The Brixton at Horseshoe Bay
15101 West Fm 2147, Horseshoe Bay, TX 78657
Phone: 7135531321
CMS ratings and facility information
The Brixton at Horseshoe Bay is a Medicare-certified nursing facility in Horseshoe Bay, Llano County, Texas. CMS data for this profile was updated October 2026. Ratings and facility details can change; confirm current information with CMS and the facility.
| CMS overall rating | 4 of 5 stars |
|---|---|
| Health inspection rating | 4 of 5 |
| Staffing rating | 2 of 5 |
| Quality measures rating | 3 of 5 |
| Certified beds | 120 |
| Ownership | Government - Hospital district |
| CMS certification number | 745004 |
Staffing
| Total nurse hours per resident day | 3.81 |
|---|---|
| RN hours per resident day | 0.35 |
| Nurse aide hours per resident day | 2.13 |
| Total nursing staff turnover percent | 57.3 |
| RN turnover percent | 63.6 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | 2.02 | events_per_1000_resident_days | 20250401-20260331 |
| Emergency-department visits | 2.74 | events_per_1000_resident_days | 20250401-20260331 |
| Falls with major injury | 6.78 | percent | 2025Q3-2026Q2 |
| Pressure ulcers | 5.26 | percent | 2025Q3-2026Q2 |
| Urinary tract infections | 0.88 | percent | 2025Q3-2026Q2 |
| Antipsychotic medication use | 8.33 | percent | 2025Q3-2026Q2 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2025-06-26 | 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2025-06-26 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2025-06-26 | 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-06-26 | 0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D |
| 2024-05-16 | 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2024-05-16 | 0641 | Ensure each resident receives an accurate assessment. | D |
Penalties
| Date | Type | Amount |
|---|---|---|
| 2025-03-26 | Fine | ,007 |
Ownership records
| Name | Type | Role |
|---|---|---|
| FREUDENBERGER, JOSEPH | Individual | CORPORATE OFFICER |
| HALEY, JEFF | Individual | CORPORATE OFFICER |
| THE BRIXTON AT HORSESHOE BAY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| GOTCHER, KAREN | Individual | OPERATIONAL/MANAGERIAL CONTROL |
Compare nursing homes in Llano County, Texas.
Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: October 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.