DBelow average · score 42/100 · #784 of 1,170 in Texas
Hearthstone Nursing And Rehabilitation
401 Oakwood Blvd, Round Rock, TX 78681 · 120 certified beds · Government - Hospital district
Staffing 2.9 nurse hours per resident-daybottom quarter in Texas
7 health deficiencies at the last standard survey (CMS severity score 40)above median
$25,626 in fines in 3 years
Why Hearthstone Nursing And Rehabilitation is graded D
Each metric below is percentile-ranked against Texas nursing homes in the same size band (medium, 120 beds), then weighted. The score is the weighted sum; A ≥ 72, B ≥ 58, C ≥ 42, D ≥ 28, F below. Nothing here can be edited or paid for.
Hearthstone Nursing And Rehabilitation at a Glance
D
42/100
Nurse staffing · weight 30Total nurse hours per resident per day, as reported to CMS (PBJ). Raw: 2.92 h.
15<small style="font-size:12px;color:var(--muted)">th pct</small>Health inspections · weight 30Health deficiencies cited at the last standard survey and complaint surveys, weighted by severity. Raw: 40.
58<small style="font-size:12px;color:var(--muted)">th pct</small>Quality measures · weight 25CMS quality-measure rating: falls, pressure ulcers, rehospitalisation, antipsychotic use. Raw: 4.
57<small style="font-size:12px;color:var(--muted)">th pct</small>Penalties · weight 15Fines and payment denials in the last three years. Raw: $25,626 fines, 0 denials.
39<small style="font-size:12px;color:var(--muted)">th pct</small>CMS overall star ratingMedicare's own 1–5 rating, shown for reference; not part of our grade.
3/5Data: CMS Care Compare, as of Aug 1, 2026 · graded Sep 11, 2026 · peer group: Texas, medium facilities · CMS record 455771 · How we grade.
Facility details
Address401 Oakwood Blvd, Round Rock, TX 78681
Phone5123887494
CountyWilliamson
OwnershipGovernment - Hospital district
Certified beds120
AcceptsMedicare Medicaid
Special Focus FacilityNo
Higher-graded nursing homes nearby
1
Trinity Care Center - Round Rock, TX · 179 beds
- Staffing 3.1 nurse hours per resident-day — below median in Texas
- 8 health deficiencies at the last standard survey (CMS severity score 56) — above median
2
Bel Air At Teravista - Round Rock, TX · 112 beds
- Staffing 3.4 nurse hours per resident-day — above median in Texas
- 10 health deficiencies at the last standard survey (CMS severity score 84) — below median
3
Park Valley Inn Health Center - Round Rock, TX · 128 beds
- Staffing 3.3 nurse hours per resident-day — above median in Texas
- 16 health deficiencies at the last standard survey (CMS severity score 201) — bottom quarter
A grade is a shortlist tool, not medical or legal advice. Visit the facility, ask for the latest survey report, and talk to residents' families before choosing.