The Brixton At Horseshoe Bay
15101 West Fm 2147, Horseshoe Bay, TX 78657 · Burnet County
For-profit · 120 certified beds · 63% occupancy · (713) 553-1321
The Brixton At Horseshoe Bay reviews: what the government record shows
The U.S. government (CMS) rates The Brixton At Horseshoe Bay 4 out of 5 stars overall, above average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 4 of 5 stars
- Nurse staffing
- 3.69 hrs/resident/day (+13% vs TX median)
- Antipsychotic drug use
- 5.6% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 7.1% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $85,007
- Inspection findings
- 10 cited, 1 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Strengths
- ✓Earns 4 of 5 stars overall from CMS.
- ✓Nurse staffing of 3.69 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
- !Has paid $85,007 in federal fines in roughly the last three years.
- !Serious-fall rate of 7.1% is well above the Texas median of 3%.
- !Pressure-ulcer (bedsore) rate of 7.6% is well above the Texas median of 3.3%.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
- ·What is your fall-prevention program, and how is it staffed overnight?
- ·How often are residents repositioned, and who checks skin daily?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about The Brixton At Horseshoe Bay
Is The Brixton At Horseshoe Bay a good nursing home?
The Brixton At Horseshoe Bay in Horseshoe Bay, Texas holds a 4 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is The Brixton At Horseshoe Bay staffed?
The Brixton At Horseshoe Bay reports 3.69 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has The Brixton At Horseshoe Bay been fined or flagged for abuse?
The Brixton At Horseshoe Bay has paid approximately $85,007 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.69 nurse hours per resident per day. 13% above the Texas median of 3.27.
Nursing staff turnover: 57.8% · RN turnover: 33.3%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0550 · Jun 26, 2025Corrected Jul 21, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0880 · Jun 26, 2025Corrected Jul 21, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0684 · Jun 26, 2025Corrected Jul 21, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Potential for harmTag F0800 · Jun 26, 2025Corrected Jul 21, 2025
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
- Immediate jeopardyTag F0686 · Mar 26, 2025ComplaintCorrected Mar 27, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
- Potential for harmTag F0677 · May 16, 2024Corrected May 27, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
- Potential for harmTag F0641 · May 16, 2024Corrected May 27, 2024
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0759 · Mar 28, 2023Corrected Apr 7, 2023
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
- Potential for harmTag F0812 · Mar 28, 2023Corrected Apr 7, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Mar 28, 2023Corrected Apr 7, 2023
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Showing the 10 most recent and serious of 10 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at least double the Texas median. Ask the staff directly about their fall-prevention program: how they assess risk, how often they check on residents, and whether staffing at night is enough to respond quickly.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - limited liability company). It is part of the Oakbend Medical Center chain, which operates 5 facilities, with a chain-average CMS rating of 3 stars.