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Who owns Hearthstone Nursing and Rehabilitation in Round Rock, Texas?

Hearthstone Nursing and Rehabilitation is a Medicare-certified skilled nursing facility in Round Rock, Texas. WhoOwnsCare associates the facility with CARADAY HEARTHSTONE LLC. The facility's licence is held by STRATFORD HOSPITAL DISTRICT, a governmental hospital district or authority. Under Texas's Medicaid supplemental-payment programme a public district can be the owner of record for a nursing facility that a private company operates day to day, so the district is named here as the owner of record and not as the operator. The resolution is based on federal CMS ownership and enrollment records.

Ownership resolution: Public owner of record, private operator

Facility snapshot

CCN455771
Facility typeSkilled Nursing Facility
CityRound Rock
CountyWilliamson
StateTexas
Certified beds120
CMS overall rating2 of 5
Ownership typeGovernment - Hospital district
Licence held by (statutory)STRATFORD HOSPITAL DISTRICT
Corporate familyCARADAY HEARTHSTONE LLC

Ownership changes for Hearthstone Nursing and Rehabilitation

1 recorded change of ownership is on file for this facility; the most recent took effect 2020-06-01. The acquiring and prior entities, transaction types and complete history are part of the paid intelligence below.

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Common questions

Who owns Hearthstone Nursing and Rehabilitation?

WhoOwnsCare resolves the facility's ownership filings to CARADAY HEARTHSTONE LLC (single confidence).

Has Hearthstone Nursing and Rehabilitation changed ownership?

Yes — the most recent recorded change of ownership took effect 2020-06-01.

Ownership relationships for Hearthstone Nursing and Rehabilitation

Operating family (who controls this facility)Caraday Hearthstone Llc
Operating entityresolved (confidence moderate); the enrolled operating entity is named in the full report
Family resolution status (v1.0)confirmed
CMS affiliation entityCARADAY HEALTHCARE (CMS evidence; separate from the operating family)
Legal corporate parentnone on file from integrated SEC/IRS evidence
Management companyno management-company candidate identified in CMS control roles
Property ownernot derivable from the public sources currently integrated
Lender / security interests1 recorded (lenders are never treated as operators; named in the full report)

Each row is a different relationship. Operating control, CMS affiliation, legal parentage, management, property ownership and financing are recorded separately and never merged.

Ownership history and financial reporting

Recorded changes of ownership1 (latest 2020-06-01)
Latest cost-report period2025-01-01 to 2025-12-31 (365-day period)
Latest reported net resultnegative
Reporting periods on file3
Periods straddling an ownership change1 (never attributed to either party)

Exact reporting periods are preserved and never annualised. Operating expense, net income, utilisation and the full ownership-change history with buyer and seller are in the complete report.

Distress summary

Distress 2.0 band: Watch Drivers: civil money penalty / enforcement activity; elevated health-deficiency count; ownership-transition activity (short reporting periods, straddled changes of ownership); staffing pressure (nurse hours below peer levels).

Bands summarise six documented components; the score and component values are in the paid report.

Related research

Sources

CMS Medicare enrollment and ownership files, Care Compare provider information, Payroll Based Journal, Medicare cost reports (HCRIS), change of ownership records. Data vintage July–August 2026. Full methodology.