Nursing HomeInspections

The Brixton at Horseshoe Bay

Nursing home in Horseshoe Bay, TX

Medicare & Medicaid certified4★ overall (CMS)

Call (713) 553-1321Send a messageMap ↗

Public-record details

Address
15101 West Fm 2147, Horseshoe Bay, TX 78657
Phone
(713) 553-1321
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
745004
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
120
Average residents per day
76
Ownership
For-profit, limited Liability company
Legal business name
Oakbend Medical Center
Chain
Oakbend Medical Center (5 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 13, 2022
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 745004. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 26, 2025. CMS lists 10 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 28, 2023 to Jun 26, 2025): 1 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 26, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 26, 2025Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jun 26, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		E
Potential for more than minimal harm, pattern
Jun 26, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Mar 26, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		K
Immediate jeopardy, pattern
May 16, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 16, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Mar 28, 2023Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 28, 2023Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Mar 28, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $85,007 in the last three years.

Mar 26, 2025Fine: $85,007

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.69 hours
Registered nurse (RN) time per resident per day
0.41 hours
Nurse aide time per resident per day
1.97 hours
Total nurse staffing on weekends
3.22 hours
Nursing staff turnover (yearly)
58%
RN turnover (yearly)
33%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.