Senior Care Records.

The Brixton at Horseshoe Bay

15101 WEST FM 2147, Horseshoe Bay, TX, 78657

Nursing home120 licensed beds0 citations on record
LocationOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 4 deficiencies against The Brixton at Horseshoe Bay in Horseshoe Bay, Texas at its most recent standard inspection on 2025-06-26. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $85,007. Medicare rates it 4 out of 5 overall.

4 / 5Medicare overall rating
120certified beds
4deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $85,007
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.9
Potential for minimal harmThe least serious band.0
Most recent

The last 10 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

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

Resident Rights Deficiencies · F0550 · 2025-06-26 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-06-26 · standard survey · No actual harm, potential for more than minimal harm

E

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

Quality of Life and Care Deficiencies · F0684 · 2025-06-26 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0800 · 2025-06-26 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0686 · 2025-03-26 · from a complaint · Immediate jeopardy to resident health or safety

K

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

Quality of Life and Care Deficiencies · F0677 · 2024-05-16 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · F0641 · 2024-05-16 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · F0759 · 2023-03-28 · standard survey · No actual harm, potential for more than minimal harm

E

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

Nutrition and Dietary Deficiencies · F0812 · 2023-03-28 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2023-03-28 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below4 of 5
Health inspectionBased on the last three inspection cycles4 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS3.68854
Nursing staff turnoverShare of nursing staff who left in a year57.8%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS1
Total fined$85,007
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership

Who owns The Brixton at Horseshoe Bay

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
FREUDENBERGER, JOSEPHIndividualNOT APPLICABLEsince 11/15/2023
HALEY, JEFFIndividualNOT APPLICABLEsince 07/15/2016
THE BRIXTON AT HORSESHOE BAY LLCOrganizationNOT APPLICABLEsince 11/15/2023
GOTCHER, KARENIndividualNOT APPLICABLEsince 11/15/2023

Part of the OAKBEND MEDICAL CENTER group.

Contact

Ask The Brixton at Horseshoe Bay a question

This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.

What is needed

The Brixton at Horseshoe Bay has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 7135531321 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 745004.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction