The Brixton At Horseshoe Bay
15101 West Fm 2147, Horseshoe Bay, TX, 78657
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Oakbend Medical Center
- Certified beds
- 120 · avg 77 residents/day
- Total nursing staff turnover
- 59.5% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $85,007 total
Medicare certification
- CMS Certification Number
- 745004
- Certified beds
- 120 beds · avg 77 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Oakbend Medical Center
- Chain affiliation
- Oakbend Medical Center
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Oakbend Medical Center chain — 5 facilities. Chain-wide average overall rating 3.4 / 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 May 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about The Brixton At Horseshoe Bayinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.