Reagan County Care Center
Big Lake, Texas · CCN 45F094
23 surveys since 2011. The first finding at harm level was recorded in 2022.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 99
- Surveys
- 23
- Harm or worse
- 1
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 36
- Ownership
- Government - Hospital district
- Chain
- Independent
- County
- Reagan · rural
- Medicare-certified since
- 1985
CMS ratings
- Overall
- 3
- Health inspection
- 4
- Staffing
- 3
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 24 government-run facilities with fewer than 66 beds in Texas.
Last survey on record
Jul 2, 2026
130 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.78 | 4.31 |
| Registered-nurse hours per resident day | 0.59 | — |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $92,988 across 16 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D640.0% | E533.3% | F320.0% |
| No harm, potential for minimal | A— | B— | C16.7% |
Most frequently cited here
In CMS’s current monthly file.
- F7612×
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.
- F8802×
Provide and implement an infection prevention and control program.
- F6371×
Assess the resident when there is a significant change in condition
- F6441×
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
In the surveyor’s words
From the most serious findings on record at Reagan County Care Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Mar 1, 2022
Based on interviews and record reviews, the facility failed to ensure residents received adequate supervision to prevent accidents for one (Resident #1) of four residents reviewed for accidents and supervision. The facility failed to provide adequate supervision to Resident #1. As a result, she eloped from the facility and was located approximately 1 hour and 40 minutes later in 39° Fahrenheit weather on the opposite side of the hospital complex. Resident #1 had had an apparent fall which resulted in a hematoma to the right orbital eye area and 1 cm x 1 cm abrasion to right eyebrow. It was determined a past non-compliance Immediate Jeopardy existed from 01/17/22 to 01/25/22. […]
- No harm, potential for more than minimal, widespreadF838Jul 2, 2026
Based on record review and interview, the facility failed to conduct and document a comprehensive facility-wide assessment to determine what resources were necessary to care for its residents competently during day-to-day operations and review and update the assessment at least annually for 5 of 5 years (2021, 2022, 2023, 2024, and 2025) reviewed for facility assessment. The facility failed to conduct a Facility Assessment since 2021. This failure could place residents at risk of their needs going unmet and result in a lack of services provided by the facility to competently care for all residents. Findings included: A facility assessment was requested from the Administrator on 6/30/26 at 10:05 AM. Record Review of the most recent Facility Assessment revealed a completion date of 7/1/26. […]
- No harm, potential for more than minimal, widespreadF851May 15, 2025
Based on interview and record review, the facility failed to follow guidelines for mandatory submission of staffing information based on payroll data in a uniform format. Long-term care facilities must electronically submit to CMS (Centers for Medicare & Medicaid Services) complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS . […]
- No harm, potential for more than minimal, widespreadF921Apr 4, 2024
Based on observation, interview and record review the facility failed to provide a safe, functional, sanitary and comfortable environment for residents, staff and the public for 1 of 1 back patio reviewed for environment. The facility failed to keep a landscaped area on the back patio free of cat feces. This failure could lead to unsanitary conditions for residents and staff and possible parasitic infection. The findings included: Observation on 04/03/24 at 12:40 PM of back patio area/smoking area revealed approximately fifteen feet straight out from the door, was a large circle (approximately 10 feet in diameter) of rocks with a tree planted in the center. […]
- No harm, potential for more than minimal, widespreadF842Jan 15, 2021
Based on interview and record review the facility failed to maintain clinical records in accordance with medical professional standards and practices that are complete and accurately documented for COVID-19 (Coronavirus) testing for 24 of 24 residents. The facility failed to accurately document the CoVid-19 tests. The tests were all marked negative on 1/11/2021 prior to the test being conducted. This failure could affect residents by putting them at risk of inaccurate COVID-19 test results and exposure to COVID-19 illness. Findings include: Interview on 1/14/21 at 10:30 am with Nurse #1 revealed she saw on 1/11/21 the CoVid-19 testing form documents that were all marked negative and the residents had not yet been tested for COVID-19. […]
Read 20 findings in full →The most serious and the most recent: 20 of 99 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 2, 2026Standard3 findings
- Jan 14, 2026Complaint1 finding
- May 15, 2025Standard and complaint4 findings
- Apr 4, 2024Standard and complaint5 findings
- Feb 23, 2023Standard2 findings
- Mar 1, 2022Complaint1 finding · 1 harm
- Dec 15, 2021Standard5 findings
- Jan 15, 2021Complaint2 findings
Show the 15 earlier surveys
- Sep 17, 2020Standard5 findings
- Jul 16, 2019Complaint2 findings
- Jun 4, 2019Standard6 findings
- Aug 2, 2018Standard16 findings
- May 19, 2017Standard2 findings
- Apr 29, 2016Standard10 findings
- Apr 22, 2015Standard4 findings
- Feb 13, 2015Complaint1 finding
- Aug 25, 2014Complaint1 finding
- Apr 2, 2014Standard4 findings
- Feb 14, 2013—13 findings
- Apr 19, 2012—5 findings
- Jul 20, 2011—2 findings
- Jun 16, 2011—1 finding
- Apr 15, 2011—4 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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