Marley Markwardt
Jul 2026
Ellie is so sweet and so helpful whenever I have any questions. Thank you Ellie for all of your help!
3.7(101 ratings)· Austin average: 4.4
1 / 5CMS Care Compare
Reviews for Onion Creek are sharply divided: many families praise a warm, attentive staff and note recent improvements under new management and ownership, while a serious minority describe neglect, uncleanliness, and slow response to basic needs like bathroom help and medication management. Google ratings run heavily to 5-star praise but the low-rated reviews raise consequential safety and care concerns.
AI-generated from reviews and community data.
Onion Creek Nursing And Rehabilitation Center is a senior living community in Austin, Texas offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 3.7 out of 5 across 101 reviews.
Onion Creek Nursing and Rehabilitation Center, located in Austin, Texas, provides both short-term rehabilitation and long-term nursing care. The staff works with residents, their families, and healthcare providers to build a comprehensive, individualized care and treatment plan.
The community combines modern therapeutic approaches with hands-on care to help residents regain strength and mobility. Rehabilitation services are tailored to each person's needs, whether they are staying for a short recovery period or for ongoing long-term care.
Onion Creek emphasizes a comfortable, safe, and welcoming environment, aiming to make each resident's stay feel like home. The team focuses on delivering attentive, personalized service throughout a resident's time at the center.
Residents have access to a full monthly activity calendar featuring a wide variety of options scheduled from morning to night, designed to keep individuals of all interests and abilities engaged and active.
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Help Me Choose3.7overall · 101 ratings combined
3.7★ on Google (101)
Marley Markwardt
Jul 2026
Ellie is so sweet and so helpful whenever I have any questions. Thank you Ellie for all of your help!
dawn graham
Jul 2026
Warm and inviting atmosphere. Employees truly care.
Alondra Davalos
May 2026
This is the best place for my grandma. I was worried about putting her in a nursing home but she absolutely loves it! The staff is so kind to her and very welcoming to me when I go visit her.
Mackenzie Gutierrez
May 2026
Onion Creek has been a great place for my abuelita. The staff is so friendly and nice to her!
Garth Land
May 2026
What an amazing team and such a charming place! You can easily tell how much the Onion Creek team really cares about their residents. Love the passion!!! Strange name, great place!
11 inspection visits in the last three years, 29 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 3, 2026
Ensure that residents are free from significant medication errors.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 26, 2025
Assist a resident in gaining access to vision and hearing services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 18, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Apr 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Mar 5, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 5, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity H of L: actual harm, patternFound during a complaint inspectionCorrected Oct 3, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 9, 2024
Ensure that residents are free from significant medication errors.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 2, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 8, 2024
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 12, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 15, 2024
Keep residents' personal and medical records private and confidential.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 1, 2024
Provide activities to meet all resident's needs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 29, 2024
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 15, 2024
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 9, 2022
Ensure medication error rates are not 5 percent or greater.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 9, 2022
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 9, 2022
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 9, 2022
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 1, 2021
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 28, 2021
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 28, 2021
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 28, 2021
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 1, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 28, 2021
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 28, 2021
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 28, 2021
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Onion Creek Nursing And Rehabilitation Center offers Skilled Nursing / Long Term Care.
Onion Creek Nursing And Rehabilitation Center is located at 1700 Onion Creek Pkwy in Austin, Texas.
Reviews for Onion Creek are sharply divided: many families praise a warm, attentive staff and note recent improvements under new management and ownership, while a serious minority describe neglect, uncleanliness, and slow response to basic needs like bathroom help and medication management. Google ratings run heavily to 5-star praise but the low-rated reviews raise consequential safety and care concerns.
Onion Creek Nursing And Rehabilitation Center had 11 government inspection visits in the last three years, with 29 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
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