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Nursing homeFAID #12186

Hearthstone Nursing and Rehabilitation

401 OAKWOOD BLVD, ROUND ROCK, TX, 78681
(512) 388-7494
120 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of HEARTHSTONE NURSING AND REHABILITATION
Photo via Google · Hearthstone Nursing and Rehabilitation
What we can show you for free.
Bed capacity
120
CMS facility ID
455771
Care type
Nursing home
County
Williamson
Facility name
Hearthstone Nursing and Rehabilitation
Street address
401 OAKWOOD BLVD
City / state / ZIP
Round Rock, TX 78681
Phone
(512) 388-7494

Hearthstone Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Round Rock, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 21 senior care facilities in Round Rock and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Hearthstone Nursing and Rehabilitation 27 times across 13 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $25,626 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Caraday Healthcare
Ownership type
Government - Hospital district

Registered owners & officers

Stratford Hospital District
Direct owner — 100% stake — since 2020
Caraday Hearthstone Llc
Operational control — since 2020
Choi, Maryann
Owner of a disclosable party — since 2025
Choi, Robert
Owner of a disclosable party — since 2025
Chumley, Richard
Officer — since 2020
Cunningham, Ernest
Owner of a disclosable party — since 2025
Granite Hearthstone Health Center, Llc
Mortgage holder · Additional disclosable party — since 2020
Javadi, Jasmine
Additional disclosable party — since 2020
Moore, Gregory
Operational control — since 2020
O'donoghue-stallard, Maire
Owner of a disclosable party — since 2025
Stallard, Thomas
Owner of a disclosable party — since 2025
Wages, Adriana
Additional disclosable party — since 2025
Wood, Stephen
Owner of a disclosable party — since 2025

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1988-09-26
CMS overall rating
3 of 5 stars
Health deficiencies
7 at the last standard inspection
Federal fines
$25,626 total
Last standard inspection
2026-04-03
Nurse staffing
2.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$295 per day (≈ $8,970/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
57% Medicaid · 11% Medicare · 31% private/other
Occupancy
54% (fiscal year 2023)
Vs. state median
6% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-03Health inspection4 citations
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-04-17
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-04-17
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-17
F-0925
D · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2026-04-17
2026-01-14Health inspectionComplaint-triggered1 citation
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-01-26
9 earlier / fire-safety inspections (22 citations)
2025-11-19Health inspectionComplaint-triggered2 citations
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-11-26
F-0646
D · No harm foundFrom a complaint
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2025-11-26
2025-01-30Health inspection2 citations
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-17
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-02-17
2024-12-19Health inspectionComplaint-triggered2 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-03
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-14
2024-04-03Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-25
2024-02-13Health inspectionComplaint-triggeredInfection control3 citations
F-0552
E · No harm foundFrom a complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-03-11
F-0553
D · No harm foundFrom a complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-03-11
F-0758
D · No harm foundFrom a complaint
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 2024-03-11
2023-12-14Health inspection5 citations
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-20
F-0692
E · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-01-20
F-0803
E · No harm foundFood safety
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 2024-01-20
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-01-20
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-01-20
2023-12-02Health inspectionComplaint-triggered4 citations
F-0580
K · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-11-16
F-0600
K · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-16
F-0684
K · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-16
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-08
2025-01-30Fire-safety inspection2 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-03-25
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-03-25
2023-12-14Fire-safety inspection1 citation
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-02-09

Federal penalties

2024-12-19Fine$10,033
2023-12-02Fine$15,593
Total fines$25,626
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455771.
What people say on Google.
3.596 ratings on Google
★★★★★Jessica Boxley · 2026-03-09 · via Google

“All of the staff goes above & beyond. They are friendly, cheerful & make meaningful relationships with patients. From the CMA’s, to Nurses, to OT/PT therapy, office staff, front door staff & receptionist, medical office records, Directors, Administrative staff- every single person who works here makes a huge impact with the patients. I have high standards for my Aunt’s care and they are continuous…”

★★★★★Sherry Smith · 2026-05-12 · via Google

“After 15 months of providing care at home, our family realized that Mom’s care needs had grown beyond what we could manage on our own. We then began searching for a nearby nursing facility that could fully support her needs and provide the level of care she required. During my first visit to Hearthstone with Tia, the Admission Dir, was thoughtful and compassionate as she listened to our concerns a…”

★★★★★Todd Talkington · 2026-05-29 · via Google

“When we needed it most, Hearthstone proved to be exactly the right place for our family. The staff's care is unmistakably genuine, their patience with residents evident at every turn, and the warmth you feel the moment you walk through the door is hard to miss. The building itself is bright, open, and immaculately kept. All of it together made a difficult season far more bearable than we expected.…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 27 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered