The Brixton At Horseshoe Bay is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2022-01-13. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (713) 553-1321 or your local Medicaid office to verify current eligibility.

The Brixton At Horseshoe Bay holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (3★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 64.5/100, placing it #10521 of 14703 facilities nationally and #817 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at The Brixton At Horseshoe Bay receives a reported average of 3 hours 48 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 25 minutes; Licensed Practical Nurse (LPN) — 1 hour 17 minutes; Nurse Aide — 2 hours 7 minutes. On weekends, total nurse staffing is 3 hours 22 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 70.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $85,007. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $85,007, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 114.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, The Brixton At Horseshoe Bay ranks 10521st out of 14,703 facilities (composite score: 64.5/100), placing it in the below average nationwide. Within TX, it ranks 817th out of 1,177 nursing homes. For 2026 staffing: total nurse hours rank #6,294 nationally and RN hours rank #10,661 nationally (#465 in TX). Our composite quality score of 64.5/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Horseshoe Bay, visit: https://nursinghomesnearme.org/texas/horseshoe-bay/