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Nursing homeFAID #12279

Reagan County Care Center

1300 NORTH MAIN, BIG LAKE, TX, 76932
(325) 884-5614
36 licensed beds

CMS rates Reagan County Care Center 2 out of 5 overall. Federal inspectors issued 17 citations across 9 inspections in the last three years, with $74,808 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall4/5 health inspections1/5 staffing1/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
36
CMS facility ID
45F094
Care type
Nursing home
County
Reagan
Facility name
Reagan County Care Center
Street address
1300 NORTH MAIN
City / state / ZIP
Big Lake, TX 76932
Phone
(325) 884-5614

About this facility — Reagan County Care Center

Reagan County Care Center is a Medicare/Medicaid-certified skilled nursing facility in Big Lake, Texas. It is licensed for 36 beds — well below the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Big Lake and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Reagan County Care Center 17 times across 9 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $74,808 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
Government - Hospital district

Regulatory standing

Licensed / certified since
1985-01-16
CMS overall rating
2 of 5 stars
Health deficiencies
4 at the last standard inspection
Federal fines
$74,808 total
Last standard inspection
2026-07-02
Nurse staffing
4.8 hours per resident per day

Services & coverage

Licensed beds
36
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-07-02Health inspection3 citations
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2026-07-06
F-0761
E · No harm found
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.
Corrected 2026-08-10
F-0838
F · No harm found
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.
Corrected 2026-08-10
2026-01-14Health inspectionComplaint-triggered1 citation
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-02-27
4 earlier / fire-safety inspections (13 citations)
2025-05-15Health inspectionComplaint-triggered4 citations
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-08-01
F-0812
D · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-01
F-0851
F · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-08-01
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-08-01
2024-04-04Health inspectionComplaint-triggered5 citations
F-0637
E · No harm foundFrom a complaint
Assess the resident when there is a significant change in condition
Corrected 2024-05-31
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-31
F-0761
D · No harm foundFrom a 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.
Corrected 2024-05-31
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-05-31
F-0921
F · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-05-31
2026-07-02Fire-safety inspection3 citations
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2026-09-04
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-09-04
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-09-04
2025-05-15Fire-safety inspection1 citation
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-27

Federal penalties

2024-02-20Fine$4,893
2024-02-12Fine$4,893
2024-01-22Fine$14,679
2024-01-08Fine$4,893
2024-01-02Fine$4,545
2023-12-11Fine$13,635
2023-11-20Fine$4,545
2023-11-13Fine$4,545
2023-11-06Fine$4,545
2023-10-30Fine$4,545
2023-10-23Fine$4,545
2023-10-17Fine$4,545
Total fines$74,808
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 45F094.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
17
More than 9% of nursing homes in the state
State median: 33
Federal fines, 3 years
$74,808
More than 83% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
4.8
Higher than 97% of nursing homes in the state
State median: 3.3

Resident outcomes

On 15 federal quality measures, this facility does better than the Texas average on 5 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased26.5%15.8%13.5%Worse than state
Lose too much weight0.0%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.8%0.3%0.7%Worse than state
With a urinary tract infection0.9%0.8%1.5%Near state average
Have depressive symptoms0.0%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury7.8%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine100.0%96.4%93.7%Near state average
Ability to walk independently worsened33.3%12.9%12.7%Worse than state
Received an antianxiety or hypnotic medication14.6%17.8%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine97.0%97.0%95.3%Near state average
With pressure ulcers0.0%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence32.8%12.5%18.3%Worse than state
Received an antipsychotic medication14.3%9.8%15.4%Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine83.3%88.7%82.3%Near state average
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0761 2 inspections. 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.
  • F-0880 2 inspections. Provide and implement an infection prevention and control program.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Reagan Memorial Hospital, less than 0.1 miles.
  • Crane County Hospital District, about 54 miles.
  • Shannon Medical Center, about 63 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 17 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered