Reagan County Care Center
1300 North Main, Big Lake, TX 76932
Reagan County Care Center is a nursing home in Big Lake, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 2 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 1 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (325) 884-5614
- Last standard health inspection
- July 2, 2026 (4 months ago)
- Certified beds
- 36
- Residents per day, on average
- 30
- Ownership type
- Government - Hospital district
- Legal business name
- Legal Business Name Not Available
- Chain
- Not listed by CMS
- Takes part in
- Medicaid
Fewer health citations than the Texas average (13 vs 28).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 1 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
3 citations
Health inspection on July 2, 2026
CMS lists this as a standard inspection.
Citation F0838. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on August 10, 2026.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on August 10, 2026.
CMS has cited this home for F0761 2 times since 2024.
Citation F0732. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on July 6, 2026.
3 citations
Fire safety inspection on July 2, 2026
CMS lists this as a standard inspection.
Citation E0041. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Implement emergency and standby power systems.
CMS lists it as corrected on September 4, 2026.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 4, 2026.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on September 4, 2026.
CMS update of February 25, 2026
Staffing
Total nurse staffing reported to CMS went from 5.4 to 4.7 hours per resident per day.
1 citation
Health inspection on January 14, 2026
CMS lists this as a complaint inspection.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on February 27, 2026.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 1 of 5 to 3 of 5.
4 citations
Health inspection on May 15, 2025
CMS lists this as a standard inspection and a complaint inspection.
Citation F0851. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS lists it as corrected on August 1, 2025.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 1, 2025.
CMS has cited this home for F0880 2 times since 2024.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on August 1, 2025.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 1, 2025.
1 citation
Fire safety inspection on May 15, 2025
CMS lists this as a standard inspection.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on June 27, 2025.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 4 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
CMS update of June 26, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
5 citations
Health inspection on April 4, 2024
CMS lists this as a standard inspection and a complaint inspection.
Citation F0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on May 31, 2024.
Citation F0637. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Assess the resident when there is a significant change in condition
CMS lists it as corrected on May 31, 2024.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 31, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on May 31, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on May 31, 2024.
CMS update of February 29, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Fine
February 20, 2024 (2 years ago)
CMS fine of $4,893 on February 20, 2024.
Fine
February 12, 2024 (2 years ago)
CMS fine of $4,893 on February 12, 2024.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Fine
January 22, 2024 (2 years ago)
CMS fine of $14,679 on January 22, 2024.
Fine
January 8, 2024 (2 years ago)
CMS fine of $4,893 on January 8, 2024.
Fine
January 2, 2024 (2 years ago)
CMS fine of $4,545 on January 2, 2024.
Fine
December 11, 2023 (2 years ago)
CMS fine of $13,635 on December 11, 2023.
Fine
November 20, 2023 (2 years ago)
CMS fine of $4,545 on November 20, 2023.
Fine
November 13, 2023 (2 years ago)
CMS fine of $4,545 on November 13, 2023.
Fine
November 6, 2023 (3 years ago)
CMS fine of $4,545 on November 6, 2023.
Fine
October 30, 2023 (3 years ago)
CMS fine of $4,545 on October 30, 2023.
Fine
October 23, 2023 (3 years ago)
CMS fine of $4,545 on October 23, 2023.
Fine
October 17, 2023 (3 years ago)
CMS fine of $4,545 on October 17, 2023.
Questions
When was Reagan County Care Center last inspected?
CMS lists July 2, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Reagan County Care Center have?
CMS lists 13 health citations since April 4, 2024. CMS also calls these deficiencies.
Has Reagan County Care Center been fined?
CMS lists 12 fines in the past three years, $74,808 in total.
What is the CMS star rating of Reagan County Care Center?
Its CMS overall star rating is 2 of 5.
Is Reagan County Care Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.