D

REAGAN COUNTY CARE CENTER

1300 NORTH MAIN, BIG LAKE, TX 76932
Score: 45 / 100

Reagan County Care Center faces challenges in its CMS ratings, earning a D grade with a score of 45/100. The facility ranks in the 50th percentile among Texas nursing homes, suggesting significant room for improvement.

Reagan County Care Center provides above-average staffing with 4.72 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent inspections identified 12 deficiencies at Reagan County Care Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.72 3.8 Above Average
Registered Nurses (RN) 0.45 0.7 Below Average
Licensed Practical Nurses (LPN) 0.88 0.7 Above Average
Certified Nursing Assistants (CNA) 3.39 2.4 Above Average
Weekend Total Nursing 4.41 3.8 Above Average
Weekend RN Hours 0.55 0.7 Below Average

🔍 Inspection & Deficiency History

12
Total Deficiencies
Jan 13, 2026
Most Recent Inspection
🟠 12 Moderate
View recent deficiencies (5 shown)
  • Tag 0644 Severity D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    Jan 13, 2026 · Resident Assessment and Care Planning Deficiencies
  • Tag 0851 Severity F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    May 14, 2025 · Administration Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    May 14, 2025 · Infection Control Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    May 14, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0812 Severity D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    May 14, 2025 · Nutrition and Dietary Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.1% 4.5% Better
Falls with major injury 4.7% 3.0% Worse
On antipsychotic medication 14.5% 14.5% Average
Urinary tract infections 0.9% 2.5% Better
ADL decline (daily activities) 28.0% 14.0% Worse
Excessive weight loss 1.1% 7.5% Better
New/worsened incontinence 39.8% 45.0% Better

⚠️ Penalties & Fines

21 penalties recorded by CMS

Total fines: $135,642

How This Grade Was Calculated

This facility's grade of D is based on a score of 45 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
36
Provider Type
Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 14, 2025
Deficiencies (Cycle 1)
5