Reagan County Care Center
1300 North Main, Big Lake, TX 76932 · Reagan County
For-profit · 36 certified beds · 83% occupancy · (325) 884-5614
Reagan County Care Center reviews: what the government record shows
The U.S. government (CMS) rates Reagan County Care Center 3 out of 5 stars overall, average. Its nurse staffing is at or above the Texas median.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 3 of 5 stars
- Nurse staffing
- 4.78 hrs/resident/day (+46% vs TX median)
- Antipsychotic drug use
- 14.8% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 9.6% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $111,168
- Inspection findings
- 12 cited
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Strengths
- ✓Nurse staffing of 4.78 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !Has paid $111,168 in federal fines in roughly the last three years.
- !Serious-fall rate of 9.6% is well above the Texas median of 3%.
Questions to ask on your visit
- ·What is your fall-prevention program, and how is it staffed overnight?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Reagan County Care Center
Is Reagan County Care Center a good nursing home?
Reagan County Care Center in Big Lake, Texas holds a 3 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Reagan County Care Center staffed?
Reagan County Care Center reports 4.78 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Reagan County Care Center been fined or flagged for abuse?
Reagan County Care Center has paid approximately $111,168 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
4.78 nurse hours per resident per day. 46% above the Texas median of 3.27.
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0851 · May 15, 2025Corrected Aug 1, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies
- Potential for harmTag F0880 · May 15, 2025ComplaintCorrected Aug 1, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0644 · Jan 14, 2026ComplaintCorrected Feb 27, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0657 · May 15, 2025ComplaintCorrected Aug 1, 2025
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
- Potential for harmTag F0812 · May 15, 2025ComplaintCorrected Aug 1, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0921 · Apr 4, 2024ComplaintCorrected May 31, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
- Potential for harmTag F0637 · Apr 4, 2024ComplaintCorrected May 31, 2024
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0880 · Apr 4, 2024ComplaintCorrected May 31, 2024
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0656 · Apr 4, 2024ComplaintCorrected May 31, 2024
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
- Potential for harmTag F0761 · Apr 4, 2024ComplaintCorrected May 31, 2024
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
Showing the 10 most recent and serious of 12 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is above the national median. Ask how the home decides to start these medications and how often it reviews them.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at least double the Texas median. Ask the staff directly about their fall-prevention program: how they assess risk, how often they check on residents, and whether staffing at night is enough to respond quickly.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - corporation). It is independently operated, not part of a multi-facility chain.