CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 7450042026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

The Brixton At Horseshoe Bay

15101 West Fm 2147 · Horseshoe Bay, TX 78657 · Burnet County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds120CMS provider file
Recent citation rows13current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-06-2642025-06-262
Cycle 22024-05-1632024-05-160
Cycle 32023-03-2832023-03-281
02 / CITATION DETAIL

13 rows in the current release

1 rows carry G–L scope/severity codes; 1 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-06-26 · HEALTHF0550Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2025-07-21
2025-06-26 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2025-07-21
2025-06-26 · HEALTHF0800Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Correction field: Deficient, Provider has date of correction · 2025-07-21
2025-06-26 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-07-21
2025-06-26 · FIREK0345Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2025-06-27
2025-06-26 · FIREK0918Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2025-07-24
2025-03-26 · HEALTHF0686Severity K · pattern of immediate jeopardy

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction field: Deficient, Provider has date of correction · 2025-03-27 · complaint
2024-05-16 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2024-05-27
2024-05-16 · HEALTHF0677Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction field: Deficient, Provider has date of correction · 2024-05-27
2023-03-28 · HEALTHF0759Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2023-04-07
2023-03-28 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2023-04-07
2023-03-28 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2023-04-07
2023-03-28 · FIREK0211Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has date of correction · 2023-05-02
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2025-03-26Fine$85,0070
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • FREUDENBERGER, JOSEPHIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 11/15/2023
  • HALEY, JEFFIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/15/2016
  • THE BRIXTON AT HORSESHOE BAY LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/15/2023
  • GOTCHER, KARENIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/15/2023

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.69per resident day
RN hours0.41per resident day
Weekend nurse hours3.22per resident day
Staff turnover57.8%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Texas ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.