All states › Texas › Austin › Onion Creek Nursing and Rehabilitation Center
1700 Onion Creek Pkwy Austin, TX 78748 · Travis County
All 25 nursing homes in Austin, TX (21 take Medicaid)
CMS certification number 676271 · See this home on Medicare Care Compare
Is Onion Creek Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Onion Creek Nursing and Rehabilitation Center as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.22 hours per resident per day at Onion Creek Nursing and Rehabilitation Center, about the same as the Texas median of 3.30 (US median: 3.72). About 0.29 of those hours are from registered nurses. On weekends it falls to 2.92 hours, 9% below its all-week average. 49% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Onion Creek Nursing and Rehabilitation Center: Medicare and Medicaid
Onion Creek Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 16, 2025 and found 8 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 30 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 30 citations at Onion Creek Nursing and Rehabilitation Center across 12 inspection dates, 12 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 5, 2025 (complaint inspection). The most common areas cited were pharmacy service (7) and quality of life and care (7). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level K, April 5, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 11, 2026 · 1 citation · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
June 5, 2026 · 1 citation · includes complaint inspection
DEnsure that residents are free from significant medication errors.
January 28, 2026 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
November 5, 2025 · 1 citation · includes complaint inspection
EEnsure that residents are free from significant medication errors.
July 3, 2025 · 2 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DAssist a resident in gaining access to vision and hearing services.
May 16, 2025 · 8 citations
FEnsure residents have reasonable access to and privacy in their use of communication methods.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
EProvide and implement an infection prevention and control program.
DReasonably accommodate the needs and preferences of each resident.
DProtect each resident from separation (from other residents, his/her room, or confinement to his/her room).
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
April 5, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
KProvide appropriate pressure ulcer care and prevent new ulcers from developing.
February 19, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
October 2, 2024 · 1 citation, includes actual harm · includes complaint inspection
HProvide appropriate treatment and care according to orders, resident’s preferences and goals.
July 1, 2024 · 2 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure that residents are free from significant medication errors.
February 29, 2024 · 6 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EKeep residents' personal and medical records private and confidential.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure each resident receives an accurate assessment.
DProvide activities to meet all resident's needs.
DEnsure 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.
December 2, 2022 · 4 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure medication error rates are not 5 percent or greater.
DHonor 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.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Onion Creek Nursing and Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on April 5, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 16, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $51,337 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 5, 2025 | Fine | $42,224 |
| Feb 19, 2025 | Fine | $9,113 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 1/5 | 2/5 | 5/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
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Location
Hospitals near Onion Creek Nursing and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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4.3 mi
Baylor Scott & White Medical Center - Buda BudaEmergency roomMedian ER visit 1h 46m for patients treated and sent home
- 5.2 mi
-
6.3 mi
St David's South Austin Medical Center AustinEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 18m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Higher-rated nursing homes within 10 miles
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- Brookdale Westlake Hills · Austin · 3 stars · 8.9 mi
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- Legend Oaks Healthcare and Rehabilitation - Ennis · Ennis · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.