Hearthstone Nursing And Rehabilitation
401 OAKWOOD BLVD, Round Rock, TX, 78681
Federal 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 March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Caraday Healthcare
- Certified beds
- 120 · avg 89 residents/day
- Total nursing staff turnover
- 69.4% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 54.5% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $152,617 total
- Infection control citations
- 3
State licensing & capacity
- License number
- 307859
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 23 Medicare-only · 97 Medicaid/Medicare
- Current license effective
- June 1, 2023
- Current license expires
- June 1, 2026
- Initial license date
- August 31, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Stratford Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Caraday Hearthstone Llc
- Administrator
- Adriana Marie Beavers
Texas HHSC licensing registry · as of April 16, 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 April 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 Mar 1, 2026.
About this community
Hearthstone Nursing And Rehabilitation is a 120-bed nursing home in Round Rock, Williamson County, licensed under Stratford Hospital District and managed by Caraday Healthcare. CMS rates it 3 stars overall, with a 2-star staffing rating and a 1-star short-stay quality rating. Three CMS fines total $152,617 since the current processing period. The facility is operating at about 74% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars — a level shared by about 32% of Texas nursing homes. Each resident receives roughly 176 minutes of nursing care per day, about 65 minutes less than at a 4-star-staffing facility in Texas. Residents here also tend to need more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 176 minutes stretch thinner than the raw number suggests.
About 7 in 10 nursing staff left in the past year. At that pace, a long-stay resident will likely go through two or three primary caregivers over the course of a year.
Three CMS fines totaling $152,617 have been assessed. The state median for fined facilities in Texas is about $20,699, and roughly 30% of Texas nursing homes carry no fines at all — placing this facility's fine total well above the typical range.
The facility is operating at roughly 74% of its 120 licensed beds. That is below what most nursing homes in this region sustain, and it coincides with the other distress signals above.
Quality measures are split: long-stay residents rate 5 stars on quality outcomes, while short-stay residents — those here for rehabilitation after a hospital discharge — rate 1 star. Those two populations have different needs, and the gap between their ratings is wide.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Short-stay outcomes rated 1 star
CMS rates short-stay quality measures 1 star — ask which specific outcomes drive that score and what the facility is doing to address them.
What the $152,617 in fines covered
Three CMS fines totaling $152,617 have been assessed — ask what deficiencies triggered each fine and how the facility resolved them.
Staffing levels on nights and weekends
Reported weekend nursing hours run at 2.5 hours per resident per day, below the already-low weekday figure — ask how many nurses and aides are on duty overnight and on Saturdays and Sundays.
Staff turnover and continuity of care
About 7 in 10 nursing staff left in the past year — ask how the facility assigns consistent caregivers to residents and how it manages coverage during open positions.
Why occupancy is at 74%
The facility is running about 26 beds below capacity — ask whether that reflects a recent trend, a temporary disruption, or something else families should understand.
Management company's role day to day
The facility is licensed under Stratford Hospital District but managed by Caraday Healthcare — ask which entity sets staffing budgets, hiring decisions, and care protocols.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.