Reagan County Care Center
1300 North Main · Big Lake, TX · 76932 · 3258845614
36 certified beds For profit - Corporation
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 4.42 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 19 · $123,755 |
Inspection citations (12 in the current record)
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Potential for harm · D January 14, 2026 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected February 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · F May 15, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected August 1, 2025 · Administration
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Potential for harm · D May 15, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 1, 2025 · Nutrition and Dietary
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Potential for harm · E May 15, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 1, 2025 · Infection Control
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Potential for harm · E April 4, 2024 · found via complaint
Assess the resident when there is a significant change in condition
Corrected May 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2024 · found via complaint
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.
Corrected May 31, 2024 · Pharmacy Service
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Potential for harm · E April 4, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 31, 2024 · Infection Control
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Potential for harm · F April 4, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 31, 2024 · Environmental
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Potential for harm · D February 23, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 31, 2023 · Quality of Life and Care
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Potential for harm · E February 23, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 31, 2023 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 20, 2024 | Fine | $4,893 |
| February 12, 2024 | Fine | $4,893 |
| January 22, 2024 | Fine | $14,679 |
| January 8, 2024 | Fine | $4,893 |
| January 2, 2024 | Fine | $4,545 |
| December 11, 2023 | Fine | $13,635 |
| November 20, 2023 | Fine | $4,545 |
| November 13, 2023 | Fine | $4,545 |
| November 6, 2023 | Fine | $4,545 |
| October 30, 2023 | Fine | $4,545 |
| October 23, 2023 | Fine | $4,545 |
| October 17, 2023 | Fine | $4,545 |
| October 10, 2023 | Fine | $4,545 |
| October 2, 2023 | Fine | $4,545 |
| September 25, 2023 | Fine | $4,545 |
| September 18, 2023 | Fine | $4,545 |
| September 11, 2023 | Fine | $4,545 |
| August 21, 2023 | Fine | $13,635 |
| July 17, 2023 | Fine | $12,587 |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 45F094 · certified since January 16, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.