For profit - Limited Liability company · 120 certified beds · CMS number 745004
The Brixton at Horseshoe Bay, Horseshoe Bay, TX
CMS records 10 health deficiencies at The Brixton at Horseshoe Bay in Horseshoe Bay, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 26, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 1 fine totaling $85,007 in the last three years.
- 10deficiencies, 3 cycles (TX median 25)
- 4in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $85,007fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for The Brixton at Horseshoe Bay as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Brixton at Horseshoe Bay may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (4 deficiencies)
Standard inspection Jun 26, 2025. CMS counts 4 health deficiencies and 2 fire safety deficiencies in this cycle.
Jun 26, 2025 · Standard inspection
4 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 21, 2025
F800 · Nourishing, well-balanced diet
Requirement cited (CMS): Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 21, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 21, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 21, 2025
Previous cycle: 3 deficiencies (standard inspection May 16, 2024)
Standard inspection May 16, 2024. CMS counts 3 health deficiencies and 0 fire safety deficiencies in this cycle.
Mar 26, 2025 · Complaint inspection
1 deficiency, highest K
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 27, 2025
May 16, 2024 · Standard inspection
2 deficiencies, highest E
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 27, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 27, 2024
Earlier cycle: 3 deficiencies (standard inspection Mar 28, 2023)
Standard inspection Mar 28, 2023. CMS counts 3 health deficiencies and 1 fire safety deficiency in this cycle.
Mar 28, 2023 · Standard inspection
3 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 7, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 7, 2023
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 7, 2023
Tags cited in more than one inspection
1 tag cited on more than one inspection date at The Brixton at Horseshoe Bay; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F880 Infection prevention and control program | 2 | Jun 26, 2025; Mar 28, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 26, 2025 | Fine | $85,007 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.69 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.41 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.22 h
- Nursing staff turnover
- 57.8% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 3 of 5
CMS figures for The Brixton at Horseshoe Bay, copied as published; Texas medians are ours.
Facility details
- Address
- 15101 West Fm 2147, Horseshoe Bay, TX 78657
- Phone
- (713) 553-1321
- County
- Llano
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Oakbend Medical Center
- Certified beds
- 120
- Average residents per day
- 76.1
- In Medicare/Medicaid since
- Jan 13, 2022
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff track and report infections among residents? (F880, cited 2 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 1 time)
- How does the home check that resident assessments match what staff actually observe? (F641, cited 1 time)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 1 time)
Other nursing homes in Horseshoe Bay and the same chain
- The Lev at Town Park
Houston · 25 deficiencies - Heritage Park of Katy Nursing and Rehabilitation
Katy · 16 deficiencies - The Lev at Winchester
Alvin · 14 deficiencies - Oakbend Medical Center
Rosenberg · 7 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.