Hearthstone Nursing And Rehabilitation has received an F grade based on CMS data, with a score of 31/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Round Rock facility should carefully review its inspection history and quality metrics.
With 2.93 total nurse hours per resident per day, Hearthstone Nursing And Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 27 deficiencies at Hearthstone Nursing And Rehabilitation, including 5 classified as serious — among the most concerning citation levels. The most notable finding involved: develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.93 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.45 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.58 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.91 | 2.4 | Below Average |
| Weekend Total Nursing | 2.51 | 3.8 | Below Average |
| Weekend RN Hours | 0.32 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Jan 13, 2026 · Resident Assessment and Care Planning Deficiencies
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Nov 18, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0646 Severity DNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.Nov 18, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jan 29, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Jan 29, 2025 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.2% | 4.5% | Better |
| Falls with major injury | 6.9% | 3.0% | Worse |
| On antipsychotic medication | 13.3% | 14.5% | Average |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 10.2% | 14.0% | Better |
| Excessive weight loss | 7.2% | 7.5% | Average |
| New/worsened incontinence | 23.7% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $152,617
How This Grade Was Calculated
This facility's grade of F is based on a score of 31 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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