Federal inspection record · CMS data as of October 1, 2026
The Brixton At Horseshoe Bay
15101 West Fm 2147, Horseshoe Bay, TX · (713) 553-1321
- Certified beds
- 120
- Residents per day
- 75
- Ownership
- Government
- Chain
- Oakbend Medical Center
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 13, 2022
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
The Brixton At Horseshoe Bay carries 37.25 inspection points. That is fewer than 80% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
7 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
K
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care2E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights1E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary1D
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Resident Assessment and Care Planning1D
- D
Ensure each resident receives an accurate assessment.
Inspection history
2026-08-12
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2025-06-26
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-05-16
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 48 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
3 h 48 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 64% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$85,007 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-26 | Fine | $85,007 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 2.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.7 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.8 pts worse | 93.6% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.9 pts worse | 88.1% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.6 pts worse | 6.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight10.4 pts worse | 13.3% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.3 pts worse | 24.1% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.5 pts better | 8.3% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.2 pts worse | 16.1% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.9 pts worse | 22.7% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 0.9% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.7 pts worse | 23.2% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts worse | 5.3% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.7 pts worse | 73.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.5 pts worse | 21.7% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 1.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.2 pts worse | 73.2% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.1 pts better | 21.4% | 25.5% | 23.4% |
·
Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Freudenberger, Joseph | Corporate Officer · Individual | 0% | 35 facilities |
| Gotcher, Karen | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Haley, Jeff | Corporate Officer · Individual | 0% | 17 facilities |
| The Brixton At Horseshoe Bay LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke1D
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
Granite Mesa Health Center
Marble Falls, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 26 min
- Fines
- $59,345
-
Avir at Kingsland
Kingsland, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 49 min
- Fines
- $0
-
Avir At Burnet
Burnet, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 57 min
- Fines
- $0