The Brixton at Horseshoe Bay: Staffing, Turnover, and Inspection Record
The Brixton at Horseshoe Bay is a 120-bed for-profit nursing home in Horseshoe Bay, Texas, part of Oakbend Medical Center. In the CMS August 2026 release it reported 1.97 nurse aide hours per resident per day, about the same as the Texas average of 2.00, and 57.8% nursing staff turnover (Texas average 55.3%).
The Brixton at Horseshoe Bay
15101 West FM 2147Horseshoe Bay, TX 78657
Burnet County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Brixton at Horseshoe Bay, nurse aides logged 1.97 hours per resident per day, about the same as the Texas average. With about 76 residents a day, that works out to roughly 150 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.97 | 2.00 | 2.32 |
| Licensed practical nurses | 1.31 | 0.95 | 0.86 |
| Registered nurses | 0.41 | 0.43 | 0.69 |
| All nursing staff | 3.69 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.22 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
57.8% of nursing staff at The Brixton at Horseshoe Bay left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 33.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 26, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $85,007 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 26, 2025 | Fine | $85,007 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Brixton at Horseshoe Bay holds 4 of 5 overall; the Texas average is 2.6.
About The Brixton at Horseshoe Bay
- Ownership: For profit - Limited Liability company
- Chain: Oakbend Medical Center, 5 homes
- Legal name: Oakbend Medical Center
- Medicare and Medicaid certified since: Jan 13, 2022
- Councils: resident council
- Area: rural
Nursing homes near The Brixton at Horseshoe Bay
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Granite Mesa Health Center Marble Falls | 5.4 | 124 | 1.93 | 3.16 | — | 2 | $59,345 |
| Avir at Kingsland Kingsland | 11.2 | 122 | 1.56 | 2.67 | 42.5% | 2 | None |
| Avir at Burnet Burnet · many days without an RN | 16.2 | 112 | 1.94 | 3.02 | 51.2% | 3 | None |
| Avir at Johnson City Johnson City · many days without an RN | 19.1 | 60 | 1.78 | 3.44 | 65.5% | 1 | $67,994 |
| Bertram Nursing and Rehabilitation Bertram | 22.1 | 74 | 1.66 | 2.73 | 95.6% | 4 | $10,135 |
| Llano Nursing and Rehabilitation Center Llano | 24.5 | 96 | 1.72 | 3.00 | 70.4% | 1 | $40,170 |
| Brookdale Lakeway SNF Lakeway | 26.0 | 98 | 1.62 | 3.37 | 55.3% | 2 | $91,420 |
| Avir at Dripping Springs Dripping Springs | 27.8 | 60 | 1.68 | 2.80 | 68.6% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.