Onion Creek Nursing and Rehabilitation Center

Nursing Home · Austin, TX

CMS overall rating 1/5 For profit - Corporation

CMS certification number676271

Contact & location

1700 Onion Creek Pkwy
Austin, TX 78748
Travis County
Phone
(512) 291-4900
ZIP code
78748 – all care providers

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Facility details

Certified beds
125
Residents per day
109.5 (88% occupied)
Ownership
For profit - Corporation
Legal name
Hamilton County Hospital District
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
February 16, 2011
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.09 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.22 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.04 (state 0.95 · U.S. 0.86)
Nurse aides
1.84 (state 2.00 · U.S. 2.32)
Weekend total
2.76 (state 2.98 · U.S. 3.42)
Nursing staff turnover
50.5 (state 55.3 · U.S. 45.8)%
RN turnover
55.6 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
February 29, 2024
Health deficiencies (last cycle)
9.0 (state 9.3 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
27 health · 3 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-05 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-16
2026-01-28 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-03
2025-11-05 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-07-03 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-07-03 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-18
2025-04-05 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2025-04-21
2025-02-19 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-03-05
2025-02-19 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-05
2024-10-02 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 H
Actual harm		 Corrected 2024-10-03
2024-07-01 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-09
2024-07-01 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-02
2024-02-29 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-02-29 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-01
2024-02-29 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-15
2024-02-29 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-15
2024-02-29 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-29
2024-02-29 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.
F0808 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2022-12-02 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2022-12-09
2022-12-02 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-12-09
2022-12-02 Honor 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-12-09
2022-12-02 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-12-09
2021-09-10 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-09-28
2021-09-10 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-09-28
2021-09-10 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-09-28
2021-09-10 Ensure 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-09-28
2021-09-10 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-09-28
2021-09-10 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-09-28

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

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

DateTypeAmount
2025-04-05Fine$42,224
2025-02-19Fine$9,113

Ownership & management

NameRoleSince
Cooper, Brian (individual)Administrator · NOT APPLICABLE
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Roadrunner Healthcare, INC. (organization)Administrator · NOT APPLICABLE
Talley, Causha (individual)Administrator · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Hooper, Grady (individual)Corporate Officer · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Cooper, Brian (individual)Managing Control - Governing Body · NOT APPLICABLE
Talley, Causha (individual)Managing Control - Governing Body · NOT APPLICABLE
Cooper, Brian (individual)Operational/managerial Control · NOT APPLICABLE
Roadrunner Healthcare, INC. (organization)Operational/managerial Control · NOT APPLICABLE
Talley, Causha (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Onion Creek Nursing and Rehabilitation Center?

Onion Creek Nursing and Rehabilitation Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Onion Creek Nursing and Rehabilitation Center have?

It has 125 certified beds and cares for about 110 residents per day.

Has Onion Creek Nursing and Rehabilitation Center been fined?

Yes. CMS lists 2 penalties totaling $51,337 in the last three years.

Who owns Onion Creek Nursing and Rehabilitation Center?

It is part of The Ensign Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Onion Creek Nursing and Rehabilitation Center?

(512) 291-4900. The facility is located at 1700 Onion Creek Pkwy, Austin, TX 78748.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.