The Brixton at Horseshoe Bay
15101 WEST FM 2147, Horseshoe Bay, TX 78657
Horseshoe Bay, Texas · CMS verdict
CMS rates The Brixton at Horseshoe Bay at 2 of 5 stars overall - below-average on the federal scale, and below the Texas average of 2.8.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
The Brixton at Horseshoe Bay in Horseshoe Bay, Texas holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 50 of 100 (grade F). The 120-bed facility operates where a semi-private nursing-home room in Texas runs a median of $5,627 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 2 of 5 stars. How this is calculated.
How the 50 is built
Each segment is a dimension's weighted points toward the score, summing to 50.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
The Brixton at Horseshoe Bay holds a CMS overall quality rating of 2 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (2/5), staffing (3/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Horseshoe Bay, Texas, this facility operates 120 certified beds with an average daily census of roughly 82 residents - an occupancy rate of about 68%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 68% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Texas, The Brixton at Horseshoe Bay is one of 313 for profit - limited liability company nursing homes CMS rates. Its 2-star overall rating sits below the for profit - limited liability company-segment average of 2.5 stars, ahead of roughly 32% of same-ownership peers in the state. Same-segment comparisons like this one strip out the business-model factor, leaving a cleaner read on facility-level performance than a raw state average would give.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility (10 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This volume of findings is worth reading past the count: CMS's F-tag scale separates isolated, low-harm citations from widespread or immediate-jeopardy ones, and only the full report shows which this facility has.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How The Brixton at Horseshoe Bay compares to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where The Brixton at Horseshoe Bay ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, The Brixton at Horseshoe Bay’s 2-star overall rating is higher than 23% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
262 Texas homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 120 |
| Residents | 82 |
| Ownership | For profit - Limited Liability company |
| County | Burnet |
| Penalties | 1 |
| Deficiencies | 10 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for The Brixton at Horseshoe Bay? ▾
CMS rates The Brixton at Horseshoe Bay at 2 out of 5 stars overall. The three sub-ratings behind that number: health inspection 2/5, staffing 3/5, quality measures 3/5.
How much does a nursing home cost per month in Texas? ▾
The median cost for a semi-private nursing home room in Texas is $5,627 per month ($67,525 annually). A private room averages $7,604 per month. Costs are from the CareScout 2025 survey.
What services does The Brixton at Horseshoe Bay offer? ▾
The Brixton at Horseshoe Bay operates as a skilled nursing facility (120 beds with approximately 82 current residents) under for profit - limited liability company ownership. CMS inspections have recorded 10 deficiencies and 1 penalties there.
Does The Brixton at Horseshoe Bay have any deficiencies or penalties? ▾
The Brixton at Horseshoe Bay has multiple deficiencies (10 total) and 1 penalties recorded by CMS. A count in this range makes it worth asking staff or the facility directly which findings were minor paperwork versus resident-care issues.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Texas elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 745004.
Read our methodology - how this data is sourced, computed, and verified.