Texas › Reagan County › Big Lake
Reagan County Care Center
1300 North Main, Big Lake, TX 76932
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 36 beds, Reagan County Care Center serves Big Lake in Reagan County, Texas and has taken Medicare and Medicaid residents since 1985.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 4, staffing 3 and quality measures 1.
Inspectors recorded 12 health deficiencies across the three most recent survey cycles (5, 5, 2 by cycle, most recent first), none at the actual-harm level. That is 33.3 per 100 beds, more than the state median of 22.5.
CMS lists 18 penalties in the period covered: fines totalling $111K.
Reported nurse staffing is 4.8 hours per resident per day (0.6 RN), above the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Reagan Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 12 | 12 | 25 | 28.7 |
| Citations per 100 beds | 33.3 | 33.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 4.8 | 4.8 | 3.3 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | — | — | 52.1% | 45.8% |
| Fines listed | $111,168 | $111,168 | $16,801 | — |
County and state figures are medians across facilities (1 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 May 2025, 4 Apr 2024.
Severity mix: D ×6 E ×4 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 Jan 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 27 Feb 2026 |
| 15 May 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 1 Aug 2025 |
| 15 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 1 Aug 2025 |
| 15 May 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 1 Aug 2025 |
| 15 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 1 Aug 2025 |
| 4 Apr 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint investigation | 31 May 2024 |
| 4 Apr 2024 | F0637 | Assess the resident when there is a significant change in condition | E | Complaint investigation | 31 May 2024 |
| 4 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 31 May 2024 |
| 4 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 31 May 2024 |
| 4 Apr 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 31 May 2024 |
| 23 Feb 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 31 Mar 2023 |
| 23 Feb 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 31 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 Feb 2024 | Fine | $4,893 | |
| 12 Feb 2024 | Fine | $4,893 | |
| 22 Jan 2024 | Fine | $14,679 | |
| 8 Jan 2024 | Fine | $4,893 | |
| 2 Jan 2024 | Fine | $4,545 | |
| 11 Dec 2023 | Fine | $13,635 | |
| 20 Nov 2023 | Fine | $4,545 | |
| 13 Nov 2023 | Fine | $4,545 | |
| 6 Nov 2023 | Fine | $4,545 | |
| 30 Oct 2023 | Fine | $4,545 | |
| 23 Oct 2023 | Fine | $4,545 | |
| 17 Oct 2023 | Fine | $4,545 | |
| 10 Oct 2023 | Fine | $4,545 | |
| 2 Oct 2023 | Fine | $4,545 | |
| 25 Sep 2023 | Fine | $4,545 | |
| 18 Sep 2023 | Fine | $4,545 | |
| 11 Sep 2023 | Fine | $4,545 | |
| 21 Aug 2023 | Fine | $13,635 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.7% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.6% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 36.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.8% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Reagan County Care Center been cited for?
12 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Reagan County Care Center been fined?
Yes. CMS lists fines totalling $111K in the period covered.
How does staffing at Reagan County Care Center compare?
Reported total nurse staffing is 4.8 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Reagan County Care Center?
Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Reagan County Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 14 Jan 2026; the most recent standard health survey was 15 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.