All states › Texas › Big Lake › Reagan County Care Center
1300 North Main Big Lake, TX 76932 · Reagan County
CMS certification number 45F094 · See this home on Medicare Care Compare
Is Reagan County Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Reagan County Care Center as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
About this nursing home
Paying for care at Reagan County Care Center: Medicare and Medicaid
Reagan County Care Center is certified for Medicaid but not Medicare, so Medicare won't pay for a rehab stay here after a hospital discharge. It can serve long-term residents covered by Texas Medicaid.
Health inspections
The most recent standard inspection was on July 2, 2026 and found 3 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 13 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 13 citations at Reagan County Care Center across 4 inspection dates, 9 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 12 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were resident assessment and care planning (4) and administration (2). The most serious was cited under the CMS rule to "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" (tag F0838, level F, July 2, 2026).
July 2, 2026 · 3 citations
FConduct 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.
EEnsure 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.
CPost nurse staffing information every day.
January 14, 2026 · 1 citation · includes complaint inspection
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
May 15, 2025 · 4 citations · includes complaint inspection
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
EProvide and implement an infection prevention and control program.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
April 4, 2024 · 5 citations · includes complaint inspection
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EAssess the resident when there is a significant change in condition
EProvide and implement an infection prevention and control program.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure 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.
Questions to ask on a tour of Reagan County Care Center
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
12 penalties in the last three years, including $74,808 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 20, 2024 | Fine | $4,893 |
| Feb 12, 2024 | Fine | $4,893 |
| Jan 22, 2024 | Fine | $14,679 |
| Jan 8, 2024 | Fine | $4,893 |
| Jan 2, 2024 | Fine | $4,545 |
| Dec 11, 2023 | Fine | $13,635 |
| Nov 20, 2023 | Fine | $4,545 |
| Nov 13, 2023 | Fine | $4,545 |
| Nov 6, 2023 | Fine | $4,545 |
| Oct 30, 2023 | Fine | $4,545 |
| Oct 23, 2023 | Fine | $4,545 |
| Oct 17, 2023 | Fine | $4,545 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 4/5 | 1/5 | 1/5 |
| August 2026 | 3/5 | 4/5 | 3/5 | 1/5 |
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Location
Hospitals near Reagan County Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.1 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Reagan County Care Center › All nursing homes in Big Lake ›
Compare Reagan County Care Center with the 3 closest homes side by side ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.