Querencia at Barton Creek
Scout 100Austin, TX · 42 beds
5.0CMS rating
Skilled NursingContinuing Care (CCRC / Life Plan)● Fills quickly
One of Austin's top-rated skilled nursing communities.
Est. $5,250–$7,880/mo
View full evaluation →Skilled NursingCMS verified
Hearthstone Nursing and Rehabilitation
401 Oakwood Blvd, Round Rock, TX 78681 · Williamson County
Caraday Hearthstone offers skilled nursing home and memory care services in Austin with short-term rehabilitation, long-term care, and compassionate senior support.
47
FairHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates fair.
Photos via google places, facility website.
Availability outlookModerate availability
Typically 79% full — openings are usually available.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
Our evaluation
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
A solid, federally rated skilled nursing option in Round Rock
Hearthstone Nursing and Rehabilitation is a government-owned skilled nursing facility in Round Rock, TX, with 120 certified beds and an average of about 94 residents per day. It operates as part of the Caraday Healthcare network.
Medicare rates it 3 out of 5 stars overall — right around the national average. Component ratings: 3/5 on health inspections, 2/5 on staffing, 2/5 on quality measures.
Staff provide about 2.88 total nurse hours per resident each day (0.48 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 55.9%, higher than the ~52% national average. On the safety record, CMS notes 5 health deficiencies at its most recent standard survey, and 3 federal fines totaling $152,617 in the recent record.
Strengths
- ✓Full sprinkler system
- ✓Active resident & family council
Things to ask about
- •Below-average nurse staffing (2.88 hrs/resident/day)
- •$152,617 in federal fines
Best for: Families weighing a dependable, mid-rated skilled nursing option in Round Rock, especially when location or Medicaid acceptance matters.
At a glance
- Certified beds
- 120
- Avg. residents/day
- 94
- Ownership
- Government - Hospital district
- Part of a chain
- Caraday Healthcare
- Continuing care
- No
- CMS provider #
- 455771
Federal quality ratings
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Overall rating
Health inspections
Staffing
Quality measures
Pricing & cost
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $5,250–$7,880/mo (median $6,350) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local Austin prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
Staffing & care
More nursing time per resident — and lower turnover — generally means more attentive care.
- Total nurse hrs / resident / day
- 2.88
- National avg ≈ 3.9
- RN hrs / resident / day
- 0.48
- National avg ≈ 0.75
- Nursing staff turnover
- 55.9%
- National avg ≈ 52%
Safety & inspection record
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
- Health deficiencies (last survey)
- 5
- Federal fines
- 3 ($152,617)
- Total penalties
- 3
- Last standard survey
- 2025-01-30
- Sprinkler system
- Yes
- Resident & family council
- Resident
What inspectors found
The most recent findings from federal health inspections (27 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2026-01-14Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2025-11-19Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
2025-11-19Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
2025-01-30Severity D — potential for harmResident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2025-01-30Severity D — potential for harmInfection Control Deficiencies
Provide and implement an infection prevention and control program.
2024-12-19Severity G — actual harmFrom a complaintFreedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-12-19Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2024-04-03Severity D — potential for harmFrom a complaintPharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Penalty history
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2024-12-19 | Fine | $10,033 |
| 2023-12-02 | Fine | $15,593 |
| 2023-07-31 | Fine | $126,991 |
Services & amenities
- ✓ Full automatic sprinkler system
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
- ✓ Rehabilitation services
- ✓ Memory care
- ✓ Respite / short-term stays
- ✓ Wellness programs
- ✓ Daily activities & events
- ✓ 24-hour staff
Location
401 Oakwood Blvd, Round Rock, TX
- Monday: Open 24 hours
- Tuesday: Open 24 hours
- Wednesday: Open 24 hours
- Thursday: Open 24 hours
- Friday: Open 24 hours
- Saturday: Open 24 hours
- Sunday: Open 24 hours
Reviews & reputation
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
Verified family reviews
No verified family reviews yet for Hearthstone Nursing and Rehabilitation.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityCommon questions about Hearthstone Nursing and Rehabilitation
How much does Hearthstone Nursing and Rehabilitation cost?
Hearthstone Nursing and Rehabilitation does not publish exact rates. Comparable skilled nursing in the Round Rock, TX area typically runs $5,250–$7,880 per month (median $6,350, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
What is Hearthstone Nursing and Rehabilitation's Medicare rating?
Medicare (CMS) rates Hearthstone Nursing and Rehabilitation 3 out of 5 stars overall, including 3/5 for health inspections, 2/5 for staffing, 2/5 for quality measures. The national average is about 3 stars.
How is the staffing at Hearthstone Nursing and Rehabilitation?
Staff provide about 2.88 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 55.9% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
What did inspectors find at Hearthstone Nursing and Rehabilitation?
Hearthstone Nursing and Rehabilitation has 27 health citations on its recent federal inspection record (last standard survey: 2025-01-30). The full citation-by-citation detail, with severity levels, is published on this page.
Does Hearthstone Nursing and Rehabilitation have availability?
Typically 79% full — openings are usually available. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does Hearthstone Nursing and Rehabilitation offer?
Hearthstone Nursing and Rehabilitation in Round Rock, TX offers skilled nursing and is licensed for 120 beds.
The best time to decide is before a crisis decides for you
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
- Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Austin.
- The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
- Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.
Your next steps — this week
- 1Confirm the fitCheck the inspection record and staffing data on this page against your loved one's needs.
- 2Get exact pricing & availabilityRequest current rates for Hearthstone Nursing and Rehabilitation — takes one minute, answered same day.
- 3Tour 2–3 communitiesCompare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
- 4Hold a spotMost communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogleOfficial website
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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