REAGAN COUNTY CARE CENTER in Big Lake, TX has a 3 out of 5 overall rating. Its health inspections are rated 4 stars and staffing is 3 stars, but quality measures are low at 1 star; reported nurse staffing is 4.78 hours per resident per day, above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: July 2, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7836.
Staffing detail
Registered nurses
0.59
Licensed practical nurses
0.74
Nurse aides
3.45
Weekend nursing
4.33
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
13.6%12.5%Improving
Residents with a fall causing major injury
11.1%10%Improving
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%3.3%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
33.3%30.8%Improving
Residents whose ability to walk got worse
—36.1%—
Long-stay residents on antianxiety or sleep medication
25%11.1%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
47.8%27.4%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—76.9%—
What the inspectors found
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited July 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited May 2025 — widespread issue, potential for harm.
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F-Tag 851 — 42 CFR §483.70 — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited July 2026 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 5 health deficiencies.
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Penalties & enforcement
On record with Medicare: 16 fines · $92,988 in total fines.
Federal fine
Feb 20, 2024
$4,893
Federal fine
Feb 12, 2024
$4,893
Federal fine
Jan 22, 2024
$14,679
Federal fine
Jan 8, 2024
$4,893
Federal fine
Jan 2, 2024
$4,545
Federal fine
Dec 11, 2023
$13,635
Federal fine
Nov 20, 2023
$4,545
Federal fine
Nov 13, 2023
$4,545
Operator & ownership
Ownership
Government - Hospital district
Occupancy
29.7 residents on an average day (82% of 36 beds)
Resident voice
Resident council
Medicare history
Certified for 41 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.