Onion Creek Nursing and Rehabilitation Center

    1700 Onion Creek Pkwy, Austin, TX 78748
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.46·(105)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.8
    • Staff

      3.6
    • Meals

      2.8
    • Amenities

      3.3
    • Value

      1.0

    Pros

    • Compassionate and dedicated nursing and therapy staff
    • Strong physical and occupational therapy program
    • Supportive and effective social work/case management
    • Helpful and organized admissions and discharge coordination
    • Responsive individual employees recognized for exceptional care
    • Clean and well-maintained areas in many parts of the building
    • Restaurant-style dining room and some appealing meal options
    • Effective COVID-19 precautions during pandemic periods
    • Timely appointment and transportation coordination
    • Engaging group therapy and activity offerings in some units
    • Laundry and housekeeping praised by several families
    • Clear improvements under new management noted by families

    Cons

    • Inconsistent staffing levels and coverage
    • Delays in responding to call lights and care requests
    • Incontinence-care delays and inconsistent hygiene routines
    • Cleanliness issues and odor concerns in some wings and common areas
    • Gaps in shift-to-shift communication and care-plan continuity
    • Medication-management and documentation inconsistencies
    • Variable staff professionalism and communication tone
    • Weaker clinical coverage on nights and weekends
    • Facility maintenance deficits and equipment disrepair
    • Inconsistent meal quality and portioning
    • Limited or uneven availability of meaningful activities
    • Gaps in post-incident response and transfer-safety practices
    • Inadequate follow-through from administration at times
    • Personal-property and inventory control weaknesses

    Summary of reviews

    Reviewer feedback for Onion Creek Nursing and Rehabilitation Center is highly polarized, with both strong endorsements and substantial concerns. Positive accounts emphasize compassionate individual caregivers, an effective therapy program, helpful admissions and social-work coordination, and areas of the building that are clean and well maintained. Several families highlighted timely transition planning, appointment and transportation support, and notable employees who provided reliable, person-centered attention.

    However, a recurring pattern of operational weaknesses emerges across reviews. Staffing inconsistency — particularly during nights and weekends — is frequently linked to delays in responding to call lights and care requests, and to inconsistent hygiene and incontinence care. Several reviews raised concerns about medication handling and documentation, gaps in shift-to-shift communication, and incomplete follow-through on care plans. Families also described variability in staff conduct and communication tone; while some employees were singled out as exemplary, others were described as unfriendly or dismissive.

    Facility and environmental issues are similarly mixed. Some reviewers praised a modern, restaurant-style dining room, appealing meals, and clean common areas; others noted cleanliness issues, odor concerns in certain wings, worn furniture, and malfunctioning equipment. Activity programming and social engagement appear uneven: there are reports of strong, motivating group therapy and engaging activities in some units, while other residents experienced limited or unstructured activity offerings.

    Management and administrative responsiveness also vary. Multiple families credited admissions staff, case management, and certain administrators with effective coordination and proactive problem solving; conversely, other accounts describe poor follow-up from leadership, inconsistent communication about care plans, and frustration with insurance or placement decisions. Notable patterns include better experiences reported in structured rehab programs and during daytime weekday coverage, and more concerns reported relating to night/weekend staffing, specific wings, or particular shifts.

    For prospective residents and families, the most salient themes are variability and polarization: the facility has tangible strengths in therapy services and in the commitment of many individual staff members, but operational weaknesses around staffing, sanitation consistency, medication processes, and administrative follow-through have produced serious complaints for other families. When evaluating the facility, consider asking specific questions about staffing ratios and coverage by shift, weekend and night clinical supports, infection-control and housekeeping protocols for particular wings, how care-plan communication is handled across shift changes, and examples of recent quality-improvement work led by administration.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Onion Creek Nursing and Rehabilitation Center is located at 1700 Onion Creek Pkwy, Austin, TX, 78748.

    About Onion Creek Nursing and Rehabilitation Center

    Onion Creek Nursing and Rehabilitation Center gives skilled nursing care, short-term and long-term rehabilitation, and support for people with memory problems like Alzheimer's and dementia, and you'll find 24-hour nursing coverage and a range of health services like occupational, speech, and physical therapy, plus infusion therapy, all under the management of Roadrunner Healthcare, Inc. since October 2022, with direct ownership by Hamilton County Hospital District and a connection to Regency Healthcare. The facility has experienced serious issues; inspectors found 24 deficiencies which varied in severity, including times when residents' health or safety was in immediate jeopardy, and it's had complaints and standards cited in inspection reports, like problems with pressure ulcer care and infection control. Nurse turnover runs high at 56.8%, and the staff offers 3.38 nursing hours per resident each day for an average of 113 residents, spread between private rooms and bathrooms with cable TV, emergency call systems, and private showers in a 99-bed capacity part of the building, though the official number of certified beds is 125. Residents get three meals every day, with the food said to taste good and options to fit various needs, housekeeping and laundry services, and access to beauty and barber care right there on site. The center features a therapy gym full of daylight for recovery, sprawling lawns and nice landscaping, and activities like social outings, group programs, and time in residents' lounges for relaxation or visiting. They have an activities director and organize excursions and exercise that keep people moving, plus they're close to medical facilities if someone needs extra support or appointments. The facility makes personalized care plans for each person, working with medical professionals and offering both short- and long-term stays, medication management, and express outpatient clinic services through Core by Harbor Health and Onion Creek Clinic & Express Care, all in a setting that tries to keep a family-like feel. Staff are trained for compassion and expertise, and the center puts a focus on keeping care plans clear and tailored for each resident, which helps provide comfort along with therapy, memory support, and help with day-to-day tasks.

    People often ask...

    Onion Creek Nursing and Rehabilitation Center offers assisted living, memory care, and skilled nursing.

    There are 10 photos of Onion Creek Nursing and Rehabilitation Center on Mirador.

    The full address for this community is 1700 Onion Creek Pkwy, Austin, TX 78748.

    No, Onion Creek Nursing and Rehabilitation Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RqSIBAA3
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity125 residents
    LicenseeHamilton County Hospital District
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    2

    Reports

    11

    Citations

    0

    Complaints

    0

    Years

    11 Aug 2026Inspection
    Identified a supervisory deficiency where residents were not all watched and provided with needed assistance devices to prevent accidents.
    • —Health Visit
    30 Jul 2026Inspection
    Identified multiple deficiencies related to residents' rights, care planning, dietary management, medication safety, infection control, and overall operations.
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
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    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Onion Creek Nursing and Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Onion Creek Nursing and Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

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