nursing home in Austin, TX

Onion Creek Nursing and Rehabilitation Center

1700 Onion Creek Pkwy, Austin, TX 78748 · (512) 291-4900

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★1
  • Quality measures★★★★★4

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Onion Creek Nursing and Rehabilitation Center at a glance

Onion Creek Nursing and Rehabilitation Center is a 125-bed for-profit nursing home in Austin, Texas (Travis County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 3.1 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.4 hours.

Its most recent standard health inspection (February 29, 2024) found 9 health citations. The Texas average is 9.4.

Federal regulators fined it 2 times in the past three years, totaling $51,337.

Nursing staff turnover is 50.5% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
125
Certified for
Medicare and Medicaid
Chain / affiliated entity
The Ensign Group
Medicare-certified since
February 16, 2011
Resident/family council
Resident
County
Travis County
CMS Certification Number
676271

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)4 / 53.7 / 53.6 / 5Average
Long-stay quality rating (higher is better)5 / 54 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)3 / 53.2 / 53.3 / 5Average

Staffing

This facility3.09 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.09 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.22 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.84 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.76 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)50.5%55.3%45.8%Worse
Registered nurse turnover (yearly) (lower is better)55.6%54.6%42.9%Worse
Administrators who left in the past year (lower is better)011Better

Inspections

This facility9Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)999Average
Citations from complaint investigations (latest cycle) (lower is better)343Worse
Weighted health inspection score ⓘ (lower is better)12010280.6Worse

Penalties

This facility2Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$51,337$44,141$30,972Worse
All federal penalties in the past 3 years (lower is better)221Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds125113107
Average residents per day1107686
Occupancy87.6%67.6%80.9%

Long-stay residents

This facility2.9%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2.9%3.3%3.2%Better
Long-stay residents with pressure ulcers (lower is better)1.9%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)8.2%9.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.3%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)19.2%15.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)14.7%14%14.1%Average
Long-stay residents who lose too much weight (lower is better)1.5%3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)3.3%2.4%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)9.9%18%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)20%13.4%19%Worse
Long-stay residents given a flu vaccine (higher is better)95%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)89.2%96.6%93.6%Average

Short-stay residents

This facility0.8%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0.8%1.5%1.6%Better
Short-stay residents given a flu vaccine (higher is better)59%88%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)63.5%88.9%82%Worse

Inspection citations

State inspectors cited this home for 27 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 2 rated "immediate jeopardy".

DateCitationSeverityStatus
June 5, 2026
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected July 16, 2026
January 28, 2026
Complaint
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 · Tag F0580
D
Potential harm, isolated
Corrected March 3, 2026
November 5, 2025
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
E
Potential harm, pattern
Corrected December 12, 2025
July 3, 2025
Complaint
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 · Tag F0656
D
Potential harm, isolated
Corrected July 26, 2025
July 3, 2025
Complaint
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Tag F0685
D
Potential harm, isolated
Corrected July 18, 2025
April 5, 2025
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
K
Immediate jeopardy, pattern
Corrected April 21, 2025
February 19, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected March 5, 2025
February 19, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected March 5, 2025
October 2, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
H
Actual harm, pattern
Corrected October 3, 2024
July 1, 2024
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected July 9, 2024
July 1, 2024
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
E
Potential harm, pattern
Corrected July 2, 2024
February 29, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected November 12, 2024
February 29, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected March 8, 2024
February 29, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected March 15, 2024
February 29, 2024
Standard
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
E
Potential harm, pattern
Corrected March 1, 2024
February 29, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected March 15, 2024
February 29, 2024
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
D
Potential harm, isolated
Corrected March 29, 2024
February 29, 2024
Standard
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 · Tag F0808
D
Potential harm, isolated
Corrected March 8, 2024
December 2, 2022
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected December 9, 2022
December 2, 2022
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected December 9, 2022
December 2, 2022
Standard
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected December 9, 2022
December 2, 2022
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected December 9, 2022
September 10, 2021
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected October 1, 2021
September 10, 2021
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected October 1, 2021
September 10, 2021
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected September 28, 2021
September 10, 2021
Standard
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
E
Potential harm, pattern
Corrected September 28, 2021
September 10, 2021
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
E
Potential harm, pattern
Corrected September 28, 2021
September 10, 2021
Standard
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 · Tag F0656
E
Potential harm, pattern
Corrected September 28, 2021
September 10, 2021
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected September 28, 2021
September 10, 2021
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected September 28, 2021

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $51,337 in fines.

DatePenaltyAmount / length
April 5, 2025Fine$42,224
February 19, 2025Fine$9,113

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
COOPER, BRIAN
Individual
adp of the snfNOT APPLICABLE10/01/2022
ENSIGN SERVICES INC
Organization
adp of the snfNOT APPLICABLE01/18/2022
ROADRUNNER HEALTHCARE, INC.
Organization
adp of the snfNOT APPLICABLE10/23/2025
TALLEY, CAUSHA
Individual
adp of the snfNOT APPLICABLE10/01/2022
BURNAM, SOON
Individual
corporate officerNOT APPLICABLE01/18/2022
HOOPER, GRADY
Individual
corporate officerNOT APPLICABLE12/01/2015
KEETCH, CHAD
Individual
corporate officerNOT APPLICABLE03/01/2011
COOPER, BRIAN
Individual
managing control - governing bodyNOT APPLICABLE10/01/2022
TALLEY, CAUSHA
Individual
managing control - governing bodyNOT APPLICABLE10/01/2022
COOPER, BRIAN
Individual
operational/managerial controlNOT APPLICABLE10/01/2022
ROADRUNNER HEALTHCARE, INC.
Organization
operational/managerial controlNOT APPLICABLE10/01/2022
TALLEY, CAUSHA
Individual
operational/managerial controlNOT APPLICABLE10/01/2022

Other nursing homes near Onion Creek Nursing and Rehabilitation Center

  1. Southpark Meadows Nursing and Rehabilitation Cente

    9801 S 1st Street, Austin, TX 78748 · 1.8 mi

    Non-profit · 120 beds · Part of Wellsential Health

    ★★★★★2Below average
  2. Brodie Ranch Nursing and Rehabilitation Center

    2101 Frate Barker Rd, Austin, TX 78748 · 2.8 mi

    For-profit · 120 beds · Part of The Ensign Group

    ★★★★★3Average
  3. Marbridge Villa

    2504 Bliss Spillar Road, Manchaca, TX 78652 · 3.6 mi

    Non-profit · 92 beds

    ★★★★★4Above average
  4. West Oaks Nursing and Rehabilitation Center

    3200 W. Slaughter Lane, Austin, TX 78748 · 4.1 mi

    Government · 125 beds · Part of The Ensign Group

    ★★★★★2Below average
  5. Brush Country Nursing and Rehabilitation

    6500 Brush Country Rd., Austin, TX 78749 · 6.6 mi

    For-profit · 118 beds

    ★★★★★1Much below average
  6. Barton Valley Rehabilitation and Healthcare Center

    4501 Dudmar Dr, Austin, TX 78735 · 6.8 mi

    Government · 126 beds · Part of Nexion Health

    ★★★★★3Average

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Frequently asked questions

What is Onion Creek Nursing and Rehabilitation Center's rating?

Onion Creek Nursing and Rehabilitation Center has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did Onion Creek Nursing and Rehabilitation Center receive?

Its most recent standard health inspection found 9 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Onion Creek Nursing and Rehabilitation Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Onion Creek Nursing and Rehabilitation Center?

It is for profit - corporation and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Onion Creek Nursing and Rehabilitation Center and how do I contact it?

Onion Creek Nursing and Rehabilitation Center is at 1700 Onion Creek Pkwy, Austin, TX 78748. Phone: (512) 291-4900.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.