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Onion Creek Nursing and Rehabilitation Center

1700 Onion Creek Pkwy, Austin, TX 78748

Nursing Home Care

Onion Creek Nursing and Rehabilitation Center is a senior care community located in Austin, TX. It provides nursing home care for older adults in the Austin area. To learn more or schedule a tour, call (512) 291-4900.

Operated by The Ensign Group, which runs 419 communities in our directory.

Employer rating 3.3 out of 5 39 reviews from their own employees on Indeed. See what they say.

Onion Creek Nursing and Rehabilitation Center is licensed for 125 beds, about typical for the area, where senior care communities in Austin average about 147 beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Austin average about 2.4 stars. Its most recent standard health inspection was in February 2024 and recorded 9 deficiencies.

Residents receive about 3.1 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 51%.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 27 problems at Onion Creek Nursing and Rehabilitation Center. 3 findings involved harm to a resident, including 2 that put residents in immediate danger. 11 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $51,337.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected June 2026, after a complaint. Corrected by July 16, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Inspected January 2026, after a complaint. Corrected by March 3, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected November 2025, after a complaint. Corrected by December 12, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected February 2024. Corrected by March 8, 2024.

  • Could cause more than minimal harm, a pattern Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected February 2024. Corrected by March 1, 2024.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected February 2024. Corrected by March 15, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected February 2024. Corrected by March 15, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide activities to meet all resident's needs.

    Inspected February 2024. Corrected by March 29, 2024.

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  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    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.

    Inspected February 2024. Corrected by March 8, 2024.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Onion Creek Nursing and Rehabilitation Center offers nursing home care.

Facility details

  • Beds / units 125
  • Nursing hours per resident/day 3.1
  • Annual staff turnover 51%
  • Last health inspection February 2024

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