facebook tracking Reagan County Care Center, Big Lake TX: CMS Ratings
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Reagan County Care Center

All states › Texas › Big Lake › Reagan County Care Center

1300 North Main Big Lake, TX 76932 · Reagan County

(325) 884-5614

Accepts Medicaid 36 certified beds Government

CMS certification number 45F094 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 13 citations in the last three years. CMS imposed 12 penalties, including $74,808 in fines, in that time.

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

Nursing care per resident per day — hours Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours — per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care — hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover — Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds36
Residents per day 30 About 83% of beds filled, on average
OwnershipGovernment - Hospital district
Payment acceptedMedicaid
Certified sinceJanuary 1985
Legal business nameLegal Business Name Not Available

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.

Potential for more than minimal harm · Administration Deficiencies · Tag F0838 · Deficient, Provider has date of correction (Aug 10, 2026)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Aug 10, 2026)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Jul 6, 2026)

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.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Complaint inspection · Deficient, Provider has date of correction (Feb 27, 2026)

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.

Potential for more than minimal harm · Administration Deficiencies · Tag F0851 · Deficient, Provider has date of correction (Aug 1, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Aug 1, 2025)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Aug 1, 2025)

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Aug 1, 2025)

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.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Complaint inspection · Deficient, Provider has date of correction (May 31, 2024)

EAssess the resident when there is a significant change in condition

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Complaint inspection · Deficient, Provider has date of correction (May 31, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (May 31, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (May 31, 2024)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (May 31, 2024)

Questions to ask on a tour of Reagan County Care Center

  1. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. 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.

DateTypeAmount 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 monthOverallInspectionStaffingQuality
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.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Crockett County Care Center Ozona · 37.0 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 45 beds · Medicaid
McCamey Convalescent Center McCamey · 44.8 mi away ★★☆☆☆ Inspection 4/5 · Staffing 1/5 30 beds · Medicaid
Sterling Nursing and Rehab Sterling City · 52.2 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 44 beds · Medicaid
Focused Care at Crane Crane · 54.7 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 110 beds · Medicaid
Schleicher County Medical Center Eldorado · 56.4 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 34 beds · Medicaid

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.

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https://www.nursinghomesineachstate.com/texas/big-lake/reagan-county-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.