The Brixton At Horseshoe Bay
Horseshoe Bay, Texas
15101 West Fm 2147, Horseshoe Bay, TX, 78657
The Brixton At Horseshoe Bay Quality & Safety Report
Below Average
CMS Official Overall: 2★ / 5
CMS data as of January 2026
This score is calculated from three federally reported CMS metrics: Health Inspections (weighted 50%), Staffing levels (25%), and Quality Measures (25%). Facilities with serious safety findings receive score deductions. For centers with 5+ Google reviews, resident feedback contributes 15% of the final score. Learn more →
Safety & Inspections
- Health deficiencies
- National median: 7
- Total federal penalties $85,007
CMS data as of January 1, 2026
Staffing breakdown
Average hours of nursing care each resident receives per day, by staff role. Higher numbers generally indicate more attentive care.
- Total nurse staffing
- National median: 4.12 hrs
- Registered nurse (RN) 0.47 hrs
- Licensed practical nurse (LPN) 1.28 hrs
- Certified nursing aide (CNA) 2.11 hrs
- Physical therapy 0.06 hrs
Quality rating trend
Overall rating declined from 4 to 2 stars over 18 data points.
- Overall
- Health inspection
- Staffing
- Quality measures
Facility profile
- Type
- Skilled Nursing Facility · Nursing home
- Capacity
- 120 certified beds · ~82 avg residents/day (69% occupancy)
- Ownership
- For profit - Limited Liability company
- Payment accepted
- Medicare Medicaid (Medicare and Medicaid)
About
The Brixton at Horseshoe Bay is a 120-bed for-profit skilled nursing facility located in Horseshoe Bay, Texas, operated as a limited liability company. According to Centers for Medicare & Medicaid Services data, the facility maintains a two-star overall rating, derived from a two-star health inspection score and three-star ratings in both staffing and quality measures. The center provides long-term care and rehabilitative services to residents within the Hill Country region.
Location
15101 West Fm 2147, Horseshoe Bay, TX, 78657, Horseshoe Bay, TX
Recent reviews
- Anne Garza ★★★★★ January 19, 2026
My mom has been living at the Brixton at Horseshoe Bay for 2.5 years and it has been a great experience. We are so happy with, and grateful, for the wonderful care provided by her nurses, nurse aides, administrators, therapists, nutritionist...everyone on the staff! Mom has stayed at several other facilities in the past, and The Brixton at Horseshoe Bay is hands down the best!! They go all out for holidays, can provide safe transportation to appointments, and feed her plenty good. The facility is modern yet still cozy, light, bright, clean, and just has a happy and healthy vibe to it, especially compared to most of the skilled nursing and long term care facilities we have seen. Her room is large, with a big picture window, and a nice large private bathroom with a roll in shower. The Administrators are top notch, really care about their residents, and go above and beyond for everyone, including resident's families. We are always welcomed, with smiles, any time of day, and any questions and concerns are addressed promptly and respectfully. Mom has received excellent medical and personal care, wound care, medication management, PT, OT, and offered a wide variety of social activities if she chooses. In a nut shell, the Brixton treats my mom and us like family, and we are so thankful!
- K&B Unique Boutique ★★★★★ November 5, 2025
My grandpa has been at the Brixton 3 different times after being in the hospital for lung issues. The staff was great and friendly from the nursing staff, housekeepers, kitchen, and administration; every-one cared about us and my grandpa. Beautiful facility and the showers are right in each room. There's no central bathing area that people have to go to in order to bathe. That was huge for his dignity!
- Linda Miracle ★★★★★ October 4, 2025
My mother has been at the Brixton (10/25) for a short stay, and her care has been very good. Staff is kind and caring, and prompt to answer her call light, and the food is way above average.<br>I am so impressed with the facility itself- it’s super clean, bright and open, the rooms are large and there are showers in the rooms, instead of having a common shower area.<br>The most noticeable aspect there is the polite, kind and patient way everyone is treated. From administration, nursing and dietary- everyone takes the time to listen and help. I’ve really appreciated the care my mother has received, and so has she.
- Burt Littlefield ★★★★★ June 21, 2025
The Brixton is a wonderful place. The atmosphere is clean and bright, modern and welcoming. My 98-year-old father stayed there and the care was top notch. The staff were very competent, friendly, and helpful. They gave my dad loving attention and saw to all his needs. I learned from them. Over the last decade, I have experienced about a ten skilled nursing/rehab facilities, and I know what good looks like. The Brixton is truly outstanding.
- Brandie Melton ★★★★★ June 17, 2025
My husband had an extended stay to rehabilitate from surgery complications. The care and work that the staff put in were amazing. Harry has been in many rehab facilities and the Brixton is right up there with the best. It is also very close to home. 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 feet.
Frequently asked questions
- What is the overall CMS rating for The Brixton At Horseshoe Bay?
- The Brixton At Horseshoe Bay has an overall CMS rating of 2 out of 5 stars.
- How did The Brixton At Horseshoe Bay score on health inspections?
- The Brixton At Horseshoe Bay received a health inspection rating of 2 out of 5 stars from CMS.
- What is the staffing rating for The Brixton At Horseshoe Bay?
- The Brixton At Horseshoe Bay has a staffing rating of 3 out of 5 stars, based on nurse-to-resident ratios.
- How many beds does The Brixton At Horseshoe Bay have?
- The Brixton At Horseshoe Bay has 120 certified beds.
- Does The Brixton At Horseshoe Bay accept Medicare or Medicaid?
- Yes, The Brixton At Horseshoe Bay accepts Medicare and Medicaid.
- Where is The Brixton At Horseshoe Bay located?
- The Brixton At Horseshoe Bay is located at 15101 West Fm 2147, Horseshoe Bay, TX, 78657, Horseshoe Bay, Texas.
- How can I contact The Brixton At Horseshoe Bay?
- You can reach The Brixton At Horseshoe Bay by phone at +1 713-553-1321.
More facilities in Texas
No facilities listed within the immediate area. Here are highly rated options elsewhere in Texas.
- Schleicher County Medical Center Eldorado · 5.0★
104 N Us Hwy 277, Eldorado, TX, 76936
- Mitchell County Nursing And Rehabilitation Center Colorado City · 4.8★
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- Legend Oaks Healthcare And Rehabilitation Center G Gladewater · 4.7★
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- Willow Park Rehabilitation Health Care Center Clifton · 4.7★
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- Parkview Nursing And Rehabilitation Center Big Spring · 4.7★
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About this data
How to read this page
Star ratings vs. Care Quality Score: The Google star rating reflects visitor and family opinions collected from public reviews. The Care Quality Score is an independent metric derived entirely from federal inspection data — the two measure different things, and comparing them side-by-side gives a fuller picture.
Where this data comes from
All clinical data on this page originates from the Centers for Medicare & Medicaid Services (CMS), the federal agency that certifies and inspects every Medicare- and Medicaid-participating nursing home in the United States. Reviews are imported verbatim from public Google business listings.
What to do next
Data is a starting point, not a final answer. We encourage families to visit facilities in person, observe daily routines, and speak with staff and residents. See our guide: Questions to Ask When Visiting →
Listing data sourced from CMS provider records and public Google business data. ACD-HUB independently aggregates and never accepts paid placement.