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Onion Creek Nursing And Rehabilitation Center

1700 Onion Creek Pkwy

3.7(101 ratings)· Austin average: 4.4

Onion Creek Nursing And Rehabilitation Center, photo 11 / 5

Quick Facts

Medicare rating
1 of 5

CMS Care Compare

Ownership
For profit, Corporation
Certified beds
125
Leadership
Recent change in management/ownership noted by many reviewers
Resident mix
Residents include younger rehab patients, not only elderly

What Families Think

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.

The Good

  • Reviewers repeatedly praise friendly, caring staff
  • Multiple mentions of recent leadership change improving care
  • Physical and occupational therapy staff frequently singled out for praise
  • Facility often described as clean and well-maintained
  • Personalized care plans built with residents, families, and providers
  • Full daily activity calendar keeps residents engaged

The Bad

  • Several reports of slow or absent response to call bells and bathroom needs
  • Multiple reviewers describe uncleanliness, odor, or facility disrepair
  • One report of a fatal medical neglect incident involving trach care
  • One report of medication mismanagement and missing belongings
  • One report of a fall with delayed staff response leaving a resident bruised

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.

About Onion Creek Nursing And Rehabilitation Center

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.

Types of Care at Onion Creek Nursing And Rehabilitation Center

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Cable or Satellite TV
  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible

Meals & Dining

  • Restaurant style Dining Room

Community Amenities

  • 24-Hour Staff
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Nurse (RN)

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Help Me Choose

Reviews of Onion Creek Nursing And Rehabilitation Center

3.7overall · 101 ratings combined

3.7★ on Google (101)

Marley Markwardt

Jul 2026

via Google

Ellie is so sweet and so helpful whenever I have any questions. Thank you Ellie for all of your help!

dawn graham

Jul 2026

via Google

Warm and inviting atmosphere. Employees truly care.

Alondra Davalos

May 2026

via Google

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

via Google

Onion Creek has been a great place for my abuelita. The staff is so friendly and nice to her!

Garth Land

May 2026

via Google

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!

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Government Inspection History

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).

Jan 28, 2026Health Complaint1 citation
  • 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

Nov 5, 2025Health Complaint1 citation
  • 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

Jul 3, 2025Health Complaint2 citations
  • 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

Apr 5, 2025Health Complaint1 citation
  • 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

Feb 19, 2025Health Complaint2 citations
  • 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

Oct 2, 2024Health Complaint1 citation
  • 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

Jul 1, 2024Health Complaint2 citations
  • 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

Feb 29, 2024Fire Safety StandardHealth Standard7 citations
  • 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

Dec 6, 2023Infection ControlNo citations
Dec 2, 2022Fire Safety StandardHealth Standard4 citations
  • 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

Sep 10, 2021Fire Safety StandardHealth Standard8 citations
  • 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.

Frequently Asked Questions

What types of care does Onion Creek Nursing And Rehabilitation Center offer?

Onion Creek Nursing And Rehabilitation Center offers Skilled Nursing / Long Term Care.

Where is Onion Creek Nursing And Rehabilitation Center located?

Onion Creek Nursing And Rehabilitation Center is located at 1700 Onion Creek Pkwy in Austin, Texas.

What do families say about Onion Creek Nursing And Rehabilitation Center?

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.

How did Onion Creek Nursing And Rehabilitation Center do on recent health and safety inspections?

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.

How can families visit Onion Creek Nursing And Rehabilitation Center?

Submit the Request Information form on this page to connect with Onion Creek Nursing And Rehabilitation Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

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