The Brixton at Horseshoe Bay
Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.
based on 30 Google reviews

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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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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.”
“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.”
“There's no central bathing area that people have to go to in order to bathe. That was huge for his dignity!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
8
measures
7
measures
2
measures
Residents on antipsychotic medication
Residents with depression symptoms
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents who fell and were seriously hurt
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Routine6
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Mar 26, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
May 16, 2024Routine2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Mar 28, 2023Routine4
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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
Oakbend Medical Center
government
THE BRIXTON AT HORSESHOE BAY, LLC
ANDREW MAAS
Chain Affiliation
Oakbend Medical Center
5 facilities nationwide
Chain avg rating: 2.5/5 · Rank 3 of 4 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
30 reviews from families & visitors
Official Website
Visit thebrixtonhb.com
Medicare data downloads
Original nursing home datasets
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