The Brixton At Horseshoe Bay
15101 WEST FM 2147, Horseshoe Bay, TX, 78657
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Oakbend Medical Center
- Certified beds
- 120 · avg 82 residents/day
- Total nursing staff turnover
- 70% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 55.6% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $85,007 total
State licensing & capacity
- License number
- 311673
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 120 Medicaid/Medicare
- Current license effective
- November 15, 2023
- Current license expires
- November 15, 2026
- Initial license date
- January 13, 2022
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (COUNTY)
- Operator / manager
- The Brixton At Horseshoe Bay, Llc
- Administrator
- Andrew Maas
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Oakbend Medical Center chain — 5 facilities. Chain-wide average overall rating 3.0 / 5.
Disclosed owners (4 on record)
- Joseph Freudenberger
Corporate Officer · 100% · since 2023
- Karen Gotcher
Operational/managerial Control · 100% · since 2023
- The Brixton at Horseshoe Bay Llc
Operational/managerial Control · 100% · since 2023
- Jeff Haley
Corporate Officer · since 2016
Recent change of ownership
November 2023 (2 years ago) · acquired from The Brixton at Horseshoe Bay
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 10)
- E0880·Jun 26, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0800·Jun 26, 2025
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- D0684·Jun 26, 2025
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E0550·Jun 26, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- K0686·Mar 26, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E0677·May 16, 2024
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0641·May 16, 2024
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0880·Mar 28, 2023
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20251 fine · $85K
Most recent events
- Mar 26, 2025Fine · $85K
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Jun 26, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
The Brixton at Horseshoe Bay is a 120-bed nursing home in Horseshoe Bay, TX, licensed under Oakbend Medical Center and managed by The Brixton at Horseshoe Bay, LLC. CMS rates it 2 stars overall, with a 2-star health inspection rating. One CMS fine totaling $85,007 has been issued. The facility is operating at roughly 69% of its licensed beds, with 82 of 120 filled on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 3 stars — placing this facility in roughly the bottom 19% of Texas nursing homes at that tier. Each resident receives about 228 minutes of nursing care per day, around 13 minutes less than at a 4-star-staffing facility in Texas. Staff hours per resident actually exceed what a typical resident mix would require, which means the staffing gap visible in the rating reflects not a lighter caseload but genuine staffing levels relative to peers.
About 7 in 10 nursing staff left in the past year. Texas nursing homes at the 75th percentile of turnover see 60% annual departure rates — this facility's 70% sits above that threshold. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
One CMS fine totaling $85,007 has been assessed here. The state median fine across Texas facilities that received any fine at all is $20,699 — this single fine is roughly four times that figure. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at about 69% of its licensed beds, with roughly 82 residents on an average day in a 120-bed building. Paired with high staff turnover and a below-average CMS rating, the low occupancy reflects the broader performance picture in the data.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason behind the $85,007 fine
Ask what the CMS citation was for, what corrective steps were taken, and whether the deficiency has been resolved on follow-up inspection.
Staffing levels on nights and weekends
Weekend nursing hours here run at 3.37 hours per resident per day — ask how many nurses and aides are on floor during overnight and weekend shifts specifically.
Nursing staff stability over time
With 7 in 10 nursing staff leaving in the past year, ask which caregivers have been here longest and how consistent assignment works for residents.
Current occupancy and waitlist status
The facility is at roughly 69% of licensed beds — ask whether there are open rooms now, and what accounts for the lower census relative to capacity.
Resident Council activity
A Resident Council exists here but no Family Council — ask how often the Resident Council meets and how family members can receive updates or raise concerns.
Management company role day to day
Oakbend Medical Center holds the license while The Brixton at Horseshoe Bay, LLC manages operations — ask who makes decisions about staffing, care plans, and complaints.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.