Hearthstone of Round Rock

Pros

• The Hearthstone staff is compassionate, responsive, and deeply committed to providing high-quality care for residents.
• Families express gratitude for the timely and courteous care their loved ones receive at Hearthstone.
• The admissions director, Tia, is described as amazing, providing care and knowledge with ease.
• Frances, the activity director, brings joy to residents and consistently plans engaging activities.
• The facility is welcoming, beautiful, and well-maintained, with a strong sense of connection among residents and staff.
• The nursing and support staff are friendly, helpful, and attentive to residents' needs.
• Families feel Hearthstone acts as an extension of their own family due to the staff's care and support.
• The care team coordinates well with families and keeps them updated on care plans and events.
• Reviewers describe Hearthstone as a place where end-of-life care is delivered with dignity, compassion, and respect.

Cons

• The facility is absolutely nasty and disgusting, with a smell of urine and feces at the front door.
• It is severely understaffed and the nurses are extremely unfriendly.
• The rooms look like cold prison cells.
• Nurses hid the red "Help" button from a patient to avoid interruptions.
• The food and overall environment are atrocious.
• There were cockroaches in patient rooms and meals were often served cold.
• Staff ignored call lights or took too long to respond to residents' needs.
• The facility is dirty and unsanitary, with rooms that smell and cleaning are inconsistent.
• There are reports of theft or mismanagement, including clothes being stolen and unaddressed concerns.

Review

Hearthstone of Round Rock is best suited for families who want a facility with accessible rehab and a clearly caring staff presence, provided there is active oversight and ongoing communication. The strongest advocates for this community tend to be families who will stay involved, ask questions, and insist on accountability, because the care quality in practice appears highly contingent on staffing levels and administrative responsiveness. For residents with relatively stable needs who thrive on routine, social programming, and regular progress updates, Hearthstone can feel like a supportive home when operations are running smoothly. Those valuing consistency above all else should not assume the experience will be uniform from week to week.

The clearest positives center on personnel who are described as warm, attentive, and genuinely devoted to residents. Numerous reviews highlight responsive nurses, compassionate aides, and therapists who push for meaningful gains, with therapists and activity staff singled out for creative engagement. Families repeatedly praise the admissions team in particular for clarity and care during transitions, and many residents respond well to the social environment, outdoor spaces, and planned activities. Hospice partners speak to a collaborative, patient-centered approach, reinforcing that, when properly staffed, Hearthstone can be a humane, respectful place for end-of-life and rehabilitation care.

Yet the drawbacks are severe enough to demand hard scrutiny before choosing Hearthstone, and they recur across a broad swath of experiences. Understaffing translates into delayed call-light responses, infrequent room care, and a sense that residents are left to wait for attention. Cleanliness and odor issues show up in repeated reports, with some rooms described as dirty or unkempt and basic maintenance requests going unmet for extended periods. Food quality fluctuates, with some families characterizing meals as unsatisfactory or cold, while others acknowledge that dietary options can be limited by resource constraints. The contrast between glowing testimonials and bleak reports is stark, and that inconsistency is a critical risk factor for families evaluating placement.

On top of operational gaps, there are disturbing allegations in some reviews about safety and care standards, including claims of neglect, medication mismanagement, and even improper handling of controlled substances. While these accounts are not universal, they are serious enough to warrant rigorous verification and heightened scrutiny during tours, with direct questions about medication administration, nurse supervision, and incident reporting. Complaints about staff communication barriers, high turnover, and reliance on agency staff further complicate the picture. For families prioritizing predictability and low risk, those red flags can outweigh the positives and tip the balance toward alternatives.

The key to deciding Hearthstone hinges on whether the typical day-to-day experience can be reliably aligned with a family's expectations. The strong points - the compassionate staff, engaged therapy, and evident warmth in many interactions - do offset some shortcomings when there is a robust oversight framework: regular family updates, clear care plans, and a culture that rewards consistent staffing and good communication. However, the weight and frequency of the negative experiences described cannot be dismissed. Occasional excellence does not guarantee steady performance, and for residents with complex medical needs or high expectations for cleanliness and responsiveness, the risk of repeated issues is material.

In practical terms, families should approach Hearthstone with a rigorous due-diligence plan. Tour multiple times, speaking specifically with the director and nursing leadership about nurse-to-patient ratios, use of agency staff, and how shift changes are managed. Request recent quality metrics, infection control practices, and a plain-language explanation of how call bells are monitored and answered. Sample menus, dietary accommodations, and a visible commitment to cleanliness should be reviewed, along with a clear outline for emergency and end-of-life care coordination with external partners. Ask to speak with a few residents and family members who have recent experiences, not only long-ago tours, to gauge consistency.

Ultimately, Hearthstone of Round Rock presents a divided value proposition. It hosts undeniable strengths in compassionate care, therapy quality, and a community feel, but it also bears a history - documented in reviews - of understaffing, inconsistent communication, and serious safety concerns in some cases. This community is not universally a poor choice, but it is a place where risk tolerance matters greatly. For families willing to implement vigilant oversight, demand transparency, and monitor care closely, Hearthstone can be a viable option. For those seeking a high level of reliability with minimal variance in daily care, exploring alternatives with steadier staffing and stronger quality control is prudent.

Physicians

• Eye Associates Of Central Texas (0.1 miles)
• Heart Hospital of Austin at St. David's Round Rock Medical Center (0.1 miles)
• Pediatric Center of Round Rock (1.3 miles)
• Treehouse Pediatrics (1.3 miles)
• Austin Regional Clinic P.A. (2.3 miles)
• Texas Medclinic (4.2 miles)
• Retina Group of Texas (4.8 miles)

Hospitals

• Round Rock Medical Center (0.1 miles)
• Reliant Rehab Central Tx (2.2 miles)
• Scott & White Hospital (3.9 miles)
• Seton Medical Center Williamson (5.2 miles)
• Cedar Park Regional Medical Center (6.2 miles)

Pharmacies

• Walgreens (0.3 miles)
• CVS Pharmacy (2 miles)
• Walgreens (2.5 miles)
• Walgreens (2.5 miles)
• CVS Pharmacy (3.2 miles)
• Walmart Pharmacy (3.2 miles)
• CVS Pharmacy (3.4 miles)

Restaurants

• McDonald's (1.5 miles)
• Torchy’S Tacos (1.5 miles)
• Rock N Grill - Indian Authentic Cuisine and Bar (1.7 miles)
• Urban (1.8 miles)
• Round Rock Donuts (1.9 miles)
• Chuy's (1.9 miles)
• Cracker Barrel (1.9 miles)

Cafes

• Kerbey Lane Cafe - Round Rock (1.8 miles)
• Dutch Bros Coffee (3.1 miles)
• Starbucks (3.8 miles)
• Starbucks (3.9 miles)
• Cuppa Austin (4 miles)
• Summer Moon Wood-Fired Coffee (4 miles)
• Red Horn Coffee House and Brewing Co. (4.4 miles)

Places of Worship

• Jehovah's Witnesses (2.5 miles)
• St Vincent De Paul Catholic Church (3.5 miles)

Parks

• Champion Park (2.8 miles)
• Ranch Trails Park (3.6 miles)
• Williamson County Regional Park (4.6 miles)
• Old Settlers Park (4.7 miles)
• Rattan Creek Park (5 miles)

Theaters

• Cinemark 14 Round Rock (3.8 miles)
• Pflugerville Tinseltown Cinemark Cinema (5.3 miles)
• Alamo Drafthouse Lakeline (6 miles)

Transportation

• MetroRail Lakeline Station (5 miles)