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Medicare-certifiedSkilled Nursing

Onion Creek Nursing and Rehabilitation Center

(512) 291-4900

About Onion Creek Nursing and Rehabilitation Center

Onion Creek Nursing and Rehabilitation Center brings together experienced clinical care and genuine compassion in Austin, Texas. Our skilled nursing and rehabilitation programs focus on recovery, healing, and helping patients regain independence through personalized treatment plans and attentive staff support.

Community at a glance

Capacity

125 residents

Location

Austin, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

1700 ONION CREEK PKWY, Austin, Texas 78748

(512) 291-4900

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • The most recent standard inspection is more than two years old, so these results may not reflect the home today.

At its most recent standard inspection, on February 29, 2024, state inspectors cited 9 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 5 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.

Medicare fined Onion Creek Nursing and Rehabilitation Center 2 times in the last three years, $51,337 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 5 minutesBelow the Texas average
Registered nurse time per resident, per day13 minutesBelow the Texas average
Nursing staff who left in the past year51%Below the Texas average

Inspections

17 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 5, 2026 · Complaint investigation · 1 citation

  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 16, 2026

January 28, 2026 · Complaint investigation · 1 citation

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

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 3, 2026
November 5, 2025 · Complaint investigation · 1 citation+
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Dec 12, 2025
July 3, 2025 · Complaint investigation · 2 citations+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 26, 2025
  • Assist a resident in gaining access to vision and hearing services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 18, 2025
April 5, 2025 · Complaint investigation · 1 citation+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Apr 21, 2025
February 19, 2025 · Complaint investigation · 2 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Mar 5, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 5, 2025
October 2, 2024 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Residents were harmed, a pattern (level H)Quality of Life and CareFrom a complaintCorrected Oct 3, 2024
July 1, 2024 · Complaint investigation · 2 citations+
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jul 2, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jul 9, 2024
February 29, 2024 · Standard inspection · 6 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Mar 8, 2024
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 1, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Mar 15, 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.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Mar 8, 2024
  • Provide activities to meet all resident's needs.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 29, 2024
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 15, 2024

Fines and payment denials

2 fines totaling $51,337 in the last three years.

  • April 5, 2025Fine: $42,224
  • February 19, 2025Fine: $9,113

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
Hamilton County Hospital District
Medicare-certified beds
125
Average residents per day
110
Accepts
Medicare and Medicaid
First certified
February 16, 2011
Part of a chain
The Ensign Group, 344 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
676271

Location

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1700 ONION CREEK PKWYAustin, TX 78748

12 other communities within 10 miles

Senior living near Austin

Questions about Onion Creek Nursing and Rehabilitation Center

How did Onion Creek Nursing and Rehabilitation Center do on its last inspection?+

State inspectors visited on February 29, 2024 and cited 9 health deficiencies, 3 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Onion Creek Nursing and Rehabilitation Center?+

Nurses and aides spend 3 hours 5 minutes with each resident per day, including 13 minutes from registered nurses. 51% of nursing staff left over the past year.

Has Onion Creek Nursing and Rehabilitation Center been fined by Medicare?+

Yes. Medicare fined Onion Creek Nursing and Rehabilitation Center 2 times in the last three years, totaling $51,337.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Austin Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026