PlainNursing
CMS Nursing Home Compare · August 2026

Reagan County Care Center

1300 North Main, Big Lake, TX 76932

Reagan County Care Center, a 36-bed for profit - corporation nursing facility in Big Lake, TX, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #575 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3258845614

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3 / 5
Average · CMS overall · nat'l 3.0
#575 of 1,165
In-state rank among rated TX homes
4.78
Well above average · nurse hrs/day · nat'l 3.86
12
Inspection findings

The verdict

Reagan County Care Center, a 36-bed for profit - corporation nursing facility in Big Lake, TX, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #575 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

3 / 5
CMS overall · national 3.0
#575 of 1,165
In-state rank among rated TX homes
4.78
Nurse hrs/resident-day · national 3.86
12
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

3/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
45F094
Ownership
For profit - Corporation
Provider Type
Medicaid
Beds
36
Residents
30
In Hospital
No
County
Reagan
Last Inspection
May 15, 2025

Staffing Data

How the 4.78 total nursing hours per resident-day are staffed:

RN Hours
0.59 (nat'l avg: 0.69)
LPN Hours
0.74
CNA Hours
3.45
Total Nursing Hours
4.78 (nat'l avg: 3.86)
PT Hours
0.00

What the CMS Record Reveals About Reagan County Care Center

According to CMS Nursing Home Compare, Reagan County Care Center ranks #575 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Reagan County Care Center operates 36 certified beds in Big Lake, TX with approximately 30 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 4★ · staffing 3★ · quality 1★).

The inspection file contains 12 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS enforcement records show 18 penalties totaling $111K levied against this facility. Per resident day, this facility reports 4.78 total nursing hours (national average 3.86) and 0.59 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicaid" provider, Reagan County Care Center falls into a category where comparative context matters.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (12 most recent)

D - Isolated - Minimal harm Jan 14, 2026 Tag: 0644

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 27, 2026

D - Isolated - Minimal harm May 15, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 1, 2025

D - Isolated - Minimal harm May 15, 2025 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 1, 2025

E - Pattern - Minimal harm May 15, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 1, 2025

F - Widespread - Minimal harm May 15, 2025 Tag: 0851

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

Category: Administration Deficiencies

Corrected: Aug 1, 2025

D - Isolated - Minimal harm Apr 4, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: May 31, 2024

D - Isolated - Minimal harm Apr 4, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 31, 2024

E - Pattern - Minimal harm Apr 4, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 31, 2024

E - Pattern - Minimal harm Apr 4, 2024 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 31, 2024

F - Widespread - Minimal harm Apr 4, 2024 Tag: 0921

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

Category: Environmental Deficiencies

Corrected: May 31, 2024

D - Isolated - Minimal harm Feb 23, 2023 Tag: 0698

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 31, 2023

E - Pattern - Minimal harm Feb 23, 2023 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Mar 31, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 25.7% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.9% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 9.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 36.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.8% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 35.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 76.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 18 penalties totaling $111K

Date Type Amount
Feb 20, 2024 Fine $5K
Feb 12, 2024 Fine $5K
Jan 22, 2024 Fine $15K
Jan 8, 2024 Fine $5K
Jan 2, 2024 Fine $5K
Dec 11, 2023 Fine $14K
Nov 20, 2023 Fine $5K
Nov 13, 2023 Fine $5K
Nov 6, 2023 Fine $5K
Oct 30, 2023 Fine $5K
Oct 23, 2023 Fine $5K
Oct 17, 2023 Fine $5K
Oct 10, 2023 Fine $5K
Oct 2, 2023 Fine $5K
Sep 25, 2023 Fine $5K
Sep 18, 2023 Fine $5K
Sep 11, 2023 Fine $5K
Aug 21, 2023 Fine $14K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Reagan County Care Center, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Reagan County Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 36 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Reagan County Care Center?
Reagan County Care Center has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (4★), staffing levels (3★), and quality measures (1★).
Where does Reagan County Care Center rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Reagan County Care Center ranks 575th among 1,165 rated nursing homes in TX (#575 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Reagan County Care Center?
Reagan County Care Center reports 4.78 total nursing hours per resident day (national average: 3.86). RN hours are 0.59 per resident day (national average: 0.69).
How many beds does Reagan County Care Center have?
Reagan County Care Center has 36 certified beds with approximately 30 residents. The facility is located at 1300 North Main, Big Lake, TX 76932.
Does Reagan County Care Center have any deficiencies on record?
Yes, Reagan County Care Center has 12 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Reagan County Care Center received any fines or penalties?
Yes, Reagan County Care Center has received 18 penalties totaling $111K.
Who owns Reagan County Care Center?
Reagan County Care Center is classified as "For profit - Corporation" ownership. The facility type is "Medicaid".
When was Reagan County Care Center last inspected?
The most recent health inspection for Reagan County Care Center was on May 15, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Reagan County Care Center?
Reagan County Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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