Onion Creek Nursing and Rehabilitation Center

CCN 676271 · HAMILTON COUNTY HOSPITAL DISTRICT · For profit - Corporation · THE ENSIGN GROUP chain · 125 certified beds · Travis · TX


Onion Creek Nursing and Rehabilitation Center is a 125-bed nursing home in Austin, Texas. CMS has certified it for Medicare and Medicaid since 2011-02-16. It averages 109.5 residents a day.

What harm was found in the violations cited at Onion Creek Nursing and Rehabilitation Center?

CMS lists 27 health-inspection deficiencies for Onion Creek Nursing and Rehabilitation Center since 2021-09-10, 17 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-05.

Survey dateTagDeficiencySeverity
2026-06-05F0760Ensure that residents are free from significant medication errors.D
2026-01-28F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-11-05F0760Ensure that residents are free from significant medication errors.E
2025-07-03F0656, F0685Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Assist a resident in gaining access to vision and hearing services.D
2025-04-05F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.K
2025-02-19F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-02-19F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-10-02F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.H
2024-07-01F0755, F0760Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors.E
2024-02-29F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-02-29F0583, F0677Keep residents' personal and medical records private and confidential. / Provide care and assistance to perform activities of daily living for any resident who is unable.E
2024-02-29F0641, F0679, F0808Ensure each resident receives an accurate assessment. / Provide activities to meet all resident's needs. / 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.D
2022-12-02F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2022-12-02F0759Ensure medication error rates are not 5 percent or greater.E
2022-12-02F0578, F0880Honor 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. / Provide and implement an infection prevention and control program.D
2021-09-10F0656, F0756, F0758, F0761Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / 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.E
2021-09-10F0690, F0842Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D

Why was Onion Creek Nursing and Rehabilitation Center fined 2 times?

DateTypeAmount
2025-04-05Fine$42,224
2025-02-19Fine$9,113

How is Onion Creek Nursing and Rehabilitation Center staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.089113.38539
Total nursing staff turnover (%)50.555.3
Average number of residents per day109.575.8

Who owns Onion Creek Nursing and Rehabilitation Center, and what chain is it in?

Onion Creek Nursing and Rehabilitation Center is registered with CMS as For profit - Corporation, operates under the legal business name HAMILTON COUNTY HOSPITAL DISTRICT and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYCOOPER, BRIAN, TALLEY, CAUSHAsince 10/01/2022
CORPORATE OFFICERBURNAM, SOON, HOOPER, GRADY, KEETCH, CHADsince 01/18/2022
OPERATIONAL/MANAGERIAL CONTROLROADRUNNER HEALTHCARE, INC., COOPER, BRIAN, TALLEY, CAUSHAsince 10/01/2022
ADP OF THE SNFENSIGN SERVICES INC, ROADRUNNER HEALTHCARE, INC., COOPER, BRIAN, TALLEY, CAUSHAsince 01/18/2022

Were you or a family member harmed at Onion Creek Nursing and Rehabilitation Center?