Onion Creek Nursing and Rehabilitation Center

Nursing home in Austin, TX

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address: 1700 Onion Creek Pkwy, Austin, TX 78748
Phone: (512) 291-4900
Listed under: For-profit
Medicare CCN: 676271
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 1 of 5
Quality measures rating: 4 of 5
Certified beds: 125
Average residents per day: 110
Ownership: For-profit, corporation
Legal business name: Hamilton County Hospital District
Chain: The Ensign Group (342 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Feb 16, 2011
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 676271. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 29, 2024. CMS lists 27 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 10, 2021 to Jun 5, 2026): 11 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

Inspection	Citation	Severity
Jun 5, 2026	Ensure that residents are free from significant medication errors. Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Jan 28, 2026	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Nov 5, 2025	Ensure that residents are free from significant medication errors. Pharmacy Service · complaint inspection	E Potential for more than minimal harm, pattern
Jul 3, 2025	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 · complaint inspection	D Potential for more than minimal harm, isolated
Jul 3, 2025	Assist a resident in gaining access to vision and hearing services. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Apr 5, 2025	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care · complaint inspection	K Immediate jeopardy, pattern
Feb 19, 2025	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
Feb 19, 2025	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	J Immediate jeopardy, isolated
Oct 2, 2024	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	H Actual harm, pattern
Jul 1, 2024	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service · complaint inspection	E Potential for more than minimal harm, pattern
Jul 1, 2024	Ensure that residents are free from significant medication errors. Pharmacy Service · complaint inspection	E Potential for more than minimal harm, pattern
Feb 29, 2024	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 27. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $51,337 in the last three years.

Apr 5, 2025	Fine: $42,224
Feb 19, 2025	Fine: $9,113

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.09 hours
Registered nurse (RN) time per resident per day: 0.22 hours
Nurse aide time per resident per day: 1.84 hours
Total nurse staffing on weekends: 2.76 hours
Nursing staff turnover (yearly): 51%
RN turnover (yearly): 56%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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