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D
Poor

HEARTHSTONE NURSING AND REHABILITATION

401 OAKWOOD BLVD · ROUND ROCK, TX 78681

5123887494 · Government - Hospital district

120 beds88.9 residents103 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
C
Below Standard
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HEARTHSTONE NURSING AND REHABILITATION receives an overall staffing grade of D (Poor). With 2.9332 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4449 HPRD, below the recommended 0.75. It is 0.96 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.15% compared to weekdays. The facility has low agency staff usage (0.78% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.9332 HPRD — needs 0.55 more hours per resident per day.
⚠️RN staffing (0.4449 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.78%) — mostly permanent, familiar staff
Total Nurse HPRD
2.9332hrs/resident/day▼ 0.96
CMS benchmark: 3.48
RN HPRD
0.4449hrs/resident/day▼ 0.24
Recommended: 0.75
Weekend Drop-off
19.15%
3.101 weekday → 2.5073 weekend
Agency Staff
0.78%
0.75% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6048hrs/resident/day
Direct care aides
LPN HPRD
0.5761hrs/resident/day
Licensed practical nurses
Consistency
0.3646std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Williamson County Average-0.49 HPRD
3.42
02.93 HPRD
vs. Texas State Average-0.47 HPRD
3.40
02.93 HPRD
vs. National Average-0.96 HPRD
3.90
02.93 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
HEARTHSTONE NURSING AND REHABILITATION ★
ROUND ROCK · This facility
—
D
2.93320.4449★★★☆☆
AUSTIN WELLNESS & REHABILITATION
AUSTIN
7 mi
D
2.79340.6218★☆☆☆☆
Coral Rehabilitation and Nursing of Austin
Austin
11.6 mi
D
2.93380.3317★☆☆☆☆
Heritage Park Rehabilitation and Skilled Nursing C
Austin
15.8 mi
C
3.19750.4466★★☆☆☆
BROOKDALE WESTLAKE HILLS
AUSTIN
17.6 mi
B
4.78670.7132★☆☆☆☆
CREEKSIDE TERRACE REHABILITATION
BELTON
39.7 mi
C
3.26540.4703★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
26
Total Deficiencies
$152,617
Fines Assessed
Nov 19, 2025Health
2 deficiencies cited
▼
Jan 30, 2025Health
2 deficiencies cited
▼
Dec 19, 2024Health
2 deficiencies cited· Includes actual harm
▼
Apr 3, 2024Health
1 deficiency cited
▼
Feb 13, 2024Health
3 deficiencies cited
▼
Dec 14, 2023Health
5 deficiencies cited
▼
Dec 2, 2023Health
4 deficiencies cited· Includes actual harm
▼
Jul 31, 2023Health
2 deficiencies cited· Includes actual harm
▼
Oct 20, 2022Health
5 deficiencies cited
▼

Penalty History

Dec 19, 2024Fine
$10,033
Dec 2, 2023Fine
$15,593
Jul 31, 2023Fine
$126,991
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.