The nursing home failed to protect residents from abuse and neglect by others. Cited December 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
HEARTHSTONE NURSING AND REHABILITATION
ROUND ROCK, TX · Medicare-certified · 120 beds
Needs attention
Government-runChain member
3 of 5 overall
Hearthstone Nursing and Rehabilitation in Round Rock, TX has a 3-star overall rating, with 2-star staffing and quality measures and 3-star health inspection results. It reports 2.88 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, and it had $10,033 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.8823 hrs/resident/day
Quality measures
Last inspection: January 14, 2026Penalties, last 24 months: $10,033recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8823.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 0.47
- Nurse aides
- 1.94
- Weekend nursing
- 2.57
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 38%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10%14.5%Worsening
Residents with a fall causing major injury
5.1%10.3%Worsening
Residents with pressure ulcers (bedsores)
0%1.2%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
8%4.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.6%23%Worsening
Residents whose ability to walk got worse
9.6%28.6%Worsening
Long-stay residents on antianxiety or sleep medication
22%13.7%Improving
Short-stay residents newly given an antipsychotic
10.9%3.7%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.6%19.7%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—86.9%—
Long-stay residents given the pneumonia vaccine
79.7%52.9%Worsening
Short-stay residents given the seasonal flu vaccine
—49.5%—
Short-stay residents given the pneumonia vaccine
45.6%25.3%Worsening
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited December 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to monitor antibiotic use properly. Cited October 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $10,033 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $152,617 in total fines.
- $10,033
Federal fine
Dec 19, 2024
- $15,593
Federal fine
Dec 2, 2023
- $126,991
Federal fine
Jul 31, 2023
Operator & ownership
- Ownership
- Government - Hospital district
- Chain
- Part of CARADAY HEALTHCARE · 9 homes · 2.6 stars avg
- Occupancy
- 94.4 residents on an average day (79% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.