Overview
Hearthstone Nursing and Rehabilitation has a Medicare overall rating of 3 out of 5, in line with the Texas average of 2.8. It ranks 3rd of 5 nursing homes in Round Rock. Its strongest area is quality of care (4 of 5), and its weakest is staffing (2 of 5).
Residents receive about 3.0 hours of nursing care per day, fewer than at 83% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.4 hours come from registered nurses.
Its most recent standard inspection, on April 3, 2026, found 7 health deficiencies, fewer than the Texas average of 9.6. 3 of them came from complaint investigations. Medicare records 2 fines totaling $25,626 in the past three years.
Hearthstone Nursing and Rehabilitation is a government-run facility with 120 certified beds, caring for about 99 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1988.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 60%
Top 39%
Top 45%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- April 3, 2026
- Health deficiencies cited
- 7
- Complaint-related deficiencies
- 3
- Fines in the last 3 years
- 2 totaling $25,626
- Payment denials
- 0
- Total penalties
- 2
Staffing
Average hours of care each resident receives per day.
- All nursing staff2.97 hrs
- Registered nurses (RN)0.38 hrs
- Licensed practical nurses (LPN)0.62 hrs
- Nurse aides1.97 hrs
- Physical therapists0.00 hrs
Facility details
- Ownership
- Government - Hospital district
- Certified beds
- 120
- Average residents per day
- 99
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- September 26, 1988
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Both
- Sprinklers in all required areas
- Yes