The Brixton at Horseshoe Bay

Nursing Home · Horseshoe Bay, TX

CMS overall rating 4/5 For profit - Limited Liability company

CMS certification number745004

Contact & location

15101 West FM 2147
Horseshoe Bay, TX 78657
Burnet County
Phone
(713) 553-1321
ZIP code
78657 – all care providers

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Facility details

Certified beds
120
Residents per day
76.1 (63% occupied)
Ownership
For profit - Limited Liability company
Legal name
Oakbend Medical Center
Chain
Oakbend Medical Center (5 facilities, avg 3.0★)
Medicare certified since
January 13, 2022
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 2.6
Health inspections★★★★★ 4/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 1.9
Quality measures★★★★★ 3/5
State avg 3.7
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.69 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.41 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.31 (state 0.95 · U.S. 0.86)
Nurse aides
1.97 (state 2.00 · U.S. 2.32)
Weekend total
3.22 (state 2.98 · U.S. 3.42)
Nursing staff turnover
57.8 (state 55.3 · U.S. 45.8)%
RN turnover
33.3 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 26, 2025
Health deficiencies (last cycle)
4.0 (state 9.3 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
10 health · 3 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-06-26 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-07-21
2025-06-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-07-21
2025-06-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-21
2025-06-26 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
F0800 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-21
2025-03-26 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2025-03-27
2024-05-16 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-27
2024-05-16 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-27
2023-03-28 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-04-07
2023-03-28 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-04-07
2023-03-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-04-07

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $85,007 in fines.

DateTypeAmount
2025-03-26Fine$85,007

Ownership & management

NameRoleSince
Freudenberger, Joseph (individual)Corporate Officer · NOT APPLICABLE
Haley, Jeff (individual)Corporate Officer · NOT APPLICABLE
Gotcher, Karen (individual)Operational/managerial Control · NOT APPLICABLE
The Brixton at Horseshoe Bay LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of The Brixton at Horseshoe Bay?

The Brixton at Horseshoe Bay has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does The Brixton at Horseshoe Bay have?

It has 120 certified beds and cares for about 76 residents per day.

Has The Brixton at Horseshoe Bay been fined?

Yes. CMS lists 1 penalty totaling $85,007 in the last three years.

Who owns The Brixton at Horseshoe Bay?

It is part of Oakbend Medical Center and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of The Brixton at Horseshoe Bay?

(713) 553-1321. The facility is located at 15101 West FM 2147, Horseshoe Bay, TX 78657.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.