Onion Creek Nursing And Rehabilitation Center
Austin, TX · Medicare and Medicaid-certified nursing home (CCN 676271) · 125 certified beds
Health inspection: 2 · Quality measures: 4 · Staffing: 1
Federal fines: 2 totaling $51,337
Phone: (512) 291-4900 · Verify on Medicare Care Compare ↗
CMS gives Onion Creek Nursing And Rehabilitation Center an overall rating of 1 out of 5 stars, below the Texas state average of 2.65. Its health inspection rating is 2 stars and its staffing rating is 1 star.
Onion Creek reports total nurse staffing of about 3.09 hours per resident per day, including just 0.22 RN hours per resident per day, with a staffing star rating of 1 out of 5. Nursing staff turnover is reported at 50.5%.
CMS records show 2 federal fines totaling $51,337.00 for Onion Creek Nursing And Rehabilitation Center, and 0 payment denials. CMS does not display an abuse icon or Special Focus Facility designation for this facility based on the data provided.
About this facility
Onion Creek Nursing And Rehabilitation Center is a 125-certified-bed nursing home in Austin, Travis County, Texas, with an average of 109.5 residents. It is operated as a for-profit corporation and has been certified by Medicare and Medicaid since February 16, 2011.
According to CMS Care Compare, Onion Creek holds an overall star rating of 1 out of 5, which is below the Texas state average of 2.65. The facility's four CMS ratings break down as follows: a Health Inspection rating of 2 stars, a Quality Measures rating of 4 stars, and a Staffing rating of 1 star.
Nurse staffing data reported to CMS shows total nurse staffing of 3.09 hours per resident per day, with registered nurse (RN) staffing of 0.22 hours per resident per day. Nursing staff turnover is reported at 50.5%.
On penalties, CMS records show 2 federal fines totaling $51,337.00 for this facility, and 0 payment denials of payment for new admissions.
Onion Creek is part of The Ensign Group chain, which operates 342 facilities nationally with an average CMS rating of 3.2 stars across the chain.
Ownership has not changed in the past 12 months according to CMS records.
Source: CMS Medicare Care Compare data.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Onion Creek has an overall CMS rating of 1 out of 5 stars, which is below the Texas state average of 2.65.
Does this facility accept Medicare, Medicaid, or both?
Yes, it is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is about 3.09 hours per resident per day, with 0.22 RN hours per resident per day and a nursing turnover rate of 50.5%; the CMS staffing rating is 1 out of 5.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 2 fines totaling $51,337.00 and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The data provided does not indicate an abuse icon or a Special Focus Facility designation for this facility.
How large is this facility and how many residents live there?
Onion Creek has 125 certified beds and an average of 109.5 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit corporation and is part of The Ensign Group chain, which operates 342 facilities nationwide with an average CMS rating of 3.2 stars.
How long has this facility been Medicare/Medicaid certified?
It has been certified since February 16, 2011.
What do the four different CMS star ratings mean?
CMS rates facilities on Overall, Health Inspection, Staffing, and Quality Measures; Onion Creek scores 1, 2, 1, and 4 stars respectively in these categories.
Does this facility offer short-term rehabilitation as well as long-term care?
This detail is not specified in the CMS data provided; contact the facility at 5122914900 or verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at 5122914900 to arrange a visit and verify current conditions on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can view the latest official ratings and inspection details at https://www.medicare.gov/care-compare/details/nursing-home/676271?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.