The Brixton at Horseshoe Bay
15101 West Fm 2147, Horseshoe Bay, TX 78657
The Brixton at Horseshoe Bay is a nursing home in Horseshoe Bay, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating4 of 5
- Last standard health inspectionAugust 12, 2026 (2 months ago)
- Health citations since May 16, 20247 (Texas average 28)
- Fines in the past three years1, $85,007 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of January 14, 2026
Fine
CMS changed the fine from March 26, 2025 from $130,780 to $85,007.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on June 26, 2025
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on July 21, 2025.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 21, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on July 21, 2025.
Citation F0800. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
CMS lists it as corrected on July 21, 2025.
Fire safety inspection on June 26, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on June 27, 2025.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on July 24, 2025.
CMS update of June 25, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 3 of 5.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Health inspection on March 26, 2025
1 citationCMS lists this as a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $85,007 on March 26, 2025.
Show the 1 citation
Citation F0686. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on March 27, 2025.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of May 29, 2024
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
Health inspection on May 16, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on May 27, 2024.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on May 27, 2024.
CMS update of April 25, 2024
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
CMS update of February 29, 2024
Name
CMS lists a new legal business name for this home.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.1 to 3.6 hours per resident per day.
CMS star ratings
- 4 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (713) 553-1321
- Last standard health inspection
- August 12, 2026 (2 months ago)
- Certified beds
- 120
- Residents per day, on average
- 75
- Ownership type
- Government - Hospital district
- Legal business name
- Oakbend Medical Center
- Chain
- Oakbend Medical Center
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (7 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- THE BRIXTON AT HORSESHOE BAY LLCOperational/managerial control · not applicable · since 11/15/2023
- GOTCHER, KARENOperational/managerial control · not applicable · since 11/15/2023
Questions
When was The Brixton at Horseshoe Bay last inspected?
CMS lists August 12, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does The Brixton at Horseshoe Bay have?
CMS lists 7 health citations since May 16, 2024. CMS also calls these deficiencies.
Has The Brixton at Horseshoe Bay been fined?
CMS lists 1 fine in the past three years, $85,007 in total.
What is the CMS star rating of The Brixton at Horseshoe Bay?
Its CMS overall star rating is 4 of 5.
Is The Brixton at Horseshoe Bay a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.