MyLivingChoice

Hearthstone Nursing and Rehabilitation

401 Oakwood Blvd

3.4(94 ratings)· Round Rock average: 4.2

Hearthstone Nursing and Rehabilitation, photo 11 / 2

Quick Facts

Total units
120
Medicare rating
3 of 5

CMS Care Compare

Ownership
Government, Hospital district
Certified beds
120
Disease Management
Manages diabetes, stroke, CHF, and COPD
Rehab Focus
High-acuity short-term rehab after surgery

What Families Think

Families of residents at Hearthstone Nursing and Rehabilitation frequently praise the staff's attentiveness, the cleanliness of the building, and the quality of short-term rehabilitation care after hospital stays. Reviewers describe genuine relationships between staff and residents and note that families are kept well informed about care and events. The community offers both skilled nursing/rehab and a memory care program for residents with cognitive decline.

The Good

  • Staff described as attentive, professional, and communicative
  • Facility consistently called clean and well-maintained
  • Strong short-term rehabilitation outcomes reported by families
  • Families kept informed about care and community events
  • Warm, genuine relationships between staff and residents

The Bad

  • Overall Google rating of 3.4 suggests experiences more mixed than the selected reviews show
  • No amenities information provided, making it hard to compare offerings

AI-generated from reviews and community data.

Hearthstone Nursing and Rehabilitation is a senior living community in Round Rock, Texas offering Skilled Nursing / Long Term Care and Memory Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 3.4 out of 5 across 94 reviews.

About Hearthstone Nursing and Rehabilitation

Hearthstone Nursing & Rehabilitation is a skilled nursing home in Round Rock, Texas, specializing in high acuity short-term care and compassionate long-term care. The community serves patients recovering from hospitalization, surgery including hip and knee replacements, and those managing chronic illnesses, with comprehensive care and support delivered by professional caregivers and therapy teams.

The facility offers a specialized Memory Care program designed to foster independence and restore dignity for residents experiencing memory loss. Hearthstone's memory care nurses and therapists collaborate with physicians to develop individualized care plans. The community also provides complex disease management for conditions including diabetes, stroke recovery, congestive heart failure, and COPD.

The facility is described as bright, beautiful, and exceptionally well maintained. Family members are kept informed about resident care and community events, and the community provides around-the-clock care for those requiring it. Hearthstone accepts private insurance, Medicare, and Medicaid.

Types of Care at Hearthstone Nursing and Rehabilitation

Memory CareSkilled Nursing / Long Term Care

Amenities

Room Amenities

  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
  • Restaurant style Dining Room

Community Amenities

  • 24-Hour Staff
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Nurse (RN)
  • Salon / Barber
  • Security

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Reviews of Hearthstone Nursing and Rehabilitation

3.4overall · 94 ratings combined

3.4★ on Google (94)

Todd Talkington

May 2026

via Google

When we needed it most, Hearthstone proved to be exactly the right place for our family. The staff's care is unmistakably genuine, their patience with residents evident at every turn, and the warmth you feel the moment you walk through the door is hard to miss. The building itself is bright, open, and immaculately kept. All of it together made a difficult season far more bearable than we expected. A special shout out to Tia E - who put up with my diligence and unexpected visits while making my decision. She always had a smile! She is a great asset for her company.

Sherry Smith

May 2026

via Google

After 15 months of providing care at home, our family realized that Mom’s care needs had grown beyond what we could manage on our own. We then began searching for a nearby nursing facility that could fully support her needs and provide the level of care she required. During my first visit to Hearthstone with Tia, the Admission Dir, was thoughtful and compassionate as she listened to our concerns about placing Mom in a nursing facility. As we toured the facility, we noticed the genuine interactions between the staff and residents, which immediately stood out to us. And it may seem like a small detail, but the facility smelled clean and well cared for, which gave us additional peace of mind. After meeting Ralph, the Maintenance Dir, who leads the facilities team it became even more clear how deeply he cares about the residents and the quality of care they receive. One of our primary concerns while caring for Mom at home was her declining appetite. The daily struggle to get/fight with her to eat had caused her weight to drop to just 91 pounds. After six months of care at Hearthstone, she now weighs 106 pounds, and Missy, the Dietary Mgr, happily shares that Mom regularly cleans her plate at mealtimes. Wow! That's how I know that we did the right thing by placing Mom with Hearthstone!!! All the staff from the front desk, nursing and activities staff are really the key to my mom's success and our family can't say "Thank You" enough for taking such good care of my mom!!!!

Teresa Salinas

Apr 2026

via Google

My 81 year old mother was here for three weeks of rehabilitation care after a two week stay in the hospital, and she was provided with first-rate care. The entire staff at Hearthstone is thoughtful and kind, and really invested in the patient’s care and wellbeing. My mother really enjoyed her stay and is extremely grateful for the outstanding care she received.

Jessica Boxley

Mar 2026

via Google

All of the staff goes above & beyond. They are friendly, cheerful & make meaningful relationships with patients. From the CMA’s, to Nurses, to OT/PT therapy, office staff, front door staff & receptionist, medical office records, Directors, Administrative staff- every single person who works here makes a huge impact with the patients. I have high standards for my Aunt’s care and they are continuously going above & beyond. Would highly recommend for a loved one’s care!

Ramiro Balli

Mar 2026

via Google

The many times that I have visited with my dear wife, it has been a pleasant visit. The building is nice and clean. The staff is very professional and communicate well with them. My wife is well taken care of and the rooms are always kept tidy. Visiting hours are quite accommodating. The nursing staff is up-to-date on patients well being.

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Government Inspection History

10 inspection visits in the last three years, 29 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Apr 3, 2026Fire Safety StandardHealth Standard4 citations
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 17, 2026

  • Ensure each resident receives an accurate assessment.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 17, 2026

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 17, 2026

  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 17, 2026

Jan 14, 2026Health Complaint1 citation
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 26, 2026

Nov 19, 2025Health Complaint2 citations
  • Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 26, 2025

  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 26, 2025

Jan 30, 2025Fire Safety StandardHealth Standard4 citations
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 17, 2025

  • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 25, 2025

  • Install corridor and hallway doors that block smoke.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 25, 2025

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 17, 2025

Dec 19, 2024Health Complaint2 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Dec 3, 2024

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 14, 2025

Apr 3, 2024Health Complaint1 citation
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 25, 2024

Feb 13, 2024Health ComplaintInfection Control3 citations
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 11, 2024

  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 11, 2024

Dec 14, 2023Fire Safety StandardHealth Standard6 citations
  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 20, 2024

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 20, 2024

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 20, 2024

  • Provide enough food/fluids to maintain a resident's health.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 20, 2024

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 20, 2024

  • Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 9, 2024

Dec 2, 2023Health Complaint4 citations
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Nov 16, 2023

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Nov 16, 2023

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Nov 16, 2023

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 8, 2023

Jul 31, 2023Health Complaint2 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Aug 25, 2023

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Aug 25, 2023

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Hearthstone Nursing and Rehabilitation offer?

Hearthstone Nursing and Rehabilitation offers Memory Care and Skilled Nursing / Long Term Care.

Where is Hearthstone Nursing and Rehabilitation located?

Hearthstone Nursing and Rehabilitation is located at 401 Oakwood Blvd in Round Rock, Texas.

What do families say about Hearthstone Nursing and Rehabilitation?

Families of residents at Hearthstone Nursing and Rehabilitation frequently praise the staff's attentiveness, the cleanliness of the building, and the quality of short-term rehabilitation care after hospital stays. Reviewers describe genuine relationships between staff and residents and note that families are kept well informed about care and events. The community offers both skilled nursing/rehab and a memory care program for residents with cognitive decline.

How did Hearthstone Nursing and Rehabilitation do on recent health and safety inspections?

Hearthstone Nursing and Rehabilitation had 10 government inspection visits in the last three years, with 29 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Hearthstone Nursing and Rehabilitation?

Submit the Request Information form on this page to connect with Hearthstone Nursing and Rehabilitation and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

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