SeniorHomeViolations
B-
71/100

HEARTHSTONE NURSING AND REHABILITATION Inspection Report, Violations & Safety Grade (ROUND ROCK, Texas)

401 OAKWOOD BLVD, ROUND ROCK, Texas 78681

Phone: 5123887494

CMS Overall:3/5

Overview & Bed Count

Certified Beds
120
Avg Residents/Day
99.3
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
County
Williamson
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day0.380.44-0.06
Total Nurse Hours per Resident per Day2.973.42-0.44
CMS Staffing Rating2/51.9/5-
Nursing Staff Turnover48.5%50.8%-

Health Citation History

24 health citations on record

DateCategoryDescriptionSeverity
2026-04-03Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2026-04-03Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2026-04-03Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2026-04-03Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.D – Moderate Harm Potential
2026-01-14Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2025-11-19Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2025-11-19Resident Assessment and Care Planning DeficienciesNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.D – Moderate Harm Potential
2025-01-30Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-01-30Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-12-19Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2024-12-19Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-04-03Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2024-02-13Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.E – Moderate Harm Potential
2024-02-13Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.D – Moderate Harm Potential
2024-02-13Pharmacy Service DeficienciesImplement 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.D – Moderate Harm Potential
2023-12-14Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2023-12-14Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.E – Moderate Harm Potential
2023-12-14Nutrition and Dietary DeficienciesEnsure 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 – Moderate Harm Potential
2023-12-14Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2023-12-14Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2023-12-02Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.K – Immediate Jeopardy
2023-12-02Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K – Immediate Jeopardy
2023-12-02Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.K – Immediate Jeopardy
2023-12-02Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential

Fire Safety Citation History

3 fire safety citations on record

DateCategoryDescriptionSeverity
2025-01-30Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2025-01-30Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2023-12-14Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential

Total Penalties & Fines

$25,626
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2024-12-19Fine$10,033-
2023-12-02Fine$15,593-

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