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Nursing homeFAID #14850

The Brixton At Horseshoe Bay

15101 WEST FM 2147, HORSESHOE BAY, TX, 78657
(713) 553-1321
www.thebrixtonhb.com
120 licensed beds

CMS rates The Brixton At Horseshoe Bay 4 out of 5 overall. Federal inspectors issued 9 citations across 7 inspections in the last three years, with $85,007 in fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of THE BRIXTON AT HORSESHOE BAY
Photo via Google · The Brixton at Horseshoe Bay

Public record summary

What we can show you for free.
Bed capacity
120
CMS facility ID
745004
Care type
Nursing home
County
Burnet
Facility name
The Brixton At Horseshoe Bay
Street address
15101 WEST FM 2147
City / state / ZIP
Horseshoe Bay, TX 78657
Phone
(713) 553-1321
Website
www.thebrixtonhb.com

About this facility — The Brixton At Horseshoe Bay

The Brixton At Horseshoe Bay is a Medicare/Medicaid-certified skilled nursing facility in Horseshoe Bay, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 4 senior care facilities in Horseshoe Bay and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited The Brixton At Horseshoe Bay 9 times across 7 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $85,007 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Oakbend Medical Center
Ownership type
Government - Hospital district

Registered owners & officers

Freudenberger, Joseph
Officer — since 2023
Gotcher, Karen
Operational control — since 2023
Haley, Jeff
Officer — since 2016
The Brixton At Horseshoe Bay Llc
Operational control — since 2023

Regulatory standing

Federal court records
9 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2022-01-13
CMS overall rating
4 of 5 stars
Health deficiencies
0 at the last standard inspection
Federal fines
$85,007 total
Last standard inspection
2026-08-12
Nurse staffing
3.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$298 per day (≈ $9,060/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
45% Medicaid · 20% Medicare · 35% private/other
Occupancy
49% (fiscal year 2023)
Vs. state median
8% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2025-06-26Health inspection4 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-21
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-21
F-0800
D · No harm foundFood safety
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2025-07-21
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-07-21
2025-03-26Health inspectionComplaint-triggered1 citation
F-0686
K · Immediate jeopardyFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-27
2 earlier / fire-safety inspections (4 citations)
2024-05-16Health inspection2 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-05-27
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-27
2025-06-26Fire-safety inspection2 citations
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-27
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-24

Federal penalties

2025-03-26Fine$85,007
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 745004.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
9
Among the fewest of nursing homes in the state
State median: 33
Federal fines, 3 years
$85,007
More than 84% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.8
Higher than 85% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
57%
Higher than 70% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 5 and worse on 12. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased22.7%15.8%13.5%Worse than state
Lose too much weight13.3%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.9%0.8%1.5%Near state average
Have depressive symptoms0.0%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury6.8%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine93.6%96.4%93.7%Near state average
Ability to walk independently worsened16.1%12.9%12.7%Worse than state
Received an antianxiety or hypnotic medication24.1%17.8%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine88.1%97.0%95.3%Near state average
With pressure ulcers5.3%3.7%4.5%Worse than state
With new or worsened bowel or bladder incontinence23.2%12.5%18.3%Worse than state
Received an antipsychotic medication8.3%9.8%15.4%Better than state
Hospitalizations per 1000 long-stay resident days2.022.051.81Near state average
Outpatient emergency department visits per 1000 long-stay resident days2.741.971.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine73.0%88.7%82.3%Worse than state
Newly received an antipsychotic medication1.9%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine73.2%85.4%80.1%Worse than state
Were rehospitalized after a nursing home admission21.4%25.5%23.4%Better than state
Had an outpatient emergency department visit21.7%12.2%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Baylor Scott & White Medical Center - Marble Falls, about 3.4 miles. CMS rating 4 of 5.
  • Mid Coast Medical Center - Central, about 24 miles.
  • Ascension Seton Cedar Park, about 32 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Visitor reviews

What people say on Google.
4.038 ratings on Google
★★★★★Sandy J. Magerkurth · 2026-06-03 · via Google

“⭐⭐⭐⭐⭐ If I could give more than five stars, I would. Our family’s experience with Brixton has been outstanding. After a very difficult situation at another rehabilitation facility, we needed help quickly, and Brixton stepped in when we needed them most. A special thank you goes to Laura Thielepape. From the moment we contacted her, she worked tirelessly through the weekend to help coordinate my…”

★★★★★Christopher Davis · 2026-06-18 · via Google

“I cannot say enough good things about the staff and leadership at The Brixton. When my mom needed a rehab facility on very short notice one Friday, they stepped in and made it happen. They worked quickly to secure medical clearance and were incredibly understanding and flexible with payment requirements while we navigated a difficult and stressful healthcare situation. Their compassion and willin…”

★★★★★Anne Garza · 2026-01-19 · via Google

“My mom has been living at the Brixton at Horseshoe Bay for 2.5 years and it has been a great experience. We are so happy with, and grateful, for the wonderful care provided by her nurses, nurse aides, administrators, therapists, nutritionist...everyone on the staff! Mom has stayed at several other facilities in the past, and The Brixton at Horseshoe Bay is hands down the best!! They go all out for…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 9 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered