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Data / Nursing homes / Texas / Hearthstone Nursing and Rehabilitation

Hearthstone Nursing and Rehabilitation, Round Rock, TX: 3 star rating, fined $25,626 across 2 fines

Hearthstone Nursing and Rehabilitation in Round Rock, TX is owned by Stratford Hospital District, is rated 3 of 5 stars by Medicare, and was fined $25,626 across 2 fines in the three years to October 1, 2026. CMS lists 24 health citations from inspections in that time, the latest survey on April 3, 2026, and 4 of them found actual harm or immediate jeopardy.

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Address
401 Oakwood Blvd, Round Rock, TX 78681
Overall rating
3 of 5 stars
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5
Certified beds
120
Residents per day
99 on average
Ownership type
Government, Hospital district
Legal business name
Stratford Hospital District
Chain
Caraday Healthcare, 8 facilities
Fines
$25,626 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
24, of which 4 with actual harm or immediate jeopardy
Latest survey
April 3, 2026
CMS Certification Number
455771
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
December 19, 2024Fine$10,033Not listeddata.cms.gov
December 2, 2023Fine$15,593Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 3, 2026F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
April 3, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
April 3, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
April 3, 2026F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
January 14, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 26, 2026data.cms.gov
November 19, 2025F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 26, 2025data.cms.gov
November 19, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 26, 2025data.cms.gov
January 30, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 17, 2025data.cms.gov
January 30, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 17, 2025data.cms.gov
December 19, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmPast noncomplianceDecember 3, 2024data.cms.gov
December 19, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 14, 2025data.cms.gov
April 3, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 25, 2024data.cms.gov
February 13, 2024F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 11, 2024data.cms.gov
February 13, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 11, 2024data.cms.gov
February 13, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 11, 2024data.cms.gov
December 14, 2023F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2024data.cms.gov
December 14, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2024data.cms.gov
December 14, 2023F803Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2024data.cms.gov
December 14, 2023F692Provide enough food/fluids to maintain a resident's health.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2024data.cms.gov
December 14, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2024data.cms.gov
December 2, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K: pattern, immediate jeopardyPast noncomplianceNovember 16, 2023data.cms.gov
December 2, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K: pattern, immediate jeopardyPast noncomplianceNovember 16, 2023data.cms.gov
December 2, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.K: pattern, immediate jeopardyPast noncomplianceNovember 16, 2023data.cms.gov
December 2, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 8, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 10 individual or personal trusts (1 managers, 7 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Stratford Hospital DistrictDirect owner100%June 1, 2020data.cms.gov
Caraday Hearthstone LLCOperational or managerial controlNot listedJune 1, 2020data.cms.gov
Granite Hearthstone Health Center, LLCMortgage interestNot listedJune 1, 2020data.cms.gov
Granite Hearthstone Health Center, LLCAdditional disclosable partyNot listedJune 1, 2020data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.