Reagan County Care Center
Nursing Home · 1300 North Main, Big Lake, TX 76932 · 3258845614
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 4.0 / 5 | high |
| Staffing | 4.6 / 5 | high |
| Clinical outcomes | 2.4 / 5 | high |
| Enforcement | 1.5 / 5 | high |
| Financial stability | 4.1 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 36 |
| Ownership | For Profit - Corporation |
| Operator | Legal Business Name Not Available |
| Certified since | 1985-01-16 |
| CMS overall star | 4 / 5 |
| Accepts Medicaid | Yes |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 0 actual harm · 12 potential for harm · 0 minor
- Federal fines: $127,251 · payment denials: 0 · penalty actions: 20
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-14 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Resident Assessment and Care Planning Deficiencies, tag 0644) | D | corrected 2026-02-27 |
| 2025-05-15 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. (Administration Deficiencies, tag 0851) | F | corrected 2025-08-01 |
| 2025-05-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Resident Assessment and Care Planning Deficiencies, tag 0657) | D | corrected 2025-08-01 |
| 2025-05-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Nutrition and Dietary Deficiencies, tag 0812) | D | corrected 2025-08-01 |
| 2025-05-15 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | E | corrected 2025-08-01 |
| 2024-04-04 | Assess the resident when there is a significant change in condition (Resident Assessment and Care Planning Deficiencies, tag 0637) | E | corrected 2024-05-31 |
| 2024-04-04 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Resident Assessment and Care Planning Deficiencies, tag 0656) | D | corrected 2024-05-31 |
| 2024-04-04 | 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. (Pharmacy Service Deficiencies, tag 0761) | D | corrected 2024-05-31 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 4.85 hrs/resident/day (expected 3.26 for this facility's resident acuity — at or above expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.58 hrs/resident/day (expected 0.57 for this facility's resident acuity — at or above expected) (US median 0.58)
- Breakdown: nurse aide 3.43 · LPN 0.83 hrs/resident/day
- Weekend total staffing: 4.42 hrs/resident/day (expected 2.89 for this facility's resident acuity — at or above expected)
- Resident acuity (nursing case-mix index): 1.17 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 7 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 7.2% | 0 → 11.1 → 7.7 → 9.7 | worse than 94% of US homes · TX median 3% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 30.7% | not reported | worse than 93% of US homes · TX median 13% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 26.8% | 36.4 → 33.3 → 16.7 → 22.2 | worse than 91% of US homes · TX median 14.8% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 1.5% | 2.8 → 0 → 3.5 → 0 | worse than 81% of US homes · TX median 0% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 14.7% | · → · → · → 13.6 | worse than 55% of US homes · TX median 8.1% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 1% | 4.2 → 0 → 0 → 0 | better than 94% of US homes · TX median 3.4% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0.3% |
What this costs
- This facility's reported charges: no recent federal cost report on file — typically a new certification, an exempt unit, or a filing CMS hasn't processed yet
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Reagan County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Reagan Memorial Hospital | Big Lake | Yes | — | Critical access |
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Reagan County nursing homes coverage. Spot an error? Tell us.