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Nursing homeFAID #14636

Onion Creek Nursing and Rehabilitation Center

1700 ONION CREEK PKWY, AUSTIN, TX, 78748
(512) 291-4900
ensignservices.net
125 licensed beds
★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of ONION CREEK NURSING AND REHABILITATION CENTER
Photo via Google · Bryan Bradsby

Public record summary

What we can show you for free.
Bed capacity
125
CMS facility ID
676271
Care type
Nursing home
County
Travis
Facility name
Onion Creek Nursing and Rehabilitation Center
Street address
1700 ONION CREEK PKWY
City / state / ZIP
Austin, TX 78748
Phone
(512) 291-4900
Website
ensignservices.net

About this facility — Onion Creek Nursing and Rehabilitation Center

Onion Creek Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Austin, Texas. It is licensed for 125 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 116 senior care facilities in Austin and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Onion Creek Nursing and Rehabilitation Center 30 times across 15 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $51,337 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
The Ensign Group
Ownership type
For profit - Corporation

Registered owners & officers

Burnam, Soon
Officer — since 2022
Cooper, Brian
Governing body · Operational control · Additional disclosable party — since 2022
Ensign Services Inc
Additional disclosable party — since 2022
Hooper, Grady
Officer — since 2015
Keetch, Chad
Officer — since 2011
Roadrunner Healthcare, Inc.
Operational control · Additional disclosable party — since 2022
Talley, Causha
Governing body · Operational control · Additional disclosable party — since 2022

Regulatory standing

Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2011-02-16
CMS overall rating
1 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
$51,337 total
Last standard inspection
2024-02-29
Nurse staffing
3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$520 per day (≈ $15,810/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
72% Medicaid · 5% Medicare · 23% private/other
Occupancy
76% (fiscal year 2023)
Vs. state median
88% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
125
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-05Health inspectionComplaint-triggered1 citation
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-07-16
2026-01-28Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-03-03
11 earlier / fire-safety inspections (28 citations)
2025-11-05Health inspectionComplaint-triggered1 citation
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-12-12
2025-07-03Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-26
F-0685
D · No harm foundFrom a complaint
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-07-18
2025-04-05Health inspectionComplaint-triggered1 citation
F-0686
K · Immediate jeopardyFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-21
2025-02-19Health inspectionComplaint-triggered2 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-05
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-05
2024-10-02Health inspectionComplaint-triggered1 citation
F-0684
H · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-03
2024-07-01Health inspectionComplaint-triggered2 citations
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-09
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-07-02
2024-02-29Health inspection6 citations
F-0583
E · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-03-01
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-03-15
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-15
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-03-29
F-0808
D · No harm foundFood safety
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.
Corrected 2024-03-08
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-08
2022-12-02Health inspection4 citations
F-0578
D · No harm found
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.
Corrected 2022-12-09
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-12-09
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-12-09
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-12-09
2021-09-10Health inspection6 citations
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-09-28
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2021-09-28
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2021-09-28
F-0758
E · No harm found
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.
Corrected 2021-09-28
F-0761
E · No harm found
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.
Corrected 2021-09-28
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-09-28
2024-02-29Fire-safety inspection1 citation
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-12
2021-09-10Fire-safety inspection2 citations
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2021-10-01
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-10-01

Federal penalties

2025-04-05Fine$42,224
2025-02-19Fine$9,113
Total fines$51,337
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676271.

Visitor reviews

What people say on Google.
3.8107 ratings on Google
★★★★★alice guzman · 2026-04-16 · via Google

“Onion Creek Nursing and Rehab is really turning things around. With a new team in place, the energy is completely different—in the best way. The staff is friendly, responsive, and genuinely caring, creating a much more positive experience for residents and families. It’s great to see such a strong shift forward!”

★★★★★Julie Anne · 2026-03-06 · via Google

“Finally I found my new home with more friends than I can count on one hand! The food is wonderful. If you love enchiladas they are fantastic and homemade! The fresh fruit plate is always available. The picture shown is a coaster I made here. Activities are essential to daily living making it fun everyday. Most of the staff are very helpful even if you need a hug for the moment. Oh em gee therapist…”

★★★★★Jordan Diaz · 2026-03-20 · via Google

“My sister and I went to tour for our mom and we had an amazing experience with Ellie!! All the staff were very nice and welcoming. Place was very tidy and nice. We had many questions and they were all answered professionally and left very informed. Very pleased.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 30 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered