The Premier Snf Of Alice
THE PREMIER SNF OF ALICE in ALICE, TX — inspection on November 29, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 11/29/2025 at 3:06 p.m., the DON stated she was notified of Resident #1's skin irregularities on 11/28/2025 and immediately directed the treatment nurse to perform a thorough head to toe assessment on Resident #1 and concluded the left arm skin irregularities stemmed from Resident #1's wheelchair arm placement when Resident #1 was attempting to pass through a doorway.
The DON stated once NA A observed Resident #1's skin irregularities, she should have immediately notified her charge nurse so that the charge nurse could accurately assess, document, and investigate the origin of the skin irregularities.
The DON stated Resident #1's well-being was not compromised, and reiterated NA A should have notified the charge nurse once she saw something abnormal to Resident #1 in congruence with the facility's procedures.
The DON stated she had reeducated NA A that her scope of practice does not entail conducting an assessment or determination, and furthermore NA A's scope of practice is to notify immediately when she observes something abnormal.
The DON stated she conducted an impromptu one-to-one in-service with NA A and re-educated her that if she was to notice anything abnormal on any resident, she is to immediately notify her chain of command, which includes the charge nurse, ADON, or DON.
The DON stated NA A will also be tasked with several on-line training modules that will re-educate NA A on the different types of skin irregularities.
Record review of the CNA proficiency competency audit dated 08/22/2025 revealed CNA A was educated to report all changes in condition promptly.
Record review of the facility's C.N.A.
Proficiency Audit procedure undated revealed C.N.As are to report changes in condition promptly.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/29/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
The Premier Snf of Alice
800-A Coyote Trail Alice, TX 78332
SUMMARY STATEMENT OF DEFICIENCIES
findings as part of the facility's protocol.
The DON stated the reason she should have documented the skin assessment on 11/17/2025 was to ensure accurate monitoring of the skin irregularities to prevent any further progression of any compromising skin integrity issue.
The DON stated Resident #1's well-being was not compromised as the skin irregularities had resolved with no evidence of any malice intent.
The DON stated the discoloration could have stemmed from when Resident #1 attempts to pass through doorways with her wheelchair.
The DON stated going forward, the facility has planned to conduct an as needed in-service regarding documenting skin assessment.
Record review of the facility's Skin Assessment undated revealed 1. A full body, or head to toe, skin assessment will be conducted by a licensed or registered nurse upon admission/re-admission.The assessment may also be performed after a change in condition or after any newly identified pressure injury. h.
Note any skin conditions such as redness, bruising, rashes, blisters, skin tears, open areas, ulcers, and lesions. 7.
Documentation of skin assessment: b.
Document observations (e.g. skin conditions.).
Facility ID: