Onion Creek Nursing And Rehabilitation Center has received an F grade based on CMS data, with a score of 14/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Austin facility should carefully review its inspection history and quality metrics.
With 3.11 total nurse hours per resident per day, Onion Creek Nursing And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 26 deficiencies at Onion Creek Nursing And Rehabilitation Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.11 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.25 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.00 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.86 | 2.4 | Below Average |
| Weekend Total Nursing | 2.70 | 3.8 | Below Average |
| Weekend RN Hours | 0.18 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Jan 27, 2026 · Resident Rights Deficiencies
- Tag 0760 Severity EEnsure that residents are free from significant medication errors.Nov 4, 2025 · Pharmacy Service Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jul 2, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0685 Severity DAssist a resident in gaining access to vision and hearing services.Jul 2, 2025 · Quality of Life and Care Deficiencies
- Tag 0686 Severity KProvide appropriate pressure ulcer care and prevent new ulcers from developing.Apr 4, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.3% | 4.5% | Better |
| Falls with major injury | 6.2% | 3.0% | Worse |
| On antipsychotic medication | 10.1% | 14.5% | Better |
| Urinary tract infections | 0.6% | 2.5% | Better |
| ADL decline (daily activities) | 28.3% | 14.0% | Worse |
| Excessive weight loss | 2.8% | 7.5% | Better |
| New/worsened incontinence | 26.0% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $51,337
How This Grade Was Calculated
This facility's grade of F is based on a score of 14 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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