Nursing homes › Texas › Hearthstone Nursing and Rehabilitation
401 Oakwood Blvd, Round Rock, TX 78681 · 5123887494 · 120 certified beds
Per CMS filings, this facility is affiliated with Caraday Healthcare, a group operating 9 facilities in 1 states. Group record: average rating 2.8/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $506,130 in federal fines. This facility rates below its group average (2.8/5).
Total nurse staffing: 2.92 (Texas median: 3.27). RN hours: 0.38. Weekend total: 2.53. Nursing staff turnover: 53%.
All-time on record: 26 deficiency citations, including 5 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-03 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2026-04-17 |
| 2026-04-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-04-17 |
| 2026-04-03 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-04-17 |
| 2026-04-03 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Health | corrected 2026-04-17 |
| 2026-01-14 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2026-01-26 |
| 2025-11-19 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2025-11-26 |
| 2025-11-19 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | complaint | corrected 2025-11-26 |
| 2025-01-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-02-17 |
| 2025-01-30 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-02-17 |
| 2024-12-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2024-12-03 |
| 2024-12-19 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-01-14 |
| 2024-04-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-04-25 |
| 2024-02-13 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | complaint | corrected 2024-03-11 |
| 2024-02-13 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | complaint | corrected 2024-03-11 |
| 2024-02-13 | 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. | D | complaint | corrected 2024-03-11 |
| 2023-12-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2024-01-20 |
| 2023-12-14 | Provide enough food/fluids to maintain a resident's health. | E | Health | corrected 2024-01-20 |
| 2023-12-14 | 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. | E | Health | corrected 2024-01-20 |
| 2023-12-14 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2024-01-20 |
| 2023-12-14 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-01-20 |
| 2023-12-02 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | complaint | corrected 2023-11-16 |
| 2023-12-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2023-11-16 |
| 2023-12-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | complaint | corrected 2023-11-16 |
| 2023-12-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2023-12-08 |
| 2023-07-31 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2023-08-25 |
| 2023-07-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2023-08-25 |
| Date | Type | Amount |
|---|---|---|
| 2024-12-19 | Fine | $10,033 |
| 2023-12-02 | Fine | $15,593 |
| 2023-07-31 | Fine | $126,991 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| STRATFORD HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 06/01/2020 |
| CHUMLEY, RICHARD | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2020 |
| CARADAY HEARTHSTONE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/01/2020 |
| MOORE, GREGORY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455771. Corrections: data@carerecords.org.