The Brixton at Horseshoe Bay
Nursing home in Horseshoe Bay, Texas, CMS certification number 745004
15101 West FM 2147, Horseshoe Bay, TX 78657 · Llano County
- CMS overall rating
- 4 of 5 stars
- Certified beds
- 120
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 12, 2026
- Deficiencies at that inspection
- 0
- Fines in 3 years
- $85,007 (1)
Does The Brixton at Horseshoe Bay take Medicare and Medicaid?
Yes to both. The Brixton at Horseshoe Bay is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 4 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | 3 of 5 |
Nurse staffing hours and turnover
These are the hours The Brixton at Horseshoe Bay reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.81
- Registered nurse hours
- 0.35
- Licensed practical nurse hours
- 1.33
- Nurse aide hours
- 2.13
- Weekend total hours
- 3.32
- Nursing staff turnover
- 57.3%
- Registered nurse turnover
- 63.6%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on August 12, 2026 and cited 0 deficiencies, plus 0 from complaint visits.
The visit before, on June 26, 2025, found 4.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined The Brixton at Horseshoe Bay 1 time in the past 3 years, for $85,007 in total.
Beds and residents
On an average day 75 residents live here, about 63% of its 120 certified beds.
- Certified beds
- 120
- Average residents per day
- 75
- Certified since
- January 13, 2022
- Resident or family council
- Resident
Who owns The Brixton at Horseshoe Bay
- Legal business name
- Oakbend Medical Center
- Ownership type
- Government - Hospital district
- Chain
- 5 homes nationally under Oakbend Medical Center, 3.2-star chain average
Other nursing homes near The Brixton at Horseshoe Bay
- Granite Mesa Health Center1401 Max Copeland Dr, Marble Falls 78654
- Avir at Kingsland3727 W Ranch Rd 1431, Kingsland 78639
- Avir at Burnet507 W Jackson St, Burnet 78611
- Avir at Johnson City206 Haley Rd, Johnson City 78636
- Bertram Nursing and Rehabilitation540 E State Hwy 29, Bertram 78605
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run The Brixton at Horseshoe Bay, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about The Brixton at Horseshoe Bay
What is the CMS star rating of The Brixton at Horseshoe Bay?
4 out of 5 stars overall.
Does The Brixton at Horseshoe Bay accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at The Brixton at Horseshoe Bay?
0 cited at the last standard visit.
Who owns The Brixton at Horseshoe Bay?
Oakbend Medical Center, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.