A skilled nursing facility on Oakwood Boulevard in central Round Rock, operated by Caraday Healthcare. Services include short-term post-acute rehabilitation, long-term care, IV therapy, and wound care, and the building includes a secured memory care unit. The facility is certified for both Medicare and Medicaid.
Hearthstone Nursing and Rehabilitation stands at 401 Oakwood Boulevard in Round Rock and is part of Caraday Healthcare, which lists it among a portfolio of skilled nursing centres. The company positions Hearthstone away from the traditional nursing home model, saying it specialises in higher-acuity short-term patients alongside long-term residents. Typical arrivals described by Caraday are people recently discharged from hospital, recovering from surgery including hip and knee replacements, or managing chronic illness. The site publishes a downloadable brochure and a video walkthrough of the building.
The skilled nursing list is specific: on-site occupational, physical, speech and wellness therapy; complex disease management covering diabetes, stroke recovery, CHF and COPD; wound care management; medication management; joint replacement therapy; IV therapy; tracheostomy care; specialised nutritional care; and hospice and palliative care. Memory care is newer and runs in a secured, all-female unit staffed by dementia and Alzheimer's trained personnel, with a cognitive-based, person-centred activity programme, psychosocial support, full assistance with daily living and 24-hour skilled nursing. Caraday states it accepts private insurance, Medicare, Medicaid and pending Medicaid. No Texas facility ID is published.
The practical draw for families is the breadth of clinical service in one building: someone can arrive for post-surgical rehabilitation and, if needs change, move to long-term or memory care without another transfer. Respite care is explicitly offered, which matters for a caregiver needing a defined break. A beauty shop operates on site. A separate memory care information card is downloadable, and admissions and main-line contacts are handled through the Caraday site rather than a direct facility number.
Hearthstone Nursing and Rehabilitation is a nursing home provider at 401 Oakwood Blvd, Round Rock, Texas 78681, in Williamson County. It can be reached at (512) 388-7494.
Location and contact
| Community | Hearthstone Nursing and Rehabilitation |
|---|---|
| Care type | Nursing Home |
| Address | 401 Oakwood Blvd, Round Rock, TX 78681 |
| County | Williamson County, Texas |
| Phone | (512) 388-7494 |
| Website | Official site |
| Texas HHSC license | 307859 (nursing facility, Medicare/Medicaid) |
| Licensed beds | 120 |
| First licensed | 1991-08-31 |
License number, beds and first-licensed date: Texas HHSC directory of nursing facilities with an active license. The state inspection record is in this facility’s TULIP record, and its federal survey results are on its Medicare Care Compare page.
What are Hearthstone Nursing and Rehabilitation’s Medicare star ratings?
Medicare rates Hearthstone Nursing and Rehabilitation 3 out of 5 stars overall, with 3 of 5 for health inspections, 2 of 5 for staffing and 4 of 5 for quality measures. Its last standard health survey was on Apr 3, 2026, and CMS counts 7 health deficiencies in its latest inspection cycle.
| Medicare overall star rating | 3 of 5 |
|---|---|
| Health inspection rating | 3 of 5 |
| Staffing rating | 2 of 5 |
| Quality measure rating | 4 of 5 |
| Medicare-certified beds | 120 |
| Last standard health survey | Apr 3, 2026 |
| Health deficiencies (latest inspection cycle) | 7 |
| Federal penalties (last 3 years) | 2 federal penalties in the last 3 years (2 fines totalling $25,626) |
| CMS certification number | 455771 |
| Federal record | Medicare Care Compare: HEARTHSTONE NURSING AND REHABILITATION |
| State record | Texas HHSC TULIP record |
Ratings from Medicare Care Compare, data as of October 2026. Star ratings are calculated by the Centers for Medicare & Medicaid Services (CMS) from state inspection results, staffing data and quality measures; they are government ratings, not resident reviews.
- License status, inspections and enforcement: Texas HHSC TULIP record for license 307859
- Federal inspections and star ratings: Medicare Care Compare, CMS #455771
- To report a concern: HHSC Complaint and Incident Intake, 1-800-458-9858, Monday to Friday, 7 a.m. to 7 p.m. Central
Round Rock in context
Round Rock sits inside a genuine medical cluster, with St. David's Round Rock, Ascension Seton Williamson and Baylor Scott & White all close by. That matters more than it sounds for anyone with a condition needing regular specialist follow-up. AGE of Central Texas also runs its second adult day location here, which gives Round Rock families a respite option that most suburbs lack.
Other nursing home options near Round Rock
- Querencia at Barton Creek — Austin
- Longhorn Village — Austin
- Westminster — Austin
- Heritage Park Rehabilitation and Skilled Nursing Center — Austin
- Brookdale Westlake Hills — Austin
- Brookdale Lakeway — Lakeway
Listing details verified 2026-07-20 against the provider's own published information. We are not affiliated with this community and do not represent it. Details change — confirm directly before making a decision.
