Federal inspection record · CMS data as of October 1, 2026
Hearthstone Nursing And Rehabilitation
401 Oakwood Blvd, Round Rock, TX · (512) 388-7494
- Certified beds
- 120
- Residents per day
- 99
- Ownership
- Government
- Chain
- Caraday Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 26, 1988
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Hearthstone Nursing And Rehabilitation carries 60 inspection points. That is fewer than 59% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
24 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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K
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Assessment and Care Planning6E
- E
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nutrition and Dietary3E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service3E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights2E
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Quality of Life and Care2E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide enough food/fluids to maintain a resident's health.
Environmental1D
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2026-04-03
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2025-01-30
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-12-14
13 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 58 min of nursing staff time a day, 23 min of it from a registered nurse.
This home
2 h 58 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 30% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$25,626 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-12-19 | Fine | $10,033 |
| 2023-12-02 | Fine | $15,593 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 1.2 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days4.4 pts worse | 6.4 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine40.2 pts worse | 56.2% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6 pts worse | 91.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4 pts worse | 7.2% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.6 pts better | 0.7% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.4 pts worse | 7.3% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.8 pts better | 14.0% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.6 pts worse | 16.4% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3 pts worse | 15.9% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.4 pts better | 13.4% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 0.6% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4 pts worse | 16.5% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts better | 3.0% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine65 pts worse | 23.7% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.4 pts worse | 3.8% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine45.7 pts worse | 39.7% | 85.4% | 80.1% |
·
Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Stratford Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 29 facilities |
| Caraday Hearthstone LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Choi, Maryann | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 8 facilities |
| Choi, Robert | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 8 facilities |
| Chumley, Richard | Corporate Officer · Individual | 0% | 30 facilities |
| Cunningham, Ernest | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 6 facilities |
| Granite Hearthstone Health Center, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Granite Hearthstone Health Center, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Javadi, Jasmine | Adp Of The SNF · Individual | 0% | 1 facilities |
| Moore, Gregory | Operational/Managerial Control · Individual | 0% | 10 facilities |
| O'donoghue-Stallard, Maire | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 8 facilities |
| Stallard, Thomas | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 8 facilities |
| Wages, Adriana | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wood, Stephen | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 8 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install corridor and hallway doors that block smoke.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
-
Park Valley Inn Health Center
Round Rock, TX · Cantex Continuing Care · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 22 min
- Fines
- $136,782
-
Ignite Medical Resort Round Rock, LLC
Austin, TX · Ignite Medical Resorts
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 49 min
- Fines
- $63,733
-
The Center At Parmer
Austin, TX · Veritas Management Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 39 min
- Fines
- $0