Nursing home
Onion Creek Nursing and Rehabilitation Center
1700 Onion Creek Pkwy, Austin, TX 78748 · Map
For profit - Corporation · Part of The Ensign Group (329 facilities) · 125 certified beds
Onion Creek Nursing and Rehabilitation Center is a Medicare-certified nursing home in Austin, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.11 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Feb 29, 2024 cited 11 deficiencies.
- 2 fines totaling $51,337In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Onion Creek Nursing and Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.11 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.25 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.86 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 56.0% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 11.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $51,337, 2 total penalties.
What inspectors found at Onion Creek Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 · Jan 28, 2026 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Nov 5, 2025 · Full report (PDF) - Potential for harm
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Jul 3, 2025 · Full report (PDF) - Potential for harm
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 · Jul 3, 2025 · Full report (PDF) - Immediate jeopardy
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Apr 5, 2025 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 19, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 19, 2025 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 2, 2024 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jul 1, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jul 1, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 29, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Feb 29, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1700 Onion Creek Pkwy
Austin, TX 78748 - CMS certification #
- 676271
- Ownership
- For profit - Corporation
- Certified beds
- 125
- Avg residents/day
- 108.6
- Provider type
- Medicare and Medicaid
- First certified
- 2011-02-16
- Chain
- The Ensign Group (329 facilities)
- Setting
- Urban
Part of The Ensign Group
The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Onion Creek Nursing and Rehabilitation Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day
- Kitchen 5 inspections by Austin Public Health since 2024; latest score 93 (March 2026)
- Staff pay 1 federal wage case with violations found, since 2022
Full public records, with dates and sources
Kitchen inspections
The local health department inspects the kitchen that serves residents. Results are in the agency's own words.
Austin Public Health: Onion Creek Nursing and Rehabilitation Center
- Mar 16, 2026 (routine inspection): score 93.
- Jul 7, 2025 (routine inspection): score 95.
- Jan 27, 2025 (routine inspection): score 88.
- Sep 19, 2024 (routine inspection): score 92.
- Jan 31, 2024 (routine inspection): score 96.
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Score: Out of 100. Points are taken off for each violation; 70 or above passes. This dataset publishes scores only. Violation details are in the report, available from Austin Public Health.
Care and services
From the community’s website
What Onion Creek Nursing and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
We leave the critical decisions to those who know best: the Caregivers, Doctors, and Nurses who work with our patients 24-hours a day, 7-days a week.
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Apr 16, 2022 to Apr 15, 2024. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: Onion Creek Nursing and Rehabilitation Center (Roadrunner Health Care, Inc). Case 1989251.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Baylor Scott & White Medical Center - Buda, Buda. 4.7 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- Southpark Meadows Nursing and Rehabilitation Cente, Austin. 1.8 miles away, straight line.
- Nearest home health agency office
- Progressive Home Health Agency, Buda. 3.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78748 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Shc South Austin, Austin, 1.8 miles away, straight line (CMS rating 5 of 5 stars)
Shc Wb South Austin, Austin, 1.9 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita South Austin Dialysis Center, Austin, 4.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 49 Medicare hospices tell CMS they serve ZIP code 78748.
Cella Bellas Hospice Corporation, office in Austin, 2.7 miles away, straight line
Bridgeway Hospice, LLC., office in Buda, 4.2 miles away, straight line
Silverado Hospice- Austin, office in Austin, 6.0 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Tmc Provider Group PLLC, Austin. 2.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Austin Public Health kitchen inspections | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Onion Creek Nursing and Rehabilitation Center a good nursing home?
CMS gives Onion Creek Nursing and Rehabilitation Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Onion Creek Nursing and Rehabilitation Center staffed?
Onion Creek Nursing and Rehabilitation Center reports 3.11 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Onion Creek Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Onion Creek Nursing and Rehabilitation Center have?
Onion Creek Nursing and Rehabilitation Center is certified for 125 beds.