25,626.00 and 0 payment denials for this facility. There is no abuse icon flag and no Special Focus Facility designation reported for Hearthstone in the CMS data provided.
Hearthstone is part of the Caraday Healthcare chain, which operates 8 facilities with an average CMS rating of 2.8 across the chain.
This profile is drawn from CMS Care Compare data. Families should verify current details directly with the facility and review the latest inspection record on Medicare Care Compare before making a decision.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Hearthstone has a CMS overall rating of 3 out of 5 stars, above the Texas state average of 2.65.
Does this facility accept Medicare, Medicaid, or both?
Yes, Hearthstone is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 2.92 hours per resident per day, with a nursing turnover rate of 53.3%, and CMS rates staffing at 2 out of 5 stars.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 2 fines totaling $25,626.00 and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
No, the data provided shows no abuse icon and no Special Focus Facility designation for Hearthstone.
How large is this facility and how many residents live there?
Hearthstone has 120 certified beds and an average of 93.8 residents.
Who owns this facility — and is it part of a chain?
It is government-owned, operated by a hospital district, and is part of the Caraday Healthcare chain, which has 8 facilities with an average rating of 2.8.
How long has this facility been Medicare/Medicaid certified?
Hearthstone was first approved for certification on September 26, 1988.
What do the four different CMS star ratings mean?
CMS publishes an overall rating along with separate ratings for health inspections, staffing, and quality measures; Hearthstone's are 3, 3, 2, and 4 respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service types; contact the facility at 5123887494 and verify on Medicare Care Compare.
What should I look for when touring this facility?
This data does not cover tour details; contact the facility at 5123887494 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review Hearthstone's current record at https://www.medicare.gov/care-compare/details/nursing-home/455771?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.