Nursing HomeMedicaid Investigative

Onion Creek Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1700 Onion Creek Pkwy, Double Creek Village · Austin, TX 78748|125 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

3.6/5

based on 92 Google reviews

(512) 291-4900 Directions Website

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6/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (1/5 stars)
Low staffing rating (1/5 stars)
Above-median deficiencies (11 vs median 8.0)
High staff turnover (56%)
High RN turnover (86%)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in THE ENSIGN GROUP chain · $51,337 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for short-term physical rehabilitation due to their highly-rated therapy team. However, if you are seeking long-term nursing care, you must closely monitor hygiene, hydration, and medication administration, as multiple recent reviews highlight dangerous lapses in basic nursing duties.

Google Reviews

92 reviews on Google

“Families considering Onion Creek should be aware of a significant divide between the highly praised rehabilitation/therapy services and serious allegations regarding nursing care. While many reviewers laud the physical therapy team and the cleanliness of the facility, multiple families have reported critical issues including medication errors, neglectful hygiene care, and slow response times for basic needs.”

Quality Themes

Tap a score for details

Strengths

Exceptional physical and occupational therapy teams
Clean and well-maintained facility
Welcoming and professional admissions staff
Engaging resident activities and social programs

Concerns

Neglect regarding basic hygiene and hydration (mentioned by 4 reviewers)
Slow response times for call lights/assistance (mentioned by 3 reviewers)
Medication management errors (mentioned by 2 reviewers)
Poor communication from administration/staff (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 93 analyzed

How They Respond to Reviews

33%response rate

Generic

The owner relies heavily on repetitive, templated responses for positive reviews, often using the same phrasing to promise that feedback will be shared with the team. While they attempt to personalize by adding names, the core content of the responses is highly formulaic.

Questions for Your Tour

1We've heard great things about your physical and occupational therapy teams; could you tell us more about how they work with residents to maintain mobility?
2With the modern facility being so well-maintained, what kind of daily social events or activity programs do you have planned for the upcoming month?
3How does the nursing team ensure that medication schedules are managed accurately and that every dose is accounted for?
4What specific protocols are in place to ensure consistent hygiene assistance and personal care for residents throughout the day and night?
5In the event of a medical emergency after hours, what is the process for communicating updates to the family and coordinating with doctors?
6We noticed the admissions staff is very welcoming; how does the administration ensure that communication remains clear and consistent between the staff and family members?

Personalized based on this facility's data

Key Review Excerpts

“The food is wonderful. If you love enchiladas they are fantastic and homemade! The fresh fruit plate is always available.”

Long-term resident · 2026★★★★★

“The therapy staff is great! George the Director of Rehab is a great leader and very compassionate about what he does. His team helped me discharge home safely.”

Rehab patient · 2023★★★★☆

“My grandfather just got heart surgery less then a week ago got sent here for 5 days. on first night night shift staff told him “he is not the only one that had a heart dollar surgery” , because they wouldn’t help him get up so he could use the restroom.”

Rehab patient's family · 2024★☆☆☆☆

Source: 92 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.27hrs

35%

Registered nurses for medical care

Total Nursing

3.12hrs

76%

All nurses + aides combined

Staff Turnover

61%

Lower is better (< 30% = good)

RN Turnover

75%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility9.0%

Better than Avg

Here

9.0%

19.5%

18.4%

Travis

17.1%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility22.7%

Worse than Avg

Here

22.7%

19.4%

14.2%

Travis

17.9%

😔

Residents with depression symptoms

↓ Lower is better

This Facility4.4%

Mixed vs Avgs

Here

4.4%

12.1%

2.5%

Travis

2.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better

This Facility13.6%

Better than Avg

Here

13.6%

15.3%

14.9%

Travis

20.5%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility8.8%

Better than Avg

Here

8.8%

15.4%

9.4%

Travis

12.0%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility20.1%

Mixed vs Avgs

Here

20.1%

14.4%

16.1%

Travis

22.6%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility59.0%

Worse than Avg

Here

59.0%

79.7%

88.0%

Travis

81.3%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility70.9%

Worse than Avg

Here

70.9%

81.8%

89.2%

Travis

80.4%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.3%

Better than Avg

Here

1.3%

1.6%

1.5%

Travis

1.4%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies

2penalties

Above state avg (9.1)

10 complaint-triggered

$51,337 in fines

This facility has concerning patterns with 10 complaint-triggered deficiencies, indicating families have reported problems. The most recurring issues involve medication management, care planning, and overall quality of care. Recent complaints in 2025-2026 involved pressure ulcer care, safety hazards, and failure to notify families of incidents. While all deficiencies show correction dates, the ongoing complaint pattern suggests persistent care concerns families should carefully investigate.

Jan 28, 2026Complaint1 finding

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Nov 5, 2025Complaint1 finding

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jul 3, 2025Complaint2 findings

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

Apr 5, 2025Complaint1 finding

0686Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Feb 19, 2025Complaint2 findings

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Oct 2, 2024Complaint1 finding

0684Actual harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Federal Penalties

Fine

Apr 5, 2025

$42,224

Fine

Feb 19, 2025

$9,113

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hamilton County Hospital District

Organization Type

for profit

Management Company

ROADRUNNER HEALTHCARE, INC

Administrator

CAUSHA TALLEY

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 84 of 84 (Worst)

Ownership & Management

Key personnel

Cooper, BrianManaging Control - Governing BodyTalley, CaushaManaging Control - Governing BodyBurnam, SoonOfficer / DirectorHooper, GradyOfficer / DirectorKeetch, ChadOfficer / Director

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

(512) 291-4900

onioncreekrehab.com

fmigl@regencyhealthcare.com

1700 Onion Creek Pkwy

Austin, TX 78748

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

92 reviews from families & visitors

Official Website

Visit onioncreekrehab.com

Medicare data downloads

Original nursing home datasets

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Village on the Park Onion Creek

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< 1 mi

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Accession Estates Assisted Living Homes

1.1 mi

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★5.0(10)10 beds