Nursing home report card · Horseshoe Bay, TX

The Brixton at Horseshoe Bay

15101 West FM 2147, Horseshoe Bay, TX 78657

Infection-control problems noted

Quick summary

Large fines appear in this home’s records

Reported penalties total about $85,007. Fines often follow serious or repeated inspection failures.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?

Medicare file prepared: Aug 1, 2026
Our record last updated: Oct 15, 2026
Last routine health inspection: Jun 26, 2025

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating

4out of 5

Combines inspection, staffing, and care measures.

Above average

Health inspections

4out of 5

Based on problems found during health inspections.

Above average

Nursing staff

3out of 5

Based on staffing levels and related measures.

About average for U.S. nursing homes

Health and care results

3out of 5

Based on reported health and care results.

About average for U.S. nursing homes

What do the ratings and warnings mean?

Medicare ratings: One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems: Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning: Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time: Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems

Building, alarms, exits, and related safety citations

Reported fines

$85,007

Total fine amounts in the imported penalty records

Medicare file prepared

Aug 1, 2026

Medicare home ID: 745004

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

Immediate danger to residents · pattern case
Mar 26, 2025 · Inspection rule 0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Could have caused harm · pattern case
Jun 26, 2025 · Inspection rule 0880
Provide and implement an infection prevention and control program.
Could have caused harm · isolated case
Jun 26, 2025 · Inspection rule 0800
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)

0.41hours per resident per day

about 25 minutes per resident per day

All nursing staff

3.69hours per resident per day

about 3 hr 41 min per resident per day

Registered nurse time on weekends

0.29hours per resident per day

about 17 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.

How this home compares

Compared with state and national averages. The numbers may cover different periods.

Overall CMS rating: 4 stars
Health inspection rating: 4 stars
Staffing rating: 3 stars
Registered nurse time per resident: 0.41 hours/day
Total nurse time per resident: 3.69 hours/day

See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; Texas averages Unavailable; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

Recent citations include infection-control problems
CMS has fined this home in the recent reporting period

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

Immediate danger to residents1 citation
Could have caused harm9 citations

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints: 0
Routine: 10
Fire safety: 0
Other: 0

Who owns it

Names CMS lists as owners or managers · reported as For profit - Limited Liability company.

We do not have individual owner names for this home.

Other homes in this group: All Oakbend Medical Center nursing homes

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

June 26, 20254 findings

Resident Rights problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0550 · code E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0880 · code E
Provide and implement an infection prevention and control program.
Quality of Life and Care problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0684 · code D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0800 · code D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

March 26, 20251 finding

Quality of Life and Care problems
Immediate danger to residents · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0686 · code K
Provide appropriate pressure ulcer care and prevent new ulcers from developing.

May 16, 20242 findings

Quality of Life and Care problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0677 · code E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Assessment and Care Planning problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0641 · code D
Ensure each resident receives an accurate assessment.

March 28, 20233 findings

Pharmacy Service problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0759 · code E
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0812 · code E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0880 · code D
Provide and implement an infection prevention and control program.

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

Fine · Mar 26, 2025$85,007

Other homes in this chain

Oakbend Medical Center · other locations in Texas

Questions about The Brixton at Horseshoe Bay

What is The Brixton at Horseshoe Bay's Medicare star rating?

As of August 1, 2026, The Brixton at Horseshoe Bay in Horseshoe Bay, Texas has an overall CMS rating of 4 out of 5 stars. Other CMS scores: health inspection 4 of 5, staffing 3 of 5, quality measures 3 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.

Has The Brixton at Horseshoe Bay been fined?

As of August 1, 2026, the imported penalty records list $85,007 in reported fines for The Brixton at Horseshoe Bay. The individual penalty dates can differ from the Medicare file date; a listed fine does not establish that it was paid.

Does The Brixton at Horseshoe Bay have a Medicare abuse warning?

No. The current CMS Care Compare extract does not show an abuse warning icon for The Brixton at Horseshoe Bay in Horseshoe Bay, Texas.

How does The Brixton at Horseshoe Bay compare with other nursing homes in Texas?

Its overall CMS rating is 4 out of 5. A rating comparison is withheld because a matching source date or a usable rating is missing. Use the Texas report card and dated inspection history for context; inspection totals alone are not a like-for-like performance comparison.

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