By Austin Senior Advisor Care Team · October 9, 2026
Round Rock has three hospital campuses, a city ride service, and a 50-plus center. Here is how to use them, which local numbers to save, and what to check before choosing a facility in this part of Williamson County.
Round Rock is not one market, it is four
Families tend to treat Round Rock as a single place on the map. For senior care it behaves like four. There is a central pocket around Oakwood Boulevard, a northwest pocket off Wyoming Springs Drive, a southeast pocket near Louis Henna Boulevard, and a northeast pocket around Campus Village Drive and Rusk Road. Which one your parent lands in decides how far you drive, which hospital is closest, and how often you can realistically visit.
Our directory shows the pattern. Hearthstone Nursing and Rehabilitation sits at 401 Oakwood Blvd in the middle of town. The Waterford at Round Rock is at 7230 Wyoming Springs Drive in the northwest. Double Creek is at 2300 Louis Henna Blvd in the southeast. University Village Memory Care is at 4701 Campus Village Dr and Sundara Senior Living is at 1000 Rusk Rd, both in the northeast.
This is a different story from the one in our wider look at Williamson County's senior care growth. That piece is about the county. This one is about a single city, and about the decisions that get easier once you stop thinking in county-sized chunks.
One honest note up front. We have not found a published, verified count of every senior care bed in Round Rock, and we are not going to invent one. What follows is built from the facilities in our directory, from city and county pages we checked directly, and from the state's own lookup tools.
Three hospital campuses, and why the name on the building matters
Round Rock has three general hospital campuses that families run into. St. David's Round Rock Medical Center is at 2400 Round Rock Ave. Ascension Seton Medical Center Williamson is at 201 Seton Parkway. Baylor Scott & White Medical Center-Round Rock is at 300 University Blvd. Services and bed counts change, so we are leaving those out. Confirm anything specific, such as emergency services, directly with the hospital.
The system name matters more than the street. St. David's is part of an HCA joint venture, Ascension Seton is a Catholic non-profit system, and Baylor Scott & White is its own network. Your parent's doctors, medical records, and insurance network may sit in just one of them. A parent whose cardiologist is in one system and who is taken by ambulance to another can end up with records and follow-up appointments split across two places.
Hospital choice also shapes the discharge. When a hospital case manager hands you a list of skilled nursing facilities, the list tends to reflect where that hospital usually sends patients. It is a starting point, not a ranking. Read our walkthrough of discharge navigation by hospital system and the page on what to do when you have 72 hours before the call comes.
Our directory places University Village Memory Care between the Baylor Scott & White and Ascension Seton Williamson campuses. If your parent has an established doctor at one of those two, that kind of proximity is worth noting. It is not a reason by itself to choose a community.
What the local mix looks like, and what it leaves out
In our directory, Round Rock lists three assisted living communities, two memory care communities, one skilled nursing facility, one independent living community, plus a home health agency and a hospice agency. You can browse the full set on our Round Rock page, or by type: assisted living, memory care, nursing homes, and in-home care.
Our directory is not a census, so do not read those numbers as the total supply. Read them as a starting list. The pattern is still useful. If your parent needs skilled nursing after a hospital stay, the number of Round Rock choices on our list is small. Families often widen the search radius, and the cost of that choice is the drive time you will repeat every week.
Two models are worth knowing about. Hearthstone is a skilled nursing facility that also includes a secured memory care area, according to its operator. Sundara describes homes of sixteen residents each, with staff on site around the clock. Those are very different environments, and the same words, "memory care," can cover both.
Those words deserve a second look. In Texas, memory care is not a license type. A community that markets dementia care must hold a separate Alzheimer's certification, and to be certified it must be licensed as Type B. We explain what that certification does and does not guarantee in our post on certified memory care standards. Ask for the certificate. Then look the facility up yourself with the state's license lookup.
Getting around without a car inside Round Rock
Many families discover too late that their parent can no longer drive and that nothing in the care plan covers getting to appointments. Round Rock has more local options than most Austin-area suburbs, but each has limits.
Round Rock Rides is the city's on-demand service. The city's brochure lists a one-way fare of $4, with a reduced $2 fare for riders 65 and older who show ID, for paratransit-eligible riders, and for active-duty military. Service runs Monday through Friday from 6 a.m. to 8 p.m. and Saturday from 8 a.m. to 6 p.m., and it is closed on major holidays. Riders must create an account first. Book through the app, the website, or by phone at 512-312-2124. Rides stay inside the city's service zone, and the city's own announcement describes pickups at designated locations rather than any street address. The pages we reviewed do not say whether the vehicles are wheelchair accessible, so call before you rely on it.
CARTS, the Capital Area Rural Transportation System, runs curb-to-curb service in Georgetown, Round Rock, and Taylor. Williamson County's transportation page lists 512-478-7433 and advises booking one to two days ahead. The same county page lists Senior Access in Round Rock at 512-310-1060 and tells callers to confirm eligibility, since it does not spell out the criteria.
For Medicaid enrollees, the county page lists the Texas Medicaid non-emergency medical transportation line at 877-633-8747 and says to book at least 48 hours before the appointment. None of these services is a plan for a weekly trip to a specialist in Austin. If your parent will need one, ask the specialist's office what they suggest before you commit to a Round Rock facility.
The Baca Center is the step before the facility
A lot of families skip a step. Before assisted living, there is often a stretch where a parent is lonely, losing weight, or not leaving the house, and is not yet unsafe. Round Rock has a useful tool for that stretch.
The Allen R. Baca Center, run by the city, is at 301 W. Bagdad Avenue, Building 2, phone 512-218-5499. Its programs are for adults 50 and older and include group exercise, chair yoga, pickleball, arts and crafts, music, cards, and day trips. The city's page lists an annual membership of $30 for people 50 and older without the weight room. Prices change, so confirm them with the center.
The center also hosts a weekday lunch for people 60 and older, served from 12:00 to 12:30 p.m., with a suggested $3 donation. The city's page says the lunch is run by a separate organization with its own sign-up line at 512-255-4970. The same page says the center does not provide transportation, so a parent who cannot drive will need a ride from you or from one of the services above.
The Baca Center is not adult day care. If your parent needs supervision, medication help, or a nurse nearby, look at adult day health care. AGE of Central Texas runs an adult day health location in Round Rock and can be reached at 512-451-4611. It also runs caregiver support groups and a free equipment lending program.
Who to call when something goes wrong at a Round Rock facility
Round Rock is in Williamson County, which falls inside the ten-county region served by the Area Agency on Aging of the Capital Area. That matters because it determines which long-term care ombudsman you call. Use the Capital Area ombudsman at 512-916-6054. Do not call the Area Agency on Aging of Central Texas in Belton, which is a different agency.
The ombudsman is an advocate for residents of nursing homes and assisted living facilities. It is a good first call when your parent's concern is about daily care, a roommate problem, or a discharge notice. Our ombudsman page explains how the program works.
If you suspect abuse, neglect, or exploitation, the right number depends on where it happened. Adult Protective Services, 1-800-252-5400, handles community settings such as your parent's own home. For a licensed facility, call the Texas Health and Human Services Commission Complaint and Incident Intake line at 1-800-458-9858. If someone is in immediate danger, call 911 first. Our guide to reporting abuse in Texas covers which agency takes which call.
Before any of that, look up the facility's license and inspection history. Our post on how to read an HHSC inspection report shows what to look for.
How to use all of this before a crisis
Pick the pocket first, then the building. Decide where you can realistically visit three times a week, because that is how often a parent in care benefits from a familiar face. Then tour only within that pocket. Drive your intended route from your own home at the hour you would actually go, not the hour you would like to.
Call the hospital your parent's doctors use and ask for the discharge planning office. Ask what they typically suggest for skilled nursing and what the process is. Do this now, not during a crisis. Our touring checklist gives you the questions for the visit itself.
Save three numbers in your phone today: the Capital Area ombudsman at 512-916-6054, Adult Protective Services at 1-800-252-5400, and the HHSC complaint line at 1-800-458-9858. Add the Baca Center at 512-218-5499 and Round Rock Rides at 512-312-2124 if your parent is still living at home.
Cost is the piece we cannot give you in dollars for Round Rock. No source we trust publishes Round Rock-specific prices, and we will not guess. Our cost overview gives the Texas picture and explains why the Austin area tends to run above it. Ask every community for its fee schedule in writing, including what changes when care needs go up.
