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Nursing HomeMedicaid

The Brixton at Horseshoe Bay

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

15101 West Fm 2147, Horseshoe Bay, TX 78657120 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 30 Google reviews

5
4
3
2
1
The Brixton at Horseshoe Bay Nursing Home in Horseshoe Bay, TX — Street View
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What this means for your family

This facility is an excellent choice for those prioritizing a modern, clean environment and highly compassionate nursing care. However, families should closely monitor medication administration and communicate clearly with management, as some residents have experienced lapses in medication accuracy and communication.

Google Reviews

Google Reviews

30 reviews analyzed
The Brixton at Horseshoe Bay is highly regarded for its modern, clean facility and a staff that many families describe as compassionate and professional. While many praise the high quality of care and the dignity provided by in-room bathrooms, some families have reported serious concerns regarding medication management and inconsistent food quality.

Quality Themes

Tap a score for details
Food6.0Staff9.0Clean10.0Activities8.0Meds3.0MemoryN/AComms4.0Value7.0

Strengths

  • Compassionate and attentive nursing staff
  • Modern, clean, and bright facility
  • In-room bathrooms and showers for increased dignity
  • Excellent rehabilitation and therapy services

Concerns

  • Medication management errors or delays (mentioned by 2 reviewers)
  • Inconsistent food quality and temperature (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.52022(11)3.22023(6)3.72024(3)4.72025(9)4.02026(4)

Distribution

5
21
4
0
3
0
2
2
1
6

How They Respond to Reviews

53%response rate
Good

The owner provides highly personalized responses to positive reviews, often mirroring specific details mentioned by the reviewer to validate their experience. For negative reviews, the owner uses a professional, investigative approach to verify the reviewer's identity or address specific grievances.

Questions for Your Tour

  • 1I noticed some families have shared how much they appreciate the compassionate and attentive nursing staff here; how does the team ensure that level of care remains consistent for every resident?
  • 2With the modern and bright layout of the facility, what kind of daily social activities or group outings are available to keep residents engaged?
  • 3Can you walk me through your specific protocols for medication administration and how you ensure there are no delays or errors in the schedule?
  • 4How does the nursing team handle medical emergencies or changes in a resident's condition during the overnight hours?
  • 5Since the facility features in-room bathrooms and showers, how does the staff assist with hygiene while still prioritizing the resident's dignity and privacy?
  • 6What steps is the facility taking to ensure that meal quality and food temperature remain consistent for every mealtime?

Personalized based on this facility's data


Key Review Excerpts

The Brixton is truly outstanding. Over the last decade, I have experienced about a ten skilled nursing/rehab facilities, and I know what good looks like.

Rehab patient's family · 2025★★★★★

The CNA's were amazing and caring and always uplifting. Natalie figured out a complicated medication tangle and the PT staff got Harry back on his</em> feet.

Rehab patient's family · 2025★★★★★

There's no central bathing area that people have to go to in order to bathe. That was huge for his dignity!

Long-term resident's family · 2025★★★★★
Source: 30 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.42hrs
56%
Registered nurses for medical care
Total Nursing
3.80hrs
93%
All nurses + aides combined
Staff Turnover
60%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.8%
Better than Avg
Here
2.8%
US
15.4%
TX
9.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.9%
Worse than Avg
Here
19.9%
US
14.4%
TX
16.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility18.7%
Mixed vs Avgs
Here
18.7%
US
19.4%
TX
14.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.9%
Better than Avg
Here
97.9%
US
93.4%
TX
96.9%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility7.6%
Worse than Avg
Here
7.6%
US
3.2%
TX
3.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility53.9%
Worse than Avg
Here
53.9%
US
79.7%
TX
88.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility67.6%
Worse than Avg
Here
67.6%
US
81.8%
TX
89.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
1.6%
TX
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
1penalties
Well below state avg (9.1)
1 complaint-triggered
$85,007 in fines

This facility has a concerning pattern with 13 deficiencies across recent surveys, including one complaint-triggered issue involving pressure ulcer care where a family filed a report. The most recurring problems involve quality of care and daily living assistance, infection control appearing twice, and nutrition/dietary services. While all deficiencies show correction dates, the facility continues to have issues across multiple surveys, suggesting ongoing operational challenges families should consider.

Jun 26, 2025Routine
6
0550ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0684MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0800MinorCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0345MinorCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Mar 26, 2025Complaint
1
0686SevereCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

May 16, 2024Routine
2
0677ModerateCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Mar 28, 2023Routine
4
0759ModerateCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211MinorCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Federal Penalties

Fine

Mar 26, 2025

$85,007

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oakbend Medical Center

Organization Type

government

Management Company

THE BRIXTON AT HORSESHOE BAY, LLC

Administrator

ANDREW MAAS

Chain Affiliation

Chain Name

Oakbend Medical Center

Chain Size

5 facilities nationwide

Chain avg rating: 2.5/5 · Rank 3 of 4 (Worst)

Ownership & Management

Key personnel

Freudenberger, JosephOfficer / DirectorHaley, JeffOfficer / DirectorThe Brixton at Horseshoe Bay LLCManagerGotcher, KarenManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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