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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 101 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 29% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 10 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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 detailsStrengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 102 analyzed
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.
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.”
“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.”
“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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
4
measures
4
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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
Hamilton County Hospital District
for profit
ROADRUNNER HEALTHCARE, INC
CAUSHA TALLEY
The Ensign Group
346 facilities nationwide
Chain avg rating: 2.9/5 · Rank 84 of 84 (Lowest rating)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
101 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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.
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