Hearth Record

Reagan County Care Center

A nursing home in Big Lake, Texas 76932

1300 North Main, Big Lake, Texas 76932. (325) 884-5614.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 13 citations in 4 months of the last 36. Last cited Jul 2026. Most serious: no actual harm, potential for more than minimal harm (E). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

4 health citations at the latest inspection cycle

The Texas average is 9.6.

Last standard inspection Jul 2, 2026.

Most serious in three years: E: no actual harm, potential for more than minimal harm.

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

13 citations in 4 months of the last 36. Last cited Jul 2026. Most serious: no actual harm, potential for more than minimal harm (E). The last 3 years, to Nov 5, 2026.

13 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 13 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 9 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jul 2, 2026: standard inspection3 citations

  • 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.

    Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2026.

  • 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.

    Rule F0838. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2026.

  • Post nurse staffing information every day.

    Rule F0732. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Jul 6, 2026.

Jan 14, 2026: complaint inspection1 citation

  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Rule F0644. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 27, 2026.

May 15, 2025: standard inspection1 citation

  • Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Rule F0851. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 1, 2025.

May 15, 2025: standard and complaint inspection3 citations

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 1, 2025.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 1, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 1, 2025.

Apr 4, 2024: standard and complaint inspection5 citations

  • Assess the resident when there is a significant change in condition

    Rule F0637. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: 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.

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 31, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 31, 2024.

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Rule F0921. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 31, 2024.

Is it certified, and in good standing?

  • Certified for Medicaid since Jan 16, 1985.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as government, hospital district.
  • 36 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 9 fines in the last three years, $61,173 in all.
  • No Medicare payment denials in the last three years.
  • 9 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Feb 20, 2024Fine$4,893
Feb 12, 2024Fine$4,893
Jan 22, 2024Fine$14,679
Jan 8, 2024Fine$4,893
Jan 2, 2024Fine$4,545
Dec 11, 2023Fine$13,635
Nov 20, 2023Fine$4,545
Nov 13, 2023Fine$4,545
Nov 6, 2023Fine$4,545

Who does the caring?

Staffing measures
MeasureThis homeTexas average
Nurse hours per resident per dayNot given3.42
Of which registered nursesNot given0.44
At weekendsNot given2.99
Nursing staff turnoverNot given50.8%
Registered nurse turnoverNot given49.8%
Administrators who leftNot givenNot given

Who owns it?

  • CMS’s ownership file has no owners listed for this home.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

How do residents fare?

  • CMS rates its quality measures 1 of 5 (Texas average 3.8).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections4 of 5
Staffing1 of 5
Quality measures1 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 61.4 miles, this one had the 7th most health citations at the latest inspection cycle (4; the middle value was 5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Reagan County Care Center This nursing home4
Crockett County Care Center37.04
Mccamey Convalescent Center44.87
Sterling Nursing and Rehab52.24
Focused Care at Crane54.76
Schleicher County Medical Center56.44
Regency House57.66
Avir at Meadow Creek58.77
Avir at San Angelo59.512
Park Plaza Nursing and Rehabilitation Center60.73
St. Juanita Retirement and Rehab60.8Not given
Cedar Manor Nursing and Rehabilitation Center61.45

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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