Hearthstone Nursing and Rehabilitation: Staffing, Turnover, and Inspection Record
Hearthstone Nursing and Rehabilitation is a 120-bed government-run nursing home in Round Rock, Texas, part of Caraday Healthcare. In the CMS August 2026 release it reported 1.95 nurse aide hours per resident per day, 3% below the Texas average of 2.00, and 53.3% nursing staff turnover (Texas average 55.3%).
Hearthstone Nursing and Rehabilitation
401 Oakwood BlvdRound Rock, TX 78681
Williamson County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Hearthstone Nursing and Rehabilitation, nurse aides logged 1.95 hours per resident per day, 3% below the Texas average. With about 94 residents a day, that works out to roughly 183 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.95 | 2.00 | 2.32 |
| Licensed practical nurses | 0.59 | 0.95 | 0.86 |
| Registered nurses | 0.38 | 0.43 | 0.69 |
| All nursing staff | 2.92 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.53 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
53.3% of nursing staff at Hearthstone Nursing and Rehabilitation left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 28.6%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 3, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $25,626 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 19, 2024 | Fine | $10,033 |
| Dec 2, 2023 | Fine | $15,593 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Hearthstone Nursing and Rehabilitation holds 3 of 5 overall; the Texas average is 2.6.
About Hearthstone Nursing and Rehabilitation
- Ownership: Government - Hospital district
- Chain: Caraday Healthcare, 8 homes
- Legal name: Stratford Hospital District
- Medicare and Medicaid certified since: Sep 26, 1988
- Councils: resident and family councils
- Area: urban
Nursing homes near Hearthstone Nursing and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Park Valley Inn Health Center Round Rock · abuse citation | 0.5 | 128 | 2.09 | 3.28 | 55.3% | 2 | $132,582 |
| Ignite Medical Resort Round Rock, LLC Austin | 1.8 | 70 | 1.77 | 3.89 | 61.2% | 2 | $63,733 |
| The Center at Parmer Austin | 1.9 | 80 | 2.20 | 4.51 | 53.5% | 5 | None |
| Trinity Care Center Round Rock | 2.6 | 179 | 2.05 | 3.12 | 51.3% | 3 | $10,293 |
| San Gabriel Rehabilitation and Care Center Round Rock · abuse citation | 3.8 | 142 | 1.87 | 3.18 | 55.1% | 1 | $19,393 |
| Bel Air at Teravista Round Rock | 4.6 | 112 | 1.97 | 3.38 | 42.9% | 3 | $19,188 |
| Cedar Pointe Health and Wellness Center Cedar Park | 5.9 | 122 | 2.25 | 3.48 | 27.2% | 4 | None |
| Five Points of Pflugerville Pflugerville | 5.9 | 111 | 1.93 | 3.08 | 71.6% | 1 | $59,449 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.