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HomeTexasThe Brixton at Horseshoe Bay

The Brixton at Horseshoe Bay

15101 West Fm 2147, Horseshoe Bay, TX 786577135531321
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
4/5
Staffing
3/5
Quality
3/5
Beds
120
certified
1 fine(s) totaling $85,007

How The Brixton at Horseshoe Bay Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
4/5
TX average
2.7/5
Above state average
Health inspection rating
4/5
TX average
2.8/5
Above state average
Staffing rating
3/5
TX average
1.9/5
Above state average
Nursing hours per resident
3.69 hrs/day
TX average
3.39 hrs/day
Above state average
RN hours per resident
0.41 hrs/day
TX average
0.43 hrs/day
Close to state average
Staff turnover
57.8%
TX average
55.3%
Close to state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 4/5 overall CMS rating is above the Texas average of 2.7/5.
Its 4/5 health inspection rating is above the Texas average of 2.8/5.
Reported nursing time is 3.69 hours per resident per day, above the state average of 3.39.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
3
deficiency citations
Inspected May 16, 2024
Most recent cycle
4
deficiency citations
Inspected Jun 26, 2025
The most recent cycle recorded 1 more deficiency citation than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Burnet County 65+
11,477
23.1% of county
County Population
49,684
Burnet County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

The Brixton at Horseshoe Bay is a 4-star Medicare and Medicaid certified nursing home in Horseshoe Bay, Texas with 120 certified beds. It has been operating since 2022. Its overall CMS rating is 4 out of 5.

Beds
120
Avg Residents/Day
76.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 13, 2022
Sprinklers
Yes
Council
Resident
County
Burnet
Last Inspection
Jun 26, 2025
Deficiencies (Cycle 1)
4
Weighted Score
52.3
Infection Citations
0

Deficiency Citations (10)

F0550Potential for Harm

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

Survey: Jun 26, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 26, 2025Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Jun 26, 2025Corrected: NoCycle: 1
F0800Potential for Harm

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

Survey: Jun 26, 2025Corrected: NoCycle: 1
F0686Immediate Jeopardy

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

Survey: Mar 26, 2025Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: May 16, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: May 16, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Mar 28, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Mar 28, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 28, 2023Corrected: NoCycle: 3
Total Fines
$85,007
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineMar 26, 2025
$85,007

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.97 hrs
National avg: 2.32 hrs
LPN1.31 hrs
National avg: 0.86 hrs
RN0.41 hrs
National avg: 0.69 hrs
Total Nursing3.69 hrs
National avg: 3.86 hrs
Weekend Total3.22 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
57.8%
RN Turnover
33.3%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (4)

NameRoleTypeOwnership %Since
FREUDENBERGER, JOSEPHCORPORATE OFFICERIndividualN/ANov 15, 2023
HALEY, JEFFCORPORATE OFFICERIndividualN/AJul 15, 2016
THE BRIXTON AT HORSESHOE BAY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ANov 15, 2023
GOTCHER, KARENOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 15, 2023

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for The Brixton at Horseshoe Bay and nearby alternatives.

All Texas facilities
The Brixton at Horseshoe Bay
Horseshoe Bay, TXCurrent facility
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: $85,007
Granite Mesa Health Center
Marble Falls, TX5.4 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $59,345
Avir at Kingsland
Kingsland, TX11.2 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: None
Avir at Burnet
Burnet, TX16.2 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: None
Avir at Johnson City
Johnson City, TX19.1 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $74,691
Bertram Nursing and Rehabilitation
Bertram, TX22.1 mi
CMS
4/5
Health
4/5
Staffing
1/5
Recorded fines: $10,135
Llano Nursing and Rehabilitation Center
Llano, TX24.5 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $40,170
FacilityDistanceCMSHealthStaffingRecorded fines
The Brixton at Horseshoe Bay
Horseshoe Bay, TX · Current facility
—4/54/53/5$85,007
Granite Mesa Health Center
Marble Falls, TX
5.4 mi2/53/51/5$59,345
Avir at Kingsland
Kingsland, TX
11.2 mi2/53/51/5None recorded
Avir at Burnet
Burnet, TX
16.2 mi3/54/51/5None recorded
Avir at Johnson City
Johnson City, TX
19.1 mi1/51/51/5$74,691
Bertram Nursing and Rehabilitation
Bertram, TX
22.1 mi4/54/51/5$10,135
Llano Nursing and Rehabilitation Center
Llano, TX
24.5 mi1/52/51/5$40,170

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for The Brixton at Horseshoe Bay?▾
The Brixton at Horseshoe Bay has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 3/5, and quality measures rating of 3/5. This facility is rated above average.
How much does The Brixton at Horseshoe Bay cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). The Brixton at Horseshoe Bay participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has The Brixton at Horseshoe Bay had any health inspection violations?▾
The Brixton at Horseshoe Bay had 4 deficiency citations in its most recent health inspection (Jun 26, 2025). The current CMS dataset records 1 fine(s) totaling $85,007.
What are the staffing levels at The Brixton at Horseshoe Bay?▾
The Brixton at Horseshoe Bay provides 3.69 total nursing staff hours per resident per day, including 0.41 RN hours, 1.31 LPN hours, and 1.97 nurse aide hours. The total staff turnover rate is 57.8%.
How many beds does The Brixton at Horseshoe Bay have?▾
The Brixton at Horseshoe Bay has 120 certified beds with an average of 76.1 residents per day, resulting in approximately 63% occupancy. The facility is For profit - Limited Liability company owned and is part of the Oakbend Medical Center chain.
Are there other nursing homes near The Brixton at Horseshoe Bay?▾
Yes. This page lists 6 nearby nursing homes in Texas. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.

Part of Oakbend Medical Center

This chain operates 5 facilities. View all →