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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.