About The Brixton at Horseshoe Bay

The Brixton at Horseshoe Bay is a nursing home in Horseshoe Bay, Texas. Its capacity is 120 beds, the same as the Texas median for nursing homes. It is run by a nonprofit operator and is part of Oakbend Medical Center. It is Medicare certified. Its public inspection record shows 10 citations, the most recent on June 26, 2025. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 3.81 hours per resident per day. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

4.0

Staffing

2.0

Quality measures

3.0

CMS Care Compare, October 2026.

Inspection history (10)

Records from March 2023 to June 2025.

June 26, 2025
Tag F0800
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 21, 2025.
June 26, 2025
Tag F0880
Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 21, 2025.
June 26, 2025
Tag F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 21, 2025.
June 26, 2025
Tag F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 21, 2025.
March 26, 2025
Tag F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity K: pattern, immediate jeopardy. Corrected March 27, 2025.
May 16, 2024
Tag F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 27, 2024.
May 16, 2024
Tag F0641
Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 27, 2024.
March 28, 2023
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 7, 2023.
March 28, 2023
Tag F0759
Ensure medication error rates are not 5 percent or greater.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 7, 2023.
March 28, 2023
Tag F0880
Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 7, 2023.

See the source data on data.cms.gov

Penalties (1)

Total fines: $85,007

March 26, 2025 · Fine
CMS recorded a civil money penalty of $85,007 against this nursing home on March 26, 2025.

See the source data on data.cms.gov

Staffing

3.81 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit

Part of Oakbend Medical Center, a chain of 5 nursing homes.

Average CMS star ratings across the chain: 3.2 overall, 3.6 for health inspections, 1.2 for staffing, 3.6 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Texas.

Nursing Homes

Texas median$5,627/mo

Texas cost breakdown

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care