Hearthstone Nursing And Rehabilitation
401 Oakwood Blvd, Round Rock, TX, 78681
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Caraday Healthcare
- Certified beds
- 120 · avg 94 residents/day
- Total nursing staff turnover
- 55.9% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 37.5% — lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $152,617 total
- Infection control citations
- 3
Medicare certification
- CMS Certification Number
- 455771
- Certified beds
- 120 beds · avg 94 residents/day
- Ownership type
- Government - Hospital district
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Stratford Hospital District
- Chain affiliation
- Caraday Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Caraday Healthcare chain — 9 facilities. Chain-wide average overall rating 2.6 / 5.
Disclosed owners (7 on record)
- Adriana Wages
Adp of The Snf · since 2025
- Caraday Hearthstone Llc
Operational/managerial Control · since 2020
- Granite Hearthstone Health Center, Llc
5% or Greater Mortgage Interest · 100% · since 2020
- Gregory w Moore
Operational/managerial Control · since 2020
- Jasmine Javadi
Adp of The Snf · since 2020
- Richard l Chumley
Corporate Officer · since 2020
+ 1 additional owner on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 27)
- D0657·Jan 14, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0646·Nov 19, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
- D0644·Nov 19, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0880·Jan 30, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0656·Jan 30, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0842·Dec 19, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- G0600·Dec 19, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0755·Apr 3, 2024Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal penalties
By year
- 20241 fine · $10K
- 20232 fines · $143K
Most recent events
- Dec 19, 2024Fine · $10K
- Dec 2, 2023Fine · $16K
- Jul 31, 2023Fine · $127K
Largest single fine on record: $127K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Jan 30, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Hearthstone Nursing And Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.