facebook tracking The Brixton at Horseshoe Bay, Horseshoe Bay TX: CMS Ratings
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The Brixton at Horseshoe Bay

All states › Texas › Horseshoe Bay › The Brixton at Horseshoe Bay

15101 West Fm 2147 Horseshoe Bay, TX 78657 · Llano County

(713) 553-1321

Accepts Medicare Accepts Medicaid 120 certified beds Government

CMS certification number 745004 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is The Brixton at Horseshoe Bay a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Brixton at Horseshoe Bay as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 7 citations in the last three years. CMS imposed 1 penalty, including $85,007 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 2 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.81 hours per resident per day at The Brixton at Horseshoe Bay, above the Texas median of 3.30 (US median: 3.72). About 0.35 of those hours are from registered nurses. On weekends it falls to 3.32 hours, 13% below its all-week average. 57.3% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 3.81 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.35 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.32 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 57.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 63.6% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 75 About 62% of beds filled, on average
OwnershipGovernment - Hospital district
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 2022
Part of a chainOakbend Medical Center
Legal business nameOAKBEND MEDICAL CENTER

Paying for care at The Brixton at Horseshoe Bay: Medicare and Medicaid

The Brixton at Horseshoe Bay is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 12, 2026 and found 0 deficiencies. In total, inspectors issued 7 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 7 citations at The Brixton at Horseshoe Bay across 3 inspection dates, 1 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 26, 2025 (complaint inspection). The most common areas cited were quality of life and care (3) and infection control (1). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level K, March 26, 2025).

June 26, 2025 · 4 citations

EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Jul 21, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 21, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Jul 21, 2025)

DProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0800 · Deficient, Provider has date of correction (Jul 21, 2025)

March 26, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Mar 27, 2025)

May 16, 2024 · 2 citations

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (May 27, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (May 27, 2024)

Questions to ask on a tour of The Brixton at Horseshoe Bay

  1. Inspectors cited the home at the immediate-jeopardy level on March 26, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $85,007 in fines.

DateTypeAmount or length
Mar 26, 2025 Fine $85,007

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 2/5 3/5
August 2026 4/5 4/5 3/5 3/5
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Location

Hospitals near The Brixton at Horseshoe Bay

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Granite Mesa Health Center Marble Falls · 5.4 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 124 beds · Medicaid
Avir at Kingsland Kingsland · 11.2 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 122 beds · Medicaid
Avir at Burnet Burnet · 16.2 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 112 beds · Medicaid
Avir at Johnson City Johnson City · 19.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 60 beds · Medicaid
Bertram Nursing and Rehabilitation Bertram · 22.1 mi away ★★★★★ Inspection 4/5 · Staffing 2/5 74 beds · Medicaid

More nursing homes near The Brixton at Horseshoe Bay ›   All nursing homes in Horseshoe Bay ›

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Other Oakbend Medical Center nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 5 Oakbend Medical Center nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/horseshoe-bay/the-brixton-at-horseshoe-bay/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.