The Premier Snf Of Alice
800 A COYOTE TRAIL, Alice, TX, 78332-4004
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 104 · avg 80 residents/day
- Total nursing staff turnover
- 43.8% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 83.3% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308623
- Service type
- Medicare/medicaid
- Licensed capacity
- 104 beds
- Bed type breakdown
- 18 Medicare-only · 86 Medicaid/Medicare
- Current license effective
- June 1, 2025
- Current license expires
- June 1, 2028
- Initial license date
- August 29, 2019
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Alice I Enterprises, Llc
- Administrator
- Oscar Flores
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (7 on record)
- Alice i Enterprises, Llc
Operational/managerial Control · 100% · since 2022
- Gary r Blake
Operational/managerial Control · 50% · since 2022
- Honor x Enterprises, Llc
Other · 100% · since 2022
- Linda f Huggins
W-2 Managing Employee · since 2022
- Malisa a Blake
Operational/managerial Control · 50% · since 2022
- West Wharton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2022
+ 1 additional owner on the federal record.
Recent change of ownership
June 2022 (3 years ago) · acquired from The Premier Snf of Alice
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 9)
- D0842·Nov 29, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0726·Nov 29, 2025Complaint
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D0839·Aug 14, 2025Complaint
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
- E0812·Feb 5, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0657·Feb 5, 2025
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0656·Feb 5, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0656·Jul 24, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0812·Nov 9, 2023Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Fire-safety citations
2 Life-Safety-Code citations on file. Most recent: Feb 5, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
The Premier SNF of Alice is a 104-bed nursing home in Alice, TX, managed by Alice I Enterprises, LLC under a hospital district license. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Health inspection and long-stay quality measure ratings are stronger, at 4 and 5 stars respectively. The facility is part of the Creative Solutions In Healthcare chain and is currently operating at about 77% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, a level shared by roughly 38% of Texas nursing homes. Nursing-hours data was not submitted to CMS for this reporting period, so a precise per-resident daily minute count is unavailable. What the rating reflects is that staffing falls below the threshold CMS uses to award 2 or more stars on this dimension.
RN turnover is the sharper staffing concern. About 8 in 10 registered nurses left in the past year. A long-stay resident will likely go through multiple RNs over the course of a year, which affects continuity in medication oversight and care-plan management. Total nursing staff turnover, at 43.8%, sits just above the Texas median of 50% — meaning overall staff churn is not especially high, but the RN layer specifically is unstable.
On quality measures, the picture diverges from staffing. Long-stay residents — those living here for more than 90 days — are rated 5 stars on clinical outcomes, the highest tier. Short-stay residents, typically those recovering from a hospital procedure, rate 3 stars. The combination of low staffing ratings and strong long-stay outcomes is uncommon and the two figures describe different things: one is an input, the other is a result.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
RN coverage on nights and weekends
With 8 in 10 RNs leaving in the past year, ask how many registered nurses are on duty overnight and on weekends, and whether those shifts are currently fully filled.
How staffing hours are tracked
CMS shows no submitted nursing-hours data for this facility; ask how the facility documents and reports daily staffing levels to state and federal regulators.
Short-stay rehab outcomes
Short-stay quality measures rate 3 stars while long-stay measures rate 5; ask what the facility's 30-day rehospitalization rate is for residents admitted after a hospital stay.
Current RN vacancy count
High RN turnover can leave open positions unfilled for months; ask how many RN positions are currently vacant and what the typical time-to-fill has been over the past year.
Role of the management company
The facility is licensed to a hospital district but managed by Alice I Enterprises, LLC; ask which entity sets staffing budgets and how clinical decisions are escalated.
Resident Council meeting frequency
A Resident Council is on record here but no Family Council; ask how often the Resident Council meets and how family members can raise concerns in its absence.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.