Open Care Data
Independent Review & Safety Record · CCN 455771 Monitoring available

HEARTHSTONE NURSING AND REHABILITATION

An independent review of Hearthstone Nursing And Rehabilitation's safety record, its Medicare rating, health-inspection citations, staffing, fines and complaints, drawn from public federal data (not user star-ratings).

401 OAKWOOD BLVD · ROUND ROCK, TX 78681 · 120 beds
Phone: 5123887494
C
Open Care Data Safety Grade

This facility is roughly average, a mixed record worth a close look.

Starts from the Medicare rating, then weighs below-average staffing. How we grade · See how it compares
Open Care Data's independent assessment of public federal data, not an official CMS rating. Data can lag or change. Operate this facility? Report a correction.

Recent News August 2026 federal update

Overall rating improved from 2 to 3 stars

In the August 2026 federal update, this facility's Medicare overall rating improved from 2 of 5 stars to 3. The overall rating combines health inspections, staffing, and quality measures into a single Medicare five-star score. A higher rating reflects a change in the facility's measured performance in that area versus the prior release.

Health-inspection rating improved from 2 to 3 stars

In the August 2026 federal update, this facility's Medicare health-inspection rating improved from 2 of 5 stars to 3. The health-inspection rating is based on the last three years of on-site state inspections and complaint investigations. A higher rating reflects a change in the facility's measured performance in that area versus the prior release.

Total federal fines changed to $25,626

In the August 2026 federal update, the total dollar amount of federal fines on this facility's record changed from $152,617 to $25,626. Fines are civil monetary penalties CMS levies when serious problems are identified and not corrected.

These changes are drawn from the U.S. federal (CMS) nursing home data. The facts are CMS's; the explanations are Open Care Data's. Federal data updates periodically and can lag current conditions. Operate this facility? Add context or report a correction.

Medicare Five-Star Rating · as of the latest federal update

Overall
★★★
3 / 5
Staffing
★★
2 / 5
Health Inspection
★★★
3 / 5
Quality Measures
★★★★
4 / 5

Top concerns What stands out in the record

  • Staffing rating is in the bottom tier, often the strongest predictor of care quality.

How it compares vs. 1178 TX nursing homes

Overall Medicare rating
3of 5 stars
Better than 49% of TX homes
Staffing rating
2of 5 stars
Better than 48% of TX homes
Health-inspection rating
3of 5 stars
Better than 45% of TX homes
Total nurse hours / resident / day
2.91829hrs
Better than 14% of TX homes
RN hours / resident / day
0.38341hrs
Better than 50% of TX homes
RN turnover
28.6%
Better than 82% of TX homes

Percentiles rank this facility against every other Medicare-rated nursing home in Texas, using the latest federal data.

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Safety & Enforcement Federal inspection record

Safety indicators

Abuse indicator None on record
Substantiated complaints 0

Financial penalties

2
Fines
$25,626
Total fines
0
Payment denials
2
Total penalties

Staffing Hours per resident / day

0.38341
RN hours per resident / day
Benchmark ≥ 0.75
2.91829
Total nursing hours / day
Benchmark ≈ 4.1
2.83911
Weekend nursing hours / day
Look for parity with weekdays

Higher staffing, especially RN time, correlates with better outcomes and higher Medicare star ratings.

Recent Deficiency Citations Last 36 months · federal inspections

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Quality Measures Medicare quality data · lower is better

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Highly-rated facilities nearby Same area · by rating