Overview
The Brixton at Horseshoe Bay has a Medicare overall rating of 4 out of 5, above the Texas average of 2.8. It is the only Medicare-rated nursing home in Horseshoe Bay. It scores best on health inspections (4 of 5) and lowest on staffing (2 of 5).
Residents receive about 3.8 hours of nursing care per day, more than at 85% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.4 hours come from registered nurses.
Its most recent standard inspection, on August 12, 2026, found no health deficiencies. Medicare records 1 fine totaling $85,007 in the past three years.
The Brixton at Horseshoe Bay is a government-run facility with 120 certified beds, caring for about 75 residents on an average day. It accepts both Medicare and Medicaid and has participated since 2022.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 25%
Top 29%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- August 12, 2026
- Health deficiencies cited
- 0
- Complaint-related deficiencies
- 0
- Fines in the last 3 years
- 1 totaling $85,007
- Payment denials
- 0
- Total penalties
- 1
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.81 hrs
- Registered nurses (RN)0.35 hrs
- Licensed practical nurses (LPN)1.33 hrs
- Nurse aides2.13 hrs
- Physical therapists0.09 hrs
Facility details
- Ownership
- Government - Hospital district
- Certified beds
- 120
- Average residents per day
- 75
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- January 13, 2022
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes