ONION CREEK NURSING AND REHABILITATION CENTER

1700 ONION CREEK PKWY, AUSTIN, TX 78748 · CCN 676271 · 125 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections2 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-04-05 IMMEDIATE JEOPARDY (tag F0686, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-02-19 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-10-02 ACTUAL HARM (tag F0684, severity H)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Staffing, from payroll records

Nursing hours / resident / day

2.39

state median 2.67

Weekend staffing gap

−9%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.11

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

11

with residents present

Nursing staff turnover

51%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $51,337 in fines.

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

Ownership

Ownership type: For profit - Corporation. Part of the THE ENSIGN GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 23 · Immediate jeopardy: 2

Survey dateTagCategorySeverityCorrected
2026-01-28F0580Resident Rights DeficienciesDnot recorded
2025-11-05F0760Pharmacy Service DeficienciesEnot recorded
2025-07-03F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-07-03F0685Quality of Life and Care DeficienciesDnot recorded
2025-04-05F0686Quality of Life and Care DeficienciesKnot recorded
2025-02-19F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-02-19F0689Quality of Life and Care DeficienciesJnot recorded
2024-10-02F0684Quality of Life and Care DeficienciesHnot recorded
2024-07-01F0755Pharmacy Service DeficienciesEnot recorded
2024-07-01F0760Pharmacy Service DeficienciesEnot recorded
2024-02-29F0583Resident Rights DeficienciesEnot recorded
2024-02-29F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-02-29F0677Quality of Life and Care DeficienciesEnot recorded
2024-02-29F0679Quality of Life and Care DeficienciesDnot recorded
2024-02-29F0808Nutrition and Dietary DeficienciesDnot recorded
2024-02-29F0812Nutrition and Dietary DeficienciesFnot recorded
2022-12-02F0578Resident Rights DeficienciesDnot recorded
2022-12-02F0759Pharmacy Service DeficienciesEnot recorded
2022-12-02F0812Nutrition and Dietary DeficienciesFnot recorded
2022-12-02F0880Infection Control DeficienciesDnot recorded
2021-09-10F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2021-09-10F0690Quality of Life and Care DeficienciesDnot recorded
2021-09-10F0756Pharmacy Service DeficienciesEnot recorded
2021-09-10F0758Pharmacy Service DeficienciesEnot recorded
2021-09-10F0761Pharmacy Service DeficienciesEnot recorded
2021-09-10F0842Resident Assessment and Care Planning DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “ONION CREEK NURSING AND REHABILITATION CENTER, AUSTIN” at medicare.gov/care-compare.