nursing home in Big Lake, TX
Reagan County Care Center
1300 North Main, Big Lake, TX 76932 · (325) 884-5614
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Reagan County Care Center at a glance
Reagan County Care Center is a 36-bed government nursing home in Big Lake, Texas (Reagan County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 4.8 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (July 2, 2026) found 4 health citations. The Texas average is 9.4.
Federal regulators fined it 16 times in the past three years, totaling $92,988.
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 36
- Certified for
- Medicaid
- Medicare-certified since
- January 16, 1985
- Resident/family council
- Resident
- County
- Reagan County
- CMS Certification Number
- 45F094
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 4 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.78 hrs | 3.39 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.59 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 3.45 hrs | 2.01 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.33 hrs | 2.98 hrs | 3.42 hrs | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 39 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 16 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $92,988 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 16 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 36 | 113 | 107 | |
| Average residents per day | 30 | 76 | 86 | |
| Occupancy | 82.5% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 9.6% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 0% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 14.8% | 9.6% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 0.9% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.8% | 0.3% | 0.8% | Average |
| Long-stay residents needing more help with daily activities (lower is better) | 25.7% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 36.1% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 0% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.7% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 35.4% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 76.9% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 13 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 2, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| July 2, 2026 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| July 2, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| July 2, 2026 Standard | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Tag F0838 | F Potential harm, widespread | Corrected August 10, 2026 |
| July 2, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected August 10, 2026 |
| July 2, 2026 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected July 6, 2026 |
| January 14, 2026 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected February 27, 2026 |
| May 15, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected June 27, 2025 |
| May 15, 2025 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected August 1, 2025 |
| May 15, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 1, 2025 |
| May 15, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 1, 2025 |
| May 15, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected August 1, 2025 |
| April 4, 2024 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected May 31, 2024 |
| April 4, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 31, 2024 |
| April 4, 2024 Complaint | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | E Potential harm, pattern | Corrected May 31, 2024 |
| April 4, 2024 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected May 31, 2024 |
| April 4, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 31, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 16 federal penalties in the past three years, including $92,988 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 20, 2024 | Fine | $4,893 |
| February 12, 2024 | Fine | $4,893 |
| January 22, 2024 | Fine | $14,679 |
| January 8, 2024 | Fine | $4,893 |
| January 2, 2024 | Fine | $4,545 |
| December 11, 2023 | Fine | $13,635 |
| November 20, 2023 | Fine | $4,545 |
| November 13, 2023 | Fine | $4,545 |
| November 6, 2023 | Fine | $4,545 |
| October 30, 2023 | Fine | $4,545 |
| October 23, 2023 | Fine | $4,545 |
| October 17, 2023 | Fine | $4,545 |
| October 10, 2023 | Fine | $4,545 |
| October 2, 2023 | Fine | $4,545 |
| September 25, 2023 | Fine | $4,545 |
| September 18, 2023 | Fine | $4,545 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
Other nursing homes near Reagan County Care Center
Crockett County Care Center
102 Medical Drive, Ozona, TX 76943 · 37 mi
Government · 50 beds
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Reagan County Care Center's rating?
Reagan County Care Center has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Reagan County Care Center receive?
Its most recent standard health inspection found 4 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Reagan County Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Reagan County Care Center?
It is government - hospital district. The ownership section on this page lists the owners and managers reported to CMS.
Where is Reagan County Care Center and how do I contact it?
Reagan County Care Center is at 1300 North Main, Big Lake, TX 76932. Phone: (325) 884-5614.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.