The home failed to submit complete and accurate staffing information based on verifiable records. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
Nursing home report
REAGAN COUNTY CARE CENTER
BIG LAKE, TX · Medicare-certified · 36 beds
In good standing
For-profit
4 of 5 overall
Reagan County Care Center in Big Lake, TX has an overall rating of 4 out of 5 stars, with strong health inspection results and staffing above the federal benchmark (4.85 vs. 4.1 hours per resident day). Its quality measures rating is lower at 2 stars, staffing is 3 stars, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.8484 hrs/resident/day
Quality measures
Last inspection: January 14, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8484.
Staffing detail
- Registered nurses
- 0.58
- Licensed practical nurses
- 0.83
- Nurse aides
- 3.43
- Weekend nursing
- 4.42
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).
Long-stay residents on antipsychotic medication
—13.6%—
Residents with a fall causing major injury
0%9.7%Worsening
Residents with pressure ulcers (bedsores)
4.2%0%Improving
Residents with a urinary tract infection
0%0%No change
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
36.4%22.2%Improving
Residents whose ability to walk got worse
—30.7%—
Long-stay residents on antianxiety or sleep medication
17.4%18.5%Worsening
Residents with a long-term catheter
2.8%0%Improving
Residents with new or worsening incontinence
43.4%37%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).
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
—71.4%—
What the inspectors found
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 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
The home failed to properly assess a resident after a major change in condition. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 637 — 42 CFR §483.20(b)(2) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 20 fines · $127,251 in total fines.
- $4,893
Federal fine
Feb 20, 2024
- $4,893
Federal fine
Feb 12, 2024
- $14,679
Federal fine
Jan 22, 2024
- $4,893
Federal fine
Jan 8, 2024
- $4,545
Federal fine
Jan 2, 2024
- $13,635
Federal fine
Dec 11, 2023
- $4,545
Federal fine
Nov 20, 2023
- $4,545
Federal fine
Nov 13, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 30.6 residents on an average day (85% 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.