Onion Creek Nursing And Rehabilitation Center
Nursing Home · 1700 Onion Creek Pkwy, Austin, TX 78748 · 5122914900
C
graded on 75% of our rubric
Why you can trust this grade. HearthGrades is independent and free to use. Every grade is computed from public CMS and state records on a fixed, published rubric — safety inspections, staffing, clinical outcomes, enforcement and financial stability. This provider was graded on 75% of that rubric. No facility can pay to change its grade or where it appears, and we take no money from the providers we grade. See the full methodology.
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 2.0 / 5 | high |
| Staffing | 1.7 / 5 | high |
| Clinical outcomes | 3.4 / 5 | high |
| Enforcement | 3.0 / 5 | high |
| Financial stability | 3.2 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 125 |
| Ownership | For Profit - Corporation |
| Operator | Hamilton County Hospital District |
| Chain size | 338 facilities |
| Certified since | 2011-02-16 |
| CMS overall star | 1 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$$ of 5 · ~$510/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 2 immediate jeopardy · 1 actual harm · 23 potential for harm · 0 minor
- Federal fines: $51,337 · payment denials: 0 · penalty actions: 2
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-28 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Resident Rights Deficiencies, tag 0580) | D | corrected 2026-03-03 |
| 2025-11-05 | Ensure that residents are free from significant medication errors. (Pharmacy Service Deficiencies, tag 0760) | E | corrected 2025-12-12 |
| 2025-07-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Resident Assessment and Care Planning Deficiencies, tag 0656) | D | corrected 2025-07-26 |
| 2025-07-03 | Assist a resident in gaining access to vision and hearing services. (Quality of Life and Care Deficiencies, tag 0685) | D | corrected 2025-07-18 |
| 2025-04-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Quality of Life and Care Deficiencies, tag 0686) | K · immediate jeopardy | corrected 2025-04-21 |
| 2025-02-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Freedom from Abuse, Neglect, and Exploitation Deficiencies, tag 0609) | D | corrected 2025-03-05 |
| 2025-02-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | J · immediate jeopardy | corrected 2025-03-05 |
| 2024-10-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Quality of Life and Care Deficiencies, tag 0684) | H · actual harm | corrected 2024-10-03 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 3.12 hrs/resident/day (expected 3.41 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.27 hrs/resident/day (expected 0.60 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 1.87 · LPN 0.98 hrs/resident/day
- Weekend total staffing: 2.74 hrs/resident/day (expected 3.03 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 60.6% · RN turnover 75.0% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.23 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 20.1% | 27.7 → 28.9 → 16.3 → 13.3 | worse than 76% of US homes · TX median 14.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 4.5% | 8.4 → 4.3 → 4.3 → 1 | worse than 75% of US homes · TX median 3% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 1.3% | 1.8 → 0.9 → 1 → 1.3 | worse than 57% of US homes · TX median 0.7% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 13.6% | 19.5 → 14.3 → 11 → 11.3 | worse than 50% of US homes · TX median 13% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 8.8% | 8.1 → 12.3 → 9.7 → 5.6 | better than 71% of US homes · TX median 8.1% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0.3% | 0 → 0 → 1.1 → 0 | better than 73% of US homes · TX median 0.3% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 1.4% | 0 → 2.9 → 0.9 → 1.7 | better than 91% of US homes · TX median 3.4% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
What this costs
- This facility's reported avg daily charge: $510/day · $$$$$ (price tier 5 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-09. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 69% Medicaid · 5% Medicare · 26% other/private · 90% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Travis County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Ascension Seton Northwest | Austin | Yes | 4★ | Acute care |
| Baylor Scott & White Medical Center Pflugerville | Pflugerville | Yes | 4★ | Acute care |
| St David's Medical Center | Austin | Yes | 4★ | Acute care |
| Ascension Seton Medical Center Austin | Austin | Yes | 3★ | Acute care |
| North Austin Medical Center | Austin | Yes | 3★ | Acute care |
| St David's South Austin Medical Center | Austin | Yes | 3★ | Acute care |
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Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Travis County nursing homes coverage. Spot an error? Tell us.