# Reagan County Care Center Reagan County Care Center is a Medicare/Medicaid-certified nursing home (Nursing facility · Medicaid only) in Big Lake, TX, CMS Certification Number 45F094, with 36 certified beds and about 30 residents per day. CMS rates it 2/5 overall (health inspections 4/5, staffing 1/5, quality measures 1/5). ## Key facts - Status: Active CMS certification - Address: 1300 North Main, Big Lake, TX 76932 (Reagan County) - Ownership type: Government - Hospital district - Operator (legal business name): not published - CMS chain: not part of a CMS-reported chain - Phone: 3258845614 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/45F094 ## Inspection record 7 inspections in the CMS window (latest 2026-07-02); 17 citations (13 health, 4 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2026-07-02 — [E-0041](https://carefield.site/deficiency/cms-e0041) Implement emergency and standby power systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2026-07-02 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2026-07-02 — [K-0918](https://carefield.site/deficiency/cms-k0918) Have generator or other power source capable of supplying service within 10 seconds. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2026-07-02 — [F-0761](https://carefield.site/deficiency/cms-f0761) 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. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2026-07-02 — [F-0838](https://carefield.site/deficiency/cms-f0838) 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. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2026-01-14 — [F-0644](https://carefield.site/deficiency/cms-f0644) Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-05-15 — [K-0372](https://carefield.site/deficiency/cms-k0372) Ensure smoke barriers are constructed to a 1 hour fire resistance rating. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-05-15 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-05-15 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-05-15 — [F-0851](https://carefield.site/deficiency/cms-f0851) Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2025-05-15 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2024-04-04 — [F-0637](https://carefield.site/deficiency/cms-f0637) Assess the resident when there is a significant change in condition — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2024-04-04 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2024-04-04 — [F-0761](https://carefield.site/deficiency/cms-f0761) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2024-04-04 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2024-04-04 — [F-0921](https://carefield.site/deficiency/cms-f0921) Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2026-07-02 — [F-0732](https://carefield.site/deficiency/cms-f0732) Post nurse staffing information every day. — scope/severity C (No actual harm, potential for minimal harm); Corrected ## Penalties - 2024-02-20 — Civil money penalty (fine): $4,893 - 2024-02-12 — Civil money penalty (fine): $4,893 - 2024-01-22 — Civil money penalty (fine): $14,679 - 2024-01-08 — Civil money penalty (fine): $4,893 - 2024-01-02 — Civil money penalty (fine): $4,545 - 2023-12-11 — Civil money penalty (fine): $13,635 - 2023-11-20 — Civil money penalty (fine): $4,545 - 2023-11-13 — Civil money penalty (fine): $4,545 - 2023-11-06 — Civil money penalty (fine): $4,545 - 2023-10-30 — Civil money penalty (fine): $4,545 - 2023-10-23 — Civil money penalty (fine): $4,545 - 2023-10-17 — Civil money penalty (fine): $4,545 ## Staffing (PBJ, hours per resident per day) - Total nurse: n/a (state avg 3.41615, US 3.90085) - RN: n/a - Nursing staff turnover: n/a% ## Sources - cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45F094&conditions%5B0%5D%5Boperator%5D=%3D - cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45F094&conditions%5B0%5D%5Boperator%5D=%3D - cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45F094&conditions%5B0%5D%5Boperator%5D=%3D - cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45F094&conditions%5B0%5D%5Boperator%5D=%3D - cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45F094&conditions%5B0%5D%5Boperator%5D=%3D - cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45F094&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-45f094 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.