Hearthstone Nursing and Rehabilitation

CMS ratings and facility information

Hearthstone Nursing and Rehabilitation is a Medicare-certified nursing facility in Round Rock, Williamson County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating	3 of 5 stars
Health inspection rating	3 of 5
Staffing rating	2 of 5
Quality measures rating	4 of 5
Certified beds	120
Ownership	Government - Hospital district
CMS certification number	455771

Staffing

Total nurse hours per resident day	2.92
RN hours per resident day	0.38
Nurse aide hours per resident day	1.95
Total nursing staff turnover percent	53.3
RN turnover percent	28.6

Resident outcome measures

Measure	Value	Unit	Period
Hospitalizations	0.72	events_per_1000_resident_days	20250101-20251231
Emergency-department visits	3.18	events_per_1000_resident_days	20250101-20251231
Falls with major injury	8.68	percent	2025Q2-2026Q1
Pressure ulcers	2.61	percent	2025Q2-2026Q1
Urinary tract infections	0.65	percent	2025Q2-2026Q1
Antipsychotic medication use	16.02	percent	2025Q2-2026Q1

Health inspection citations

Survey date	Tag	Citation	Severity
2026-04-03	0641	Ensure each resident receives an accurate assessment.	E
2026-04-03	0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E
2026-04-03	0880	Provide and implement an infection prevention and control program.	E
2026-04-03	0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	D
2025-01-30	0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D
2025-01-30	0880	Provide and implement an infection prevention and control program.	D
2023-12-14	0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E
2023-12-14	0692	Provide enough food/fluids to maintain a resident's health.	E
2023-12-14	0803	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
2023-12-14	0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E
2023-12-14	0880	Provide and implement an infection prevention and control program.	E

Penalties

Date	Type	Amount
2024-12-19	Fine	,033
2023-12-02	Fine	,593

Ownership records

Name	Type	Role
STRATFORD HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST
GRANITE HEARTHSTONE HEALTH CENTER, LLC	Organization	5% OR GREATER MORTGAGE INTEREST
CHUMLEY, RICHARD	Individual	CORPORATE OFFICER
CARADAY HEARTHSTONE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL
MOORE, GREGORY	Individual	OPERATIONAL/MANAGERIAL CONTROL
CHOI, MARYANN	Individual	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
CHOI, ROBERT	Individual	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
CUNNINGHAM, ERNEST	Individual	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
O'DONOGHUE-STALLARD, MAIRE	Individual	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
STALLARD, THOMAS	Individual	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
WOOD, STEPHEN	Individual	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
GRANITE HEARTHSTONE HEALTH CENTER, LLC	Organization	ADP OF THE SNF
JAVADI, JASMINE	Individual	ADP OF THE SNF
WAGES, ADRIANA	Individual	ADP OF THE SNF

Compare nursing homes in Williamson County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.