healthcarefacts

Nursing home in Horseshoe Bay, Texas

The Brixton at Horseshoe Bay

Medicare and Medicaid

15101 WEST FM 2147, Horseshoe Bay, TX 78657
(713) 553-1321

CMS star ratings

CMS gives this nursing home an overall star rating of 4 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.

Overall rating

  • This nursing home4
  • Texas average2.7 (1,165 rated)
  • U.S. average3.0 (14,565 rated)

Health inspections

  • This nursing home4
  • Texas average2.8 (1,165 rated)
  • U.S. average2.8 (14,565 rated)

Staffing

  • This nursing home3
  • Texas average1.9 (1,163 rated)
  • U.S. average2.9 (14,494 rated)

Quality measures

  • This nursing home3
  • Texas average3.7 (1,162 rated)
  • U.S. average3.6 (14,495 rated)

Health inspections

Most recent standard health inspection (rating cycle 1): Jun 26, 2025. CMS counts 4 health deficiencies in rating cycle 1.

  • This nursing home4
  • Texas average9.4 (1,171 with data)
  • U.S. average9.2 (14,652 with data)

Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.

Deficiencies since Sep 30, 2023

Inspectors cited 7 health deficiencies on 3 inspection dates since Sep 30, 2023. By level of harm: 1 immediate jeopardy, 6 potential for harm.

  • 1 Immediate jeopardy to resident health or safety
  • 0 Actual harm
  • 6 No actual harm, potential for more than minimal harm
  • 0 No actual harm, potential for minimal harm
Health deficiencies since Sep 30, 2023, newest first
DateTagDeficiencyScope and severityInspection typeStatus
Jun 26, 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jul 21, 2025
Jun 26, 2025F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jul 21, 2025
Jun 26, 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jul 21, 2025
Jun 26, 2025F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.Nutrition and Dietary DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jul 21, 2025
Mar 26, 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care DeficienciesK Immediate jeopardy, patternComplaintDeficient, Provider has date of correction Mar 27, 2025
May 16, 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction May 27, 2024
May 16, 2024F0641Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction May 27, 2024

Staffing

Total nurse staffing

Reported hours per resident per day.

  • This nursing home3.69 hours
  • Texas average3.39 hours (1,148 with data)
  • U.S. average3.86 hours (14,351 with data)

Registered nurse staffing

Reported hours per resident per day.

  • This nursing home0.41 hours
  • Texas average0.43 hours (1,148 with data)
  • U.S. average0.69 hours (14,351 with data)

Nursing staff turnover

Share of nursing staff who left during the year, as reported to CMS.

  • This nursing home57.8%
  • Texas average55.3% (1,051 with data)
  • U.S. average45.8% (13,538 with data)

Penalties

CMS lists 1 penalty for this nursing home: 1 fine totaling $85,007, and 0 payment denials. CMS counts penalties from the last 3 years.

Facility details

Certified beds120
Average residents per day76.1
OwnershipFor profit - Limited Liability company
Provider typeMedicare and Medicaid
Inside a hospitalNo
Continuing care retirement communityNo
Resident and family councilResident
Automatic sprinklers in all required areasYes
ChainOakbend Medical Center (5 facilities)
Legal business nameOAKBEND MEDICAL CENTER
First approved for Medicare and MedicaidJan 13, 2022
CountyLlano
CMS certification number745004