Onion Creek Nursing And Rehabilitation Center
1700 ONION CREEK PKWY, Austin, TX, 78748-1948
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: The Ensign Group
- Certified beds
- 125 · avg 109 residents/day
- Total nursing staff turnover
- 56% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 85.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $51,337 total
State licensing & capacity
- License number
- 307262
- Service type
- Medicare/medicaid
- Licensed capacity
- 125 beds
- Bed type breakdown
- 125 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- February 16, 2011
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Roadrunner Healthcare, Inc
- Administrator
- Causha Talley
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (8 on record)
- Roadrunner Healthcare, Inc.
Adp of The Snf · since 2025
- Brian Cooper
Operational/managerial Control · since 2022
- Causha Talley
Operational/managerial Control · since 2022
- Hamilton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2022
- Ensign Services Inc
Adp of The Snf · since 2022
- Soon Burnam
Corporate Officer · since 2022
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 26)
- D0580·Jan 28, 2026Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E0760·Nov 5, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0685·Jul 3, 2025Complaint
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
- D0656·Jul 3, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- K0686·Apr 5, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- J0689·Feb 19, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0609·Feb 19, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- H0684·Oct 2, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal penalties
By year
- 20252 fines · $51K
Most recent events
- Apr 5, 2025Fine · $42K
- Feb 19, 2025Fine · $9,113
Largest single fine on record: $42K.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Feb 29, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Onion Creek Nursing and Rehabilitation Center is a 125-bed Medicare/Medicaid nursing home in Austin, managed by Roadrunner Healthcare and affiliated with The Ensign Group. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Two CMS fines totaling $51,337 have been issued. The quality-measures rating is 4 stars. All 125 beds accept Medicare and Medicaid; the facility is currently operating at about 87% of capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier among Texas nursing homes, a group that represents about 38% of facilities statewide. Each resident receives roughly 187 minutes of nursing care per day, about 54 minutes less than at a 4-star-staffing facility in Texas. Residents here tend to need more hands-on care than at a typical facility — less mobile or medically complex on average — which means those 187 minutes stretch thinner than the number alone suggests. Registered nurses account for only 15 of those minutes per resident per day, compared to 37 minutes at a 4-star-staffing Texas facility.
RN turnover ran at 85.7% over the past year — roughly 9 in 10 registered nurses left. That pace means the licensed nurses coordinating a resident's care plan are frequently new to that resident.
Two CMS fines totaling $51,337 have been assessed. The state median for fined facilities in Texas is about $20,699, and roughly 30% of Texas nursing homes have no fines at all; this facility's total sits well above the median among those that have been fined.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours here average 2.7 hours per resident per day — ask how many nurses and aides are on the floor on a Saturday night and how that compares to weekday coverage.
RN turnover and care continuity
Nearly 9 in 10 registered nurses left in the past year — ask which RN would be primarily responsible for your parent's care plan and how long that person has been in the role.
Details behind the two CMS fines
Two fines totaling $51,337 appear on the CMS record — ask what deficiencies triggered each fine and what specific changes were made in response.
1-star health inspection record
The facility's health inspection rating is 1 star — ask for the most recent inspection report and which deficiencies were cited as most serious.
Resident Council activity
A Resident Council is listed but no Family Council — ask how often the Resident Council meets, what concerns it has raised recently, and how families can raise concerns without one.
Management company's operational role
The facility is licensed to a hospital district but managed by Roadrunner Healthcare — ask which entity sets staffing levels and handles day-to-day care decisions.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.