About Hearthstone Nursing and Rehabilitation
Hearthstone Nursing And Rehabilitation, located in ROUND ROCK, TX, is a government owned organization that accepts Medicare and Medicaid.
Why Families Choose Hearthstone Nursing and Rehabilitation
Key Performance Indicators
- CMS Overall Rating 3 Stars
- Nursing Hours 2.88 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the CARADAY HEALTHCARE network. This chain operates 9 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Hearthstone Nursing and Rehabilitation provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 3 |
|
| Health Inspection | 3 |
|
| Quality Measures | 2 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 20 | Jan 30, 2025 |
| Weighted Average | 91 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending Jun 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 34.8% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 18.1% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.3% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 2.3% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 12.8% |
| Percentage of long-stay residents who lose too much weight (QM404) | 7.3% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.4% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 8.6% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 65.9% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 33.9% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 5.6% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 15.0% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 17.4% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 86.9% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 49.5% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 20.4% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 14.0% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 6 complaints
- 2024: 5 complaints
- 2025: 3 complaints
- 2026: 1 complaint
- Total: 15 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Jan 26, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Nov 26, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. |
| Nov 26, 2025 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. |
| Jan 14, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Dec 03, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Apr 25, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Mar 11, 2024 | 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. |
| Mar 11, 2024 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. |
| Mar 11, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. |
| Dec 08, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Nov 16, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Nov 16, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Nov 16, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Aug 25, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Aug 25, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
Nearby Hospitals
ST DAVID'S SOUTH AUSTIN MEDICAL CENTER
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ASCENSION SETON MEDICAL CENTER AUSTIN
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ROUND ROCK MEDICAL CENTER
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ASCENSION SETON CEDAR PARK
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NORTH AUSTIN MEDICAL CENTER
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BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK
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BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE
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ASCENSION SETON NORTHWEST
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ASCENSION SETON WILLIAMSON
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ST DAVID'S MEDICAL CENTER
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ASCENSION SETON SOUTHWEST
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GEORGETOWN BEHAVIORAL HEALTH INSTITUTE
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CROSS CREEK HOSPITAL
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THE HOSPITAL AT WESTLAKE MEDICAL CENTER
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BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR
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DELL CHILDREN'S MEDICAL CENTER
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TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS
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NORTHWEST HILLS SURGICAL HOSPITAL
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AUSTIN STATE HOSPITAL
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Owner & Operator Information
Business Entity
STRATFORD HOSPITAL DISTRICT
Ownership Structure
- STRATFORD HOSPITAL DISTRICT Direct: 100%
Management & Direction
- CARADAY HEARTHSTONE LLC OPERATIONAL/MANAGERIAL CONTROL
- MARYANN CHOI INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- ROBERT CHOI INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- RICHARD CHUMLEY CORPORATE OFFICER
- ERNEST CUNNINGHAM INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- GRANITE HEARTHSTONE HEALTH CENTER LLC ADP OF THE SNF
- JASMINE JAVADI ADP OF THE SNF
- GREGORY MOORE OPERATIONAL/MANAGERIAL CONTROL
- MAIRE O'DONOGHUE-STALLARD INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- THOMAS STALLARD INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- ADRIANA WAGES ADP OF THE SNF
- STEPHEN WOOD INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Querencia at Barton Creek | N/A | 5 |
| Longhorn Village | N/A | 5 |
| Avir at Dripping Springs | N/A | 5 |
| Gracy Woods Ii Living Center | N/A | 5 |
| Sedona Trace Health and Wellness Center | N/A | 4 |
| Cedar Pointe Health and Wellness Center | N/A | 4 |
| The Arbour at Westminster Manor | N/A | 5 |
| Sagebrook Nursing and Rehabilitation | N/A | 4 |
| The Center at Parmer | N/A | 5 |
| Bertram Nursing and Rehabilitation | N/A | 4 |
Related Analysis
Best Nursing Homes in ROUND ROCK, TX
Compare Hearthstone Nursing and Rehabilitation to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Hearthstone Nursing and Rehabilitation directly at 5123887494. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.