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
Onion Creek Nursing And Rehabilitation Center reviews: what the government record shows
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.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 3.09 hrs/resident/day (-6% vs TX median)
- Antipsychotic drug use
- 8.2% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 2.9% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $51,337
- Inspection findings
- 27 cited, 2 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Nurse staffing of 3.09 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 2 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $51,337 in federal fines in roughly the last three years.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Onion Creek Nursing And Rehabilitation Center
Is Onion Creek Nursing And Rehabilitation Center a good nursing home?
Onion Creek Nursing And Rehabilitation Center in Austin, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Onion Creek Nursing And Rehabilitation Center staffed?
Onion Creek Nursing And Rehabilitation Center reports 3.09 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Onion Creek Nursing And Rehabilitation Center been fined or flagged for abuse?
Onion Creek Nursing And Rehabilitation Center has paid approximately $51,337 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. 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 F0760 · Jun 5, 2026ComplaintCorrected Jul 16, 2026
Ensure that residents are free from significant medication errors.
Pharmacy Service 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 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
- Immediate jeopardyTag F0686 · Apr 5, 2025ComplaintCorrected Apr 21, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Showing the 10 most recent and serious of 27 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 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore 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 2026-09-05. 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 342 facilities, with a chain-average CMS rating of 3.2 stars.