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Nursing Homes · Medicare certified

Reagan County Care Center

1300 North Main · Big Lake, TX 76932 · 36 certified beds

(325) 884-5614

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About Reagan County Care Center

Reagan County Care Center is a nursing home in Big Lake, Texas. Its capacity is 36 beds, below the Texas median of 120 for nursing homes. It is run by a government body. It is Medicare certified. Its public inspection record shows 12 citations, the most recent on January 14, 2026. CMS also lists 19 fines or payment denials against it. Nurse staffing averages 4.78 hours per resident per day. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

2.0

Staffing

1.0

Quality measures

1.0

CMS Care Compare, October 2026.

Inspection history (12)

Records from February 2023 to January 2026.

  • January 14, 2026

    Tag F0644

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 27, 2026.

  • May 15, 2025

    Tag F0851

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected August 1, 2025.

  • May 15, 2025

    Tag F0657

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 1, 2025.

  • May 15, 2025

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 1, 2025.

  • May 15, 2025

    Tag F0812

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 1, 2025.

  • April 4, 2024

    Tag F0921

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.

  • April 4, 2024

    Tag F0656

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.

  • April 4, 2024

    Tag F0761

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.

  • April 4, 2024

    Tag F0637

    Assess the resident when there is a significant change in condition.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.

  • April 4, 2024

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.

  • February 23, 2023

    Tag F0698

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 31, 2023.

  • February 23, 2023

    Tag F0755

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 31, 2023.

See the source data on data.cms.gov (opens in a new tab)

Penalties (19)

Total fines: $123,755

  • February 20, 2024 · Fine

    CMS recorded a civil money penalty of $4,893 against this nursing home on February 20, 2024.

  • February 12, 2024 · Fine

    CMS recorded a civil money penalty of $4,893 against this nursing home on February 12, 2024.

  • January 22, 2024 · Fine

    CMS recorded a civil money penalty of $14,679 against this nursing home on January 22, 2024.

  • January 8, 2024 · Fine

    CMS recorded a civil money penalty of $4,893 against this nursing home on January 8, 2024.

  • January 2, 2024 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on January 2, 2024.

  • December 11, 2023 · Fine

    CMS recorded a civil money penalty of $13,635 against this nursing home on December 11, 2023.

  • November 20, 2023 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on November 20, 2023.

  • November 13, 2023 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on November 13, 2023.

  • November 6, 2023 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on November 6, 2023.

  • October 30, 2023 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on October 30, 2023.

  • October 23, 2023 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on October 23, 2023.

  • October 17, 2023 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on October 17, 2023.

  • October 10, 2023 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on October 10, 2023.

  • October 2, 2023 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on October 2, 2023.

  • September 25, 2023 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on September 25, 2023.

  • September 18, 2023 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on September 18, 2023.

  • September 11, 2023 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on September 11, 2023.

  • August 21, 2023 · Fine

    CMS recorded a civil money penalty of $13,635 against this nursing home on August 21, 2023.

  • July 17, 2023 · Fine

    CMS recorded a civil money penalty of $12,587 against this nursing home on July 17, 2023.

See the source data on data.cms.gov (opens in a new tab)

Staffing

4.78 nurse hours per resident per day in Q1 2026, down from 4.85 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Government - Hospital district

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Texas.

Nursing Homes

Texas median$5,627/mo

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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Reagan County Care Center in Big Lake, TX · ElderCareCosts