HEARTHSTONE NURSING AND REHABILITATION
HEARTHSTONE NURSING AND REHABILITATION is a 120-bed nursing home in ROUND ROCK, Texas. CMS has certified it for Medicare and Medicaid since 1988-09-26. It averages 93.8 residents a day.
What harm was found in the violations cited at HEARTHSTONE NURSING AND REHABILITATION?
CMS lists 24 health-inspection deficiencies for HEARTHSTONE NURSING AND REHABILITATION, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-04-03.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-03 | F0641, F0812, F0880 | Ensure each resident receives an accurate assessment. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2026-04-03 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
| 2026-01-14 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2025-11-19 | F0644, F0646 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D |
| 2025-01-30 | F0656, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide and implement an infection prevention and control program. | D |
| 2024-12-19 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2024-12-19 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-04-03 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-02-13 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E |
| 2024-02-13 | F0553, F0758 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / 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. | D |
| 2023-12-14 | F0689, F0692, F0803, F0804, F0880 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. | E |
| 2023-12-02 | F0580, F0600, F0684 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K |
| 2023-12-02 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
Why was HEARTHSTONE NURSING AND REHABILITATION fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2024-12-19 | Fine | $10,033 |
| 2023-12-02 | Fine | $15,593 |
How is HEARTHSTONE NURSING AND REHABILITATION staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.91829 | 3.38539 |
| Total nursing staff turnover (%) | 53.3 | 55.3 |
| Average number of residents per day | 93.8 | 75.8 |
Who owns HEARTHSTONE NURSING AND REHABILITATION, and what chain is it in?
HEARTHSTONE NURSING AND REHABILITATION is registered with CMS as Government - Hospital district, operates under the legal business name STRATFORD HOSPITAL DISTRICT and belongs to the CARADAY HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | STRATFORD HOSPITAL DISTRICT | since 06/01/2020 |
| 5% OR GREATER MORTGAGE INTEREST | GRANITE HEARTHSTONE HEALTH CENTER, LLC | since 06/01/2020 |
| CORPORATE OFFICER | CHUMLEY, RICHARD | since 06/01/2020 |
| OPERATIONAL/MANAGERIAL CONTROL | CARADAY HEARTHSTONE LLC, MOORE, GREGORY | since 06/01/2020 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | CHOI, MARYANN, CHOI, ROBERT, CUNNINGHAM, ERNEST, O'DONOGHUE-STALLARD, MAIRE, STALLARD, THOMAS, WOOD, STEPHEN | since 04/04/2025 |
| ADP OF THE SNF | GRANITE HEARTHSTONE HEALTH CENTER, LLC, JAVADI, JASMINE, WAGES, ADRIANA | since 03/24/2025 |
Were you or a family member harmed at HEARTHSTONE NURSING AND REHABILITATION?