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Data / Nursing homes / Texas / Onion Creek Nursing and Rehabilitation Center

Onion Creek Nursing and Rehabilitation Center, Austin, TX: 2 star rating, fined $51,337 across 2 fines

Onion Creek Nursing and Rehabilitation Center in Austin, TX is run by Hamilton County Hospital District, with no owner listed in the CMS ownership file, is rated 2 of 5 stars by Medicare, and was fined $51,337 across 2 fines in the three years to October 1, 2026. CMS lists 26 health citations from inspections in that time, the latest survey on August 11, 2026, and 4 of them found actual harm or immediate jeopardy.

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Address
1700 Onion Creek Pkwy, Austin, TX 78748
Overall rating
2 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5
Certified beds
125
Residents per day
109 on average
Ownership type
Government, Hospital district
Legal business name
Hamilton County Hospital District
Chain
The Ensign Group, 347 facilities
Fines
$51,337 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
26, of which 4 with actual harm or immediate jeopardy
Latest survey
August 11, 2026
CMS Certification Number
676271
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
April 5, 2025Fine$42,224Not listeddata.cms.gov
February 19, 2025Fine$9,113Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 11, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmPast noncompliancedata.cms.gov
June 5, 2026F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2026data.cms.gov
January 28, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 3, 2026data.cms.gov
November 5, 2025F760Ensure that residents are free from significant medication errors.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 12, 2025data.cms.gov
July 3, 2025F685Assist a resident in gaining access to vision and hearing services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 18, 2025data.cms.gov
July 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2025data.cms.gov
May 16, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 16, 2025F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 23, 2025data.cms.gov
May 16, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 16, 2025F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 16, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 23, 2025data.cms.gov
May 16, 2025F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 23, 2025data.cms.gov
May 16, 2025F576Ensure residents have reasonable access to and privacy in their use of communication methods.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 16, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 23, 2025data.cms.gov
April 5, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.K: pattern, immediate jeopardyCorrectedApril 21, 2025data.cms.gov
February 19, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedMarch 5, 2025data.cms.gov
February 19, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2025data.cms.gov
October 2, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.H: pattern, actual harmCorrectedOctober 3, 2024data.cms.gov
July 1, 2024F760Ensure that residents are free from significant medication errors.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 2, 2024data.cms.gov
July 1, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2024data.cms.gov
February 29, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
February 29, 2024F808Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
February 29, 2024F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 29, 2024data.cms.gov
February 29, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
February 29, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
February 29, 2024F583Keep residents' personal and medical records private and confidential.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 1, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 9 individual or personal trusts (4 managers, 3 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Roadrunner Healthcare, Inc.Operational or managerial controlNot listedOctober 1, 2022data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedJanuary 18, 2022data.cms.gov
Roadrunner Healthcare, Inc.Additional disclosable partyNot listedOctober 23, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.