The Brixton At Horseshoe Bay
Horseshoe Bay, TX · Medicare and Medicaid-certified nursing home (CCN 745004) · 120 certified beds
Health inspection: 4 · Quality measures: 3 · Staffing: 3
Federal fines: 1 totaling $85,007
Phone: (713) 553-1321 · Verify on Medicare Care Compare ↗
The Brixton At Horseshoe Bay holds a CMS overall rating of 4 stars, above the Texas state average of 2.65 stars. Its health inspection rating is 4 stars and its staffing rating is 3 stars.
The Brixton At Horseshoe Bay reports total nurse staffing of about 3.69 hours per resident per day, including 0.41 RN hours per resident per day, with a staffing star rating of 3 and a nursing turnover rate of 57.8%.
CMS records show The Brixton At Horseshoe Bay has 1 federal fine on record totaling $85,007.00, with 0 payment denials. No abuse icon or Special Focus Status is noted in the available CMS data for this facility.
About this facility
The Brixton At Horseshoe Bay is a Medicare and Medicaid certified nursing home in Horseshoe Bay, Burnet County, Texas, first approved on January 13, 2022. It is certified for 120 beds with an average of 76.1 residents. The facility operates as a for-profit Limited Liability Company and is part of the Oakbend Medical Center chain, which includes 5 facilities with an average CMS rating of 3.0 stars.
According to CMS Care Compare, The Brixton At Horseshoe Bay holds an overall rating of 4 stars, above the Texas state average of 2.65 stars. Its component ratings are: Health Inspection 4 stars, Quality Measures 3 stars, and Staffing 3 stars.
Nurse staffing data show total nurse hours of 3.69 per resident per day, including 0.41 RN hours per resident per day, with a nursing staff turnover rate of 57.8%.
On penalties, CMS records show 1 federal fine totaling $85,007.00, and 0 payment denials for this facility. There is no abuse icon or Special Focus Status flag reported in the available data for this facility.
Ownership has not changed within the past 12 months according to CMS records. This profile is based on data from CMS Medicare Care Compare and reflects the most recently published data vintage available.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
The Brixton At Horseshoe Bay has an overall CMS rating of 4 stars, above the Texas state average of 2.65 stars.
Does this facility accept Medicare, Medicaid, or both?
It accepts both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is about 3.69 hours per resident per day, including 0.41 RN hours per resident per day, with a staffing rating of 3 stars and a 57.8% nursing turnover rate.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 1 fine totaling $85,007.00 and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
No abuse icon or Special Focus Status is indicated in the available data for this facility.
How large is this facility and how many residents live there?
The facility is certified for 120 beds with an average of 76.1 residents.
Who owns this facility — and is it part of a chain?
It is a for-profit Limited Liability Company and part of the Oakbend Medical Center chain, which has 5 facilities with an average rating of 3.0 stars.
How long has this facility been Medicare/Medicaid certified?
It was first approved for certification on January 13, 2022.
What do the four different CMS star ratings mean?
CMS publishes an overall rating along with three component ratings — health inspections (4 stars), quality measures (3 stars), and staffing (3 stars) — that combine into the overall score.
Does this facility offer short-term rehabilitation as well as long-term care?
This detail is not included in the available CMS data; please contact the facility at 7135531321 or verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not include tour guidance; contact the facility at 7135531321 to arrange a visit and verify current conditions on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can review the most current inspection, staffing, and quality data at https://www.medicare.gov/care-compare/details/nursing-home/745004?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.