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.
Ownership
Part of the The Ensign Group chain (346 facilities), chain average overall rating 3.2★.