Nursing HomeInspections

Reagan County Care Center

Nursing home in Big Lake, TX

Medicaid-certified2★ overall (CMS)

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Public-record details

Address
1300 North Main, Big Lake, TX 76932
Phone
(325) 884-5614
Listed under
Government-owned
Medicare CCN
45F094
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
1 of 5
Certified beds
36
Average residents per day
30
Ownership
Government, hospital district
Legal business name
Legal Business Name Not Available
Certified for
Medicaid
First approved by Medicare/Medicaid
Jan 16, 1985
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 45F094. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 2, 2026. CMS lists 13 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 4, 2024 to Jul 2, 2026): 9 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 2, 2026Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread
Jul 2, 2026Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jul 2, 2026Conduct 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…
Administration		F
Potential for more than minimal harm, widespread
Jan 14, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
May 15, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
May 15, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
May 15, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		E
Potential for more than minimal harm, pattern
May 15, 2025Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration		F
Potential for more than minimal harm, widespread
Apr 4, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 4, 2024Ensure 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…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 4, 2024Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Apr 4, 2024Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 13. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 12 fines totalling $74,808 in the last three years.

Feb 20, 2024Fine: $4,893
Feb 12, 2024Fine: $4,893
Jan 22, 2024Fine: $14,679
Jan 8, 2024Fine: $4,893
Jan 2, 2024Fine: $4,545
Dec 11, 2023Fine: $13,635
Nov 20, 2023Fine: $4,545
Nov 13, 2023Fine: $4,545
Nov 6, 2023Fine: $4,545
Oct 30, 2023Fine: $4,545

Showing the 10 most recent of 12.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error