Place the stepping stone form on a work surface. Place a mixing trough near the form. Pour cement mix into a mixing trough. Mix water into the cement mix using a trowel to create a batter-like consistency.
Pour the mixed cement into the stepping stone form. Smooth the surface of the cement with a trowel. Lift the form up and tap it against the work surface to remove any air bubbles in the cement.
Center the river rock tile over the cement inside the form. Trim the mesh backing with a utility knife to cut the tile to fit the cement. Allow the cement to dry inside the form for 72 hours.
Remove the poured cement stepping stone from the form by placing it upside down and take the form off with your fingers.
Place the stepping stone with the river rock side facing up. Apply grout to a grout float and drag the grout float across the surface of the river rock tile at a slight angle to grout the spaces between the individual rocks. Allow the grout to dry for approximately 15 to 20 minutes.
Brush the surface of the stepping stone with a bristle brush to remove the grout from the surface of the river rock.
Dampen a sponge and wash the surface of the stepping stone off. Continue washing the surface until the sponge wrings out clean.
Seal the stepping stone surface with a stone penetrating sealant using a foam brush. Allow the stepping stone to dry for five to seven days before use.