Elder Care Record

Texas › Tarrant County › Southlake

Discovery Village At Southlake

201 Watermere Drive, Southlake, TX 76092

CCN 676351 · For-profit, corporation · 41 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Discovery Village At Southlake is a For-profit, corporation nursing home in Southlake, Texas, certified for 41 beds and caring for about 40 residents a day.

CMS gives it 5 of 5 stars overall, above the Texas median of 3; the health inspection rating is 5, staffing 4 and quality measures 2.

Inspectors recorded 15 health deficiencies across the three most recent survey cycles (4, 3, 8 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 36.6 per 100 beds, more than the state median of 22.5.

CMS lists 1 penalty in the period covered: fines totalling $13K.

Reported nurse staffing is 3.6 hours per resident per day (0.9 RN), close to the Texas median of 3.3; nursing staff turnover is 43.2%.

15health deficiencies, 3 survey cycles1 at actual harm or worse
$13Kfines listed by CMS1 penalty in period
3.6nurse hours per resident per daystate median 3.3
97%occupancy (residents ÷ beds)40 residents a day

Compared with county, state and nation

MeasureThis facilityTarrant Co. medianTexas medianUS average
Overall star rating5233.0
Health citations, 3 cycles15282528.7
Citations per 100 beds36.621.922.526.8
Total nurse hours per resident day3.63.33.33.9
RN hours per resident day0.90.40.40.7
Nursing staff turnover43.2%53.4%52.1%45.8%
Fines listed$12,649$31,778$16,801—

County and state figures are medians across facilities (71 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)4
Cycle 23
Cycle 38

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Jun 2026, 11 Apr 2025.

Severity mix: J ×1 D ×7 E ×4 F ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
4 Jun 2026F0880Provide and implement an infection prevention and control program.DStandard survey10 Jul 2026
4 Jun 2026F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey10 Jul 2026
12 Nov 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation10 Dec 2025
12 Nov 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation10 Dec 2025
11 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey20 May 2025
11 Apr 2025F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard survey20 May 2025
11 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey20 May 2025
14 Mar 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey20 Apr 2024
14 Mar 2024F0814Dispose of garbage and refuse properly.FStandard survey20 Apr 2024
14 Mar 2024F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey20 Apr 2024
14 Mar 2024F0583Keep residents' personal and medical records private and confidential.EStandard survey20 Apr 2024
14 Mar 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey20 Apr 2024
14 Mar 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey20 Apr 2024
14 Mar 2024F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard survey20 Apr 2024
29 Sep 2023F0760Ensure that residents are free from significant medication errors.JComplaint investigation16 Sep 2023

Penalties

DateTypeAmountDetail
29 Sep 2023Fine$12,649

Staffing

Total nursing3.63 h
Nurse aides1.86 h
LPN0.92 h
RN0.85 h
Weekend total3.31 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 43.2%, RNs 33.3%; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.8%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay10.6%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay6.7%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay12.0%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.1%0.7%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay8.6%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.5%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation.

OrganisationRole in the CMS recordInterestSince
Hcri Tucson Properties Inc5% or greater direct ownership interest98%04/01/2019

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Tarrant County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Allegiant Wellness and RehabCrowley605541118.3—24 Jul 2025
Crowley Nursing and RehabilitationCrowley1205421714.2$18K5 Jun 2025
Grapevine Medical LodgeGrapevine13254286.1—15 Apr 2025
Heritage House At Keller Rehab & NursingKeller1205422016.7$23K28 Mar 2026
Hurst Plaza Nursing and RehabHurst1065521514.2$7K21 May 2026
La Dora Nursing and Rehabilitation CenterBedford625521016.1—24 Apr 2026
Stonegate Nursing and RehabilitationFort Worth1345422317.2$17K12 Feb 2026
The Stayton At Museum WayFort Worth465442452.2—24 Nov 2025

All 71 facilities in Tarrant County

Questions and answers

How many deficiencies has Discovery Village At Southlake been cited for?

15 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Discovery Village At Southlake been fined?

Yes. CMS lists fines totalling $13K in the period covered.

How does staffing at Discovery Village At Southlake compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Discovery Village At Southlake?

Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Hcri Tucson Properties Inc. Individual owners and managers are not listed on this site.

When was Discovery Village At Southlake last inspected?

The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 4 Jun 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.