With a score of 34/100, The Brixton At Horseshoe Bay ranks in the bottom tier of Texas nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at The Brixton At Horseshoe Bay is near the national average, with 3.80 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 10 deficiencies at The Brixton At Horseshoe Bay, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.80 | 3.8 | Average |
| Registered Nurses (RN) | 0.41 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.28 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.11 | 2.4 | Below Average |
| Weekend Total Nursing | 3.37 | 3.8 | Below Average |
| Weekend RN Hours | 0.28 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Jun 25, 2025 · Resident Rights Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jun 25, 2025 · Infection Control Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jun 25, 2025 · Quality of Life and Care Deficiencies
- Tag 0800 Severity DProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.Jun 25, 2025 · Nutrition and Dietary Deficiencies
- Tag 0686 Severity KProvide appropriate pressure ulcer care and prevent new ulcers from developing.Mar 25, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 8.1% | 4.5% | Worse |
| Falls with major injury | 7.9% | 3.0% | Worse |
| On antipsychotic medication | 2.4% | 14.5% | Better |
| Urinary tract infections | 0.9% | 2.5% | Better |
| ADL decline (daily activities) | 16.3% | 14.0% | Worse |
| Excessive weight loss | 5.5% | 7.5% | Better |
| New/worsened incontinence | 17.8% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $85,007
How This Grade Was Calculated
This facility's grade of F is based on a score of 34 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -8 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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