Nursing HomeInspections

Onion Creek Nursing and Rehabilitation Center

Nursing home in Austin, TX

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
1700 Onion Creek Pkwy, Austin, TX 78748
Phone
(512) 291-4900
Listed under
Government-owned
Medicare CCN
676271
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
125
Average residents per day
109
Ownership
Government, hospital district
Legal business name
Hamilton County Hospital District
Chain
The Ensign Group (347 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 2026-11-07.

Inspection record

Most recent standard health inspection: May 16, 2025. CMS lists 30 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 2, 2022 to Aug 11, 2026): 12 from complaint inspections, 4 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Aug 11, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Jun 5, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 28, 2026Immediately 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, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
E
Potential for more than minimal harm, pattern
Jul 3, 2025Develop 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, 2025Assist 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
May 16, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights
D
Potential for more than minimal harm, isolated
May 16, 2025Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
May 16, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated
May 16, 2025Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
May 16, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
May 16, 2025Ensure 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,…
Administration
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 30. 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 Oct 1, 2026.

Fines and payment denials

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

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

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

Staffing

Total nurse staffing per resident per day
3.22 hours
Registered nurse (RN) time per resident per day
0.29 hours
Nurse aide time per resident per day
1.94 hours
Total nurse staffing on weekends
2.92 hours
Nursing staff turnover (yearly)
49%
RN turnover (yearly)
56%
Administrators who left in the past year
1

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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