Nursing home
The Brixton at Horseshoe Bay
15101 West Fm 2147, Horseshoe Bay, TX 78657 · Map
For profit - Limited Liability company · Part of Oakbend Medical Center (5 facilities) · 120 certified beds
The Brixton at Horseshoe Bay is a Medicare-certified nursing home in Horseshoe Bay, Texas. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.80 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Jun 26, 2025 cited 5 deficiencies.
- 1 fine totaling $85,007In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Brixton at Horseshoe Bay compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.80 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.41 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.11 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 70.0% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 5.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the June 26, 2025 inspection was corrected by July 21, 2025
Penalties in CMS records: 1 fine totaling $85,007, 1 total penalty.
What inspectors found at The Brixton at Horseshoe Bay
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 26, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jun 26, 2025 · Full report (PDF) - Potential for harm
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 · Jun 26, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jun 26, 2025 · Full report (PDF) - Immediate jeopardy
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Mar 26, 2025 · Full report (PDF)
Show all 10 deficiencies
- Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · May 16, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · May 16, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 28, 2023 - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Mar 28, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 28, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 15101 West Fm 2147
Horseshoe Bay, TX 78657 - CMS certification #
- 745004
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 82.3
- Provider type
- Medicare and Medicaid
- First certified
- 2022-01-13
- Chain
- Oakbend Medical Center (5 facilities)
- Setting
- Rural
Part of Oakbend Medical Center
Oakbend Medical Center operates 5 nursing facilities across the United States. View all Oakbend Medical Center facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Brixton at Horseshoe Bay using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Baylor Scott & White Medical Center - Marble Falls, Marble Falls. 3.4 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Granite Mesa Health Center, Marble Falls. 5.4 miles away, straight line.
- Nearest home health agency office
- Accentcare Home Health Of Marble Falls, Marble Falls. 5.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 4.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78657 as small town (small town core).
- Dialysis within 15 miles
- Nna - Marble Falls, Marble Falls, 5.3 miles away, straight line (CMS rating 4 of 5 stars)
- Hospice
- 13 Medicare hospices tell CMS they serve ZIP code 78657.
Enhabit Hospice, office in Marble Falls, 5.5 miles away, straight line - Nearest geriatric medicine practice
- Ch Specialty Services Tx PLLC, Austin. 26.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- Wildfire risk to homes
- In Horseshoe Bay, TX, risk to homes is greater than 64% of communities in Texas and 81% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively moderate, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is The Brixton at Horseshoe Bay a good nursing home?
CMS gives The Brixton at Horseshoe Bay an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Brixton at Horseshoe Bay staffed?
The Brixton at Horseshoe Bay reports 3.80 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has The Brixton at Horseshoe Bay had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does The Brixton at Horseshoe Bay have?
The Brixton at Horseshoe Bay is certified for 120 beds.