Texas › Burnet County › Horseshoe Bay
The Brixton At Horseshoe Bay
15101 West Fm 2147, Horseshoe Bay, TX 78657
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
The Brixton At Horseshoe Bay is a For-profit, limited liability company nursing home in Horseshoe Bay, Texas, certified for 120 beds and caring for about 76 residents a day.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 3 and quality measures 3.
Inspectors recorded 10 health deficiencies across the three most recent survey cycles (4, 3, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 8.3 per 100 beds, fewer than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $85K.
Reported nurse staffing is 3.7 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 57.8%.
Compared with county, state and nation
| Measure | This facility | Burnet Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 10 | 13 | 25 | 28.7 |
| Citations per 100 beds | 8.3 | 17.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 57.8% | 57.8% | 52.1% | 45.8% |
| Fines listed | $85,007 | $59,345 | $16,801 | — |
County and state figures are medians across facilities (4 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Jun 2025, 16 May 2024.
Severity mix: K ×1 D ×4 E ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 21 Jul 2025 |
| 26 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Jul 2025 |
| 26 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Jul 2025 |
| 26 Jun 2025 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Standard survey | 21 Jul 2025 |
| 26 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Complaint investigation | 27 Mar 2025 |
| 16 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 27 May 2024 |
| 16 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 May 2024 |
| 28 Mar 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 7 Apr 2023 |
| 28 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 7 Apr 2023 |
| 28 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Mar 2025 | Fine | $85,007 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 57.8%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.6% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Oakbend Medical Center. Chain: Oakbend Medical Center (5 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| The Brixton At Horseshoe Bay LLC | Operational/managerial control | NOT APPLICABLE | 11/15/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Burnet County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bertram Nursing and Rehabilitation | Bertram | 74 | 4 | 4 | 1 | 13 | 17.6 | $10K | 28 Jan 2026 |
| Avir At Burnet | Burnet | 112 | 3 | 4 | 1 | 13 | 11.6 | — | 29 Apr 2026 |
| Granite Mesa Health Center | Marble Falls | 124 | 2 | 3 | 1 | 24 | 19.4 | $59K | 16 Jan 2026 |
All 4 facilities in Burnet County
Questions and answers
How many deficiencies has The Brixton At Horseshoe Bay been cited for?
10 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has The Brixton At Horseshoe Bay been fined?
Yes. CMS lists fines totalling $85K in the period covered.
How does staffing at The Brixton At Horseshoe Bay compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates The Brixton At Horseshoe Bay?
It is part of the Oakbend Medical Center chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include The Brixton At Horseshoe Bay LLC. Individual owners and managers are not listed on this site.
When was The Brixton At Horseshoe Bay last inspected?
The most recent survey or investigation in the CMS record is dated 26 Jun 2025; the most recent standard health survey was 26 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.