The Brixton at Horseshoe Bay
15101 West Fm 2147 · Horseshoe Bay, TX · 78657 · 7135531321
120 certified beds For profit - Limited Liability company Chain: Oakbend Medical Center
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$85,007 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 3.36 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 1 · $85,007 |
Inspection citations (10 in the current record)
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Potential for harm · E June 26, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · D June 26, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 21, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected July 21, 2025 · Nutrition and Dietary
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Potential for harm · E June 26, 2025
Provide and implement an infection prevention and control program.
Corrected July 21, 2025 · Infection Control
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Immediate jeopardy · K March 26, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D May 16, 2024
Ensure each resident receives an accurate assessment.
Corrected May 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 16, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 27, 2024 · Quality of Life and Care
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Potential for harm · E March 28, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected April 7, 2023 · Pharmacy Service
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Potential for harm · E March 28, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 7, 2023 · Nutrition and Dietary
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Potential for harm · D March 28, 2023
Provide and implement an infection prevention and control program.
Corrected April 7, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 26, 2025 | Fine | $85,007 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 745004 · certified since January 13, 2022. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.