Onion Creek Nursing And Rehabilitation Center
1700 Onion Creek Pkwy, Austin, TX 78748 · Travis County
For-profit · 125 certified beds · 88% occupancy · (512) 291-4900
The U.S. government (CMS) rates Onion Creek Nursing And Rehabilitation Center 1 out of 5 stars overall, much below average. Its nurse staffing is 6% below the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.09 nurse hours per resident per day. 6% below the Texas median of 3.27.
Nursing staff turnover: 50.5% · RN turnover: 55.6%
Safety & compliance flags
- No health inspection in over 2 years
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0812 · Feb 29, 2024Corrected Mar 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0760 · Nov 5, 2025ComplaintCorrected Dec 12, 2025
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
- Potential for harmTag F0583 · Feb 29, 2024Corrected Mar 1, 2024
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0677 · Feb 29, 2024Corrected Mar 15, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
- Potential for harmTag F0580 · Jan 28, 2026ComplaintCorrected Mar 3, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
- Potential for harmTag F0656 · Jul 3, 2025ComplaintCorrected Jul 26, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0685 · Jul 3, 2025ComplaintCorrected Jul 18, 2025
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
- Potential for harmTag F0641 · Feb 29, 2024Corrected Mar 15, 2024
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0679 · Feb 29, 2024Corrected Mar 29, 2024
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
- Potential for harmTag F0808 · Feb 29, 2024Corrected Mar 8, 2024
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies
Showing the 10 most recent and serious of 26 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - corporation). It is part of the The Ensign Group chain, which operates 346 facilities, with a chain-average CMS rating of 3.2 stars.