Hearthstone Nursing and Rehabilitation, owned by Stratford Hospital District as of the first quarter of 2026, operated in Williamson County, according to the Centers for Medicare and Medicaid Services (CMS). Stratford Hospital District has been the owner since June 1, 2020.
The facility is classified as a public nursing home.
During this period, the nursing home held an overall CMS rating of three, which exceeded the Texas state facility average of 2.7. CMS bases its ratings on key criteria, including results from health inspections, staff levels, and the quality of resident care.
Data show Hearthstone Nursing and Rehabilitation maintained a daily average census of 94.4 residents in the first quarter of 2026, with a total of 120 available beds. The facility is currently not hospital-based.
For the first quarter of 2026, the nursing home paid $152,617 in three fines and incurred three penalties.
There were a total of three public nursing homes operating in Williamson County, Texas.
U.S. Census Bureau data shows that the nation’s population of older adults continues to climb while the number of younger Americans declines. Between 2020 and 2024, Americans age 65 and over grew by 13%, while those under 18 fell by 1.7%. The older adult population has surged over the past 100 years, from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 report estimates that nearly half of adults ages 65 and up, about 28 million people, will need long-term services and support. The report also projects that more than one-third are likely to require care in a nursing home.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Bel Air at Teravista | Hamilton County Hospital District | For profit – Corporation | 4 | 86.1 |
| Cedar Pointe Health and Wellness Center | Hamilton County Hospital District | Government – Hospital district | 4 | 109.4 |
| Falcon Ridge Rehabilitation | South Limestone Hospital District | For profit – Corporation | 2 | 98.8 |
| Hearthstone Nursing and Rehabilitation | Stratford Hospital District | Government – Hospital district | 3 | 94.4 |
| Park Place Care Center | Guadalupe County Hospital Board | Government – Hospital district | 1 | 92.9 |
| Park Valley INN Health Center | Hamilton County Hospital District | For profit – Limited Liability company | 2 | 102.1 |
| SPJST Rest Home 1 | Oakbend Medical Center | For profit – Corporation | 2 | 83.4 |
| Sagebrook Nursing and Rehabilitation | Stratford Hospital District | For profit – Corporation | 4 | 89.4 |
| San Gabriel Rehabilitation and Care Center | South Limestone Hospital District | For profit – Limited Liability company | 1 | 92.5 |
| The Springs Healthcare and Rehabilitation | Frio Hospital District | For profit – Limited Liability company | 5 | 110 |
| Trinity Care Center | Caraday Healthcare, LLC | For profit – Corporation | 1 | 145.3 |
Information for this article comes from the Centers for Medicare and Medicaid Services. Source data is available here.
