Reagan County Care Center
About Reagan County Care Center
Reagan County Care Center is a 36-bed government-run nursing home in Big Lake, TX. Medicare rates it 3 out of 5 stars overall (average); the average in Texas is 2.7. At its last full inspection (Jul 2026), inspectors found 4 problems, fewer than the Texas average of 9.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 47 min a day with each resident, more than the Texas average of 3 hr 23 min. Medicare fined it $92,988 in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
4 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Jan 2026.Strength
- Health citations at last inspection4 (Jul 2026)Texas average: 9.4. Most citations are minor and corrected within weeks.Strength
- Nurse staffing per resident4 hr 47 min a dayTexas average: 3 hr 23 minStrength
- Registered nurse time per resident36 min a dayTexas average: 26 minStrength
Things to ask about
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- Fines and penalties16 fines totaling $92,988Federal penalties from the last three years, most recently in Feb 2024 (about 2 years ago). The national average is $30,972 per home.Ask about this
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury9.6%State average: 3.3%Worse than average
- Pressure sores (bedsores)0.0%State average: 3.8%Better than average
- Given antipsychotic drugs14.8%State average: 9.6%Worse than average
- Hospital stays per 1,000 resident days2.6State average: 2.2About average
Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 3 stars now, the same as 3 stars in January 2019. It has ranged from 1 to 4 stars and changed 21 times.
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 3 | 3 | 1 | 5 | – |
| Jan 2020 | 2 | 2 | 1 | 5 | – |
| Jan 2021 | 3 | 3 | 3 | 3 | 7.2 |
| Jan 2022 | 2 | 2 | 5 | 1 | 5.2 |
| Jan 2023 | 2 | 3 | 1 | 3 | – |
| Jan 2024 | 3 | 3 | 4 | 3 | 4.9 |
| Feb 2025 | 3 | 4 | 1 | 2 | – |
| Feb 2026 | 4 | 4 | 3 | 2 | 4.7 |
| Sep 2026 | 3 | 4 | 3 | 1 | 4.8 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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See all nearby homes →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.