Hearthstone Nursing and Rehabilitation

    401 Oakwood Dr, Round Rock, TX 78681
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Caring, professional staff; family-like atmosphere

    I cared for my dad here and overall had a very positive experience. The staff were consistently caring, friendly and professional - attentive nurses and CNAs, excellent therapists, visible management, clear communication, and quick issue resolution made us feel like family. Clean, comfortable rooms, lovely outdoor courtyards, active programming (music therapy, holiday events) and compassionate end-of-life care rounded out a stay I would recommend.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.38·(92)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.1
    • Staff

      3.4
    • Meals

      1.9
    • Amenities

      2.7
    • Value

      1.0

    Pros

    • Compassionate end-of-life and hospice-aligned care
    • Attentive and empathetic nursing staff
    • Skilled physical, occupational, and speech therapy teams
    • Engaging activities program and active activity director
    • Supportive social work and effective discharge planning
    • Responsive admissions and case-management assistance
    • Clean, pleasant courtyards and outdoor seating
    • Helpful housekeeping and maintenance when available
    • Diabetes-sensitive meal options and dietary accommodations
    • Friendly reception and administrative staff
    • Positive short-term rehab and respite experiences for some residents
    • Regular holiday and family-oriented programming

    Cons

    • Inconsistent staffing levels and high staff turnover
    • Delayed responses to call lights and care requests
    • Variable medication administration timing and clinical oversight
    • Inconsistent bathing and incontinence-care practices
    • Sanitation and odor concerns in some units
    • Unreliable meal timing, temperature, and food quality
    • Variable staff professionalism and communication tone
    • Heavy reliance on temporary agency staff with variable experience
    • Gaps in wound-care monitoring and clinical follow-up
    • Maintenance and room-safety hazards
    • Phone and family-communication failures
    • Allegations of medication/drug diversion and theft

    Summary of reviews

    The reviews reflect a facility with distinct strengths alongside persistent operational challenges. Positive accounts emphasize compassionate nursing and end-of-life care, capable therapy teams, and an engaged activities program that contributes to resident well-being. Social work and admissions staff are frequently cited as helpful with discharge planning and benefits navigation. Several families described clean, pleasant outdoor spaces, responsive housekeeping or maintenance interventions, and meaningful holiday or community events that residents enjoy.

    At the same time, a consistent pattern of staffing instability and variability in care quality emerges. Reviewers frequently noted delays in responding to call lights and care requests, uneven bathing and incontinence-care practices, and inconsistent medication administration timing. These operational gaps often coincided with heavy use of temporary agency personnel; reviewers characterized agency staff as varying widely in experience and familiarity with residents. Concerns about wound-care monitoring and clinical follow-up were raised in multiple accounts, indicating uneven clinical oversight for higher-risk patients.

    Dining and nutrition were a mixed area: some families praised diabetes-sensitive options and accommodating staff, while others described unreliable meal timing, cold or poorly presented meals, and limited variety. Maintenance and environmental issues were also noted intermittently — sanitation and odor concerns in certain units, pest-control and housekeeping inconsistencies, and room-safety hazards such as broken furniture or obstructed pathways that affect resident mobility and comfort.

    Communication and professionalism are recurring themes. Many reviews praise individual staff members and leaders for responsiveness and compassion, whereas other accounts describe difficulties reaching the nurses' station, delayed callbacks, and interactions characterized as abrupt or unprofessional. A small number of reports raise serious security concerns, including allegations of medication diversion and personal-item theft; these are significant and warrant investigation by families and regulators as appropriate.

    Overall, the facility appears capable of delivering high-quality, person-centered care in many cases, particularly around therapy services, activities, and end-of-life support. However, variability in staffing, clinical oversight, sanitation, and meal service create uneven experiences. Prospective residents and families should weigh the facility’s strong therapy and activities offerings against these operational inconsistencies, ask specific questions about staffing ratios, agency-staff usage, infection-control practices, medication-administration protocols, and mechanisms for family communication and incident reporting, and consider a direct tour and conversations with current families to assess current conditions and recent management improvements.

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    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Hearthstone Nursing and Rehabilitation

    Hearthstone Nursing and Rehabilitation is located at 401 Oakwood Dr, Round Rock, TX, 78681.

    About Hearthstone Nursing and Rehabilitation

    Hearthstone Nursing and Rehabilitation sits at 401 Oakwood Drive in Round Rock, Texas, and you'll find that people come here when they need skilled nursing, rehab, memory care, or even some extra help after a surgery like a hip or knee replacement. Hearthstone is part of the Hearthstone Health Center and puts a focus on treating everyone with compassion and respect, aiming for care that fits each person's needs, whether it's a short stay for rehab or a longer, more involved support with things like diabetes, wound care, or recovering after a hospital visit. Folks with memory loss, including Alzheimer's or other types of dementia, have a dedicated secured memory care unit, which even has special programs and memory activities so residents feel safer and less confused, and the staff help out anyone who might have trouble with wandering or remembering things.

    The place looks looked-after and inviting, and the rooms are already set up with the basics-private bathrooms, beds, furnishings, air conditioning, cable TV, WiFi, a phone, and even kitchenettes in some cases, plus there's housekeeping and linens. There's a dining room where they serve nutritious meals, and it feels a bit like eating at a restaurant, and if you want to spend time with others there's a small library, gaming room, a fitness area, a computer center, and a beauty salon available too. Outside, there are gardens, courtyards, and outdoor places to walk or sit, which folks seem to enjoy, and the community is lively with daily activities like Bingo, arts and crafts, day trips, and even resident-led events.

    Staff here know how to help with daily needs like bathing, dressing, transfers, taking medicine, or just offering a friendly face or a hand with meals, and there's always someone around day and night because nursing is available up to 16 hours and a 24-hour call system stays on. Therapies are available on-site for physical, occupational, or speech needs, and the health team takes on complex care, helping with things like tracheostomy care, IV therapy, and even hospice or respite care if needed. Memory care is given extra thought too, with a program that keeps people involved, helps them keep some independence, and always works to treat everyone with dignity, and this includes special care just for women with memory loss in a secured unit. The whole place stays open and staffed around the clock, and the staff are known by awards for being friendly, patient, and kind, making it clear that folks here work to make both residents and their families feel welcome and valued.

    People often ask...

    Hearthstone Nursing and Rehabilitation offers assisted living, memory care, and skilled nursing.

    There are 1 photos of Hearthstone Nursing and Rehabilitation on Mirador.

    The full address for this community is 401 Oakwood Dr, Round Rock, TX 78681.

    No, Hearthstone Nursing and Rehabilitation does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Hearthstone Nursing and Rehabilitation. The information above has not been verified or approved by the owner or operator. For exact information, please contact Hearthstone Nursing and Rehabilitation directly. There is no cost for this service. We are compensated by the community you select.

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