Onion Creek Nursing And Rehabilitation Center
1700 Onion Creek Pkwy, Austin, TX, 78748
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: The Ensign Group
- Certified beds
- 125 · avg 111 residents/day
- Total nursing staff turnover
- 60.6% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 75% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $51,337 total
Medicare certification
- CMS Certification Number
- 676271
- Certified beds
- 125 beds · avg 111 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Hamilton County Hospital District
- Chain affiliation
- The Ensign Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 338 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 May 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Onion Creek Nursing And Rehabilitation Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.