nursing home in Horseshoe Bay, TX
The Brixton at Horseshoe Bay
15101 West Fm 2147, Horseshoe Bay, TX 78657 · (713) 553-1321
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Brixton at Horseshoe Bay at a glance
The Brixton at Horseshoe Bay is a 120-bed for-profit nursing home in Horseshoe Bay, Texas (Llano County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3.7 hours of nursing care per day (0.4 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (June 26, 2025) found 4 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $85,007.
Nursing staff turnover is 57.8% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Oakbend Medical Center
- Medicare-certified since
- January 13, 2022
- Resident/family council
- Resident
- County
- Llano County
- CMS Certification Number
- 745004
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.69 hrs | 3.39 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.41 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.97 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.22 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 57.8% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 52.3 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $85,007 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 76 | 76 | 86 | |
| Occupancy | 63.4% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 7.1% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 7.6% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 5.6% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.9% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 23.5% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 16.5% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 10.1% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 21.7% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 19.1% | 13.4% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 98.5% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.1% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.6% | 1.5% | 1.6% | Average |
| Short-stay residents given a flu vaccine (higher is better) | 53.9% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 70% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 10 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 26, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected June 27, 2025 |
| June 26, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected July 24, 2025 |
| June 26, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected July 21, 2025 |
| June 26, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 21, 2025 |
| June 26, 2025 Standard | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Tag F0800 | D Potential harm, isolated | Corrected July 21, 2025 |
| June 26, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 21, 2025 |
| March 26, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | K Immediate jeopardy, pattern | Corrected March 27, 2025 |
| May 16, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected May 27, 2024 |
| May 16, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 27, 2024 |
| March 28, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected May 2, 2023 |
| March 28, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 7, 2023 |
| March 28, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected April 7, 2023 |
| March 28, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 7, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $85,007 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 26, 2025 | Fine | $85,007 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FREUDENBERGER, JOSEPH Individual | corporate officer | NOT APPLICABLE | 11/15/2023 |
| HALEY, JEFF Individual | corporate officer | NOT APPLICABLE | 07/15/2016 |
| GOTCHER, KAREN Individual | operational/managerial control | NOT APPLICABLE | 11/15/2023 |
| THE BRIXTON AT HORSESHOE BAY LLC Organization | operational/managerial control | NOT APPLICABLE | 11/15/2023 |
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Frequently asked questions
What is The Brixton at Horseshoe Bay's rating?
The Brixton at Horseshoe Bay has 4 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did The Brixton at Horseshoe Bay receive?
Its most recent standard health inspection found 4 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does The Brixton at Horseshoe Bay accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Brixton at Horseshoe Bay?
It is for profit - limited liability company and part of Oakbend Medical Center. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Brixton at Horseshoe Bay and how do I contact it?
The Brixton at Horseshoe Bay is at 15101 West Fm 2147, Horseshoe Bay, TX 78657. Phone: (713) 553-1321.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.