Nursing homeActive
Reagan County Care Center
1300 North Main, Big Lake, TX 76932325884561436 certified beds · 30 residentsFor profit - CorporationMedicaid
Surveys on file
4
since 2023
Deficiencies
12
● 0● 12● 0
Penalties · 3 yrs
$97,533
17 fines
Last survey
2026-01-14
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 3
Quality 1
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-14 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-05-15 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-04-04 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2023-02-23 | Standard | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 45F094-20260114-F644
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-01Record 45F094-20250515-F657
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-01Record 45F094-20250515-F812
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-08-01Record 45F094-20250515-F851
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-01Record 45F094-20250515-F880
F637Assess the resident when there is a significant change in conditionScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-31Record 45F094-20240404-F637
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-31Record 45F094-20240404-F656
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-31Record 45F094-20240404-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-31Record 45F094-20240404-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-31Record 45F094-20240404-F921
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-31Record 45F094-20230223-F698
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-31Record 45F094-20230223-F755
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-02-20 | Civil money penalty | $4,893 | CMS · Penalties |
| 2024-02-12 | Civil money penalty | $4,893 | CMS · Penalties |
| 2024-01-22 | Civil money penalty | $14,679 | CMS · Penalties |
| 2024-01-08 | Civil money penalty | $4,893 | CMS · Penalties |
| 2024-01-02 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-12-11 | Civil money penalty | $13,635 | CMS · Penalties |
| 2023-11-20 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-11-13 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-11-06 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-10-30 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-10-23 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-10-17 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-10-10 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-10-02 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-09-25 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-09-18 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-09-11 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-08-21 | Civil money penalty | $13,635 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.59
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day4.78
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours4.33
Facility
Texas
National
Texas 2.98 · National 3.42
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.0% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 9.6% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 14.8% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.9% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 25.7% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.0% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.7% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)No ownership records in the data we hold from CMS (Provider Enrollment).
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Reagan.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Crockett County Care Center Ozona | 37.0 mi | 2025-06-12 | 050 |
| Mccamey Convalescent Center Mccamey | 44.8 mi | 2025-12-05 | 0140 |
| Sterling Nursing and Rehab Sterling City | 52.2 mi | 2025-09-11 | 080 |
| Focused Care At Crane Crane | 54.7 mi | 2025-06-26 | 0201 |
| Schleicher County Medical Center Eldorado | 56.4 mi | 2025-12-08 | 072 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |