Nursing home report
HORSESHOE BAY, TX · Medicare-certified · 120 beds
The Brixton at Horseshoe Bay has a 4-star overall rating, with 4 stars for health inspections and quality and 3 stars for staffing. Its reported nurse staffing is below the federal benchmark (3.80 vs. 4.1 hours per resident per day), and it had $85,007 in fines in the last 24 months with a recent federal penalty.
Health inspections
Staffing
3.7955 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7955.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 686 — 42 CFR §483.25(b) — S/S: K
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited June 2025 — limited pattern, potential for harm.
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2025 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited May 2024 — limited pattern, potential for harm.
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited March 2023 — limited pattern, potential for harm.
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 4 health deficiencies.
A federal fine of $85,007 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
On record with Medicare: 1 fine · $85,007 in total fines.
Federal fine
Mar 26, 2025
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
