nursing home in Southlake, TX
Discovery Village at Southlake
201 Watermere Drive, Southlake, TX 76092 · (817) 482-1340
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Discovery Village at Southlake at a glance
Discovery Village at Southlake is a 41-bed for-profit nursing home in Southlake, Texas (Tarrant County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3.6 hours of nursing care per day (0.9 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (June 4, 2026) found 4 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $12,649.
Nursing staff turnover is 43.2% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 41
- Certified for
- Medicare
- Medicare-certified since
- January 22, 2014
- Resident/family council
- Resident
- County
- Tarrant County
- CMS Certification Number
- 676351
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 1.9 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.63 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.85 hrs | 0.43 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.86 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.31 hrs | 2.98 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 43.2% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 54.6% | 42.9% | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 25 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $12,649 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 41 | 113 | 107 | |
| Average residents per day | 40 | 76 | 86 | |
| Occupancy | 96.6% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 12% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 8.6% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 12.5% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 6.7% | 0.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 10.6% | 0.3% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 12.8% | 15.8% | 13.9% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 4.3% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 14% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 8.4% | 13.4% | 19% | Better |
| Long-stay residents given a pneumonia vaccine (higher is better) | 92% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.1% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 69.3% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 74% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 15 health deficiencies and 15 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 4, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected July 10, 2026 |
| June 4, 2026 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | F Potential harm, widespread | Corrected July 10, 2026 |
| June 4, 2026 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected July 10, 2026 |
| June 4, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 10, 2026 |
| June 4, 2026 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected July 10, 2026 |
| November 12, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected December 10, 2025 |
| November 12, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected December 10, 2025 |
| April 11, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 20, 2025 |
| April 11, 2025 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected May 20, 2025 |
| April 11, 2025 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | F Potential harm, widespread | Corrected May 20, 2025 |
| April 11, 2025 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected May 20, 2025 |
| April 11, 2025 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | F Potential harm, widespread | Corrected May 20, 2025 |
| April 11, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected May 20, 2025 |
| April 11, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 20, 2025 |
| April 11, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected May 20, 2025 |
| April 11, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected May 20, 2025 |
| April 11, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected May 20, 2025 |
| April 11, 2025 Standard | Try 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. Quality of Life and Care Deficiencies · Tag F0700 | E Potential harm, pattern | Corrected May 20, 2025 |
| April 11, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected May 20, 2025 |
| March 14, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected April 20, 2024 |
| March 14, 2024 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected April 20, 2024 |
| March 14, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected April 20, 2024 |
| March 14, 2024 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected April 20, 2024 |
| March 14, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 20, 2024 |
| March 14, 2024 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | F Potential harm, widespread | Corrected April 20, 2024 |
| March 14, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected April 20, 2024 |
| March 14, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected April 20, 2024 |
| March 14, 2024 Standard | Try 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. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected April 20, 2024 |
| March 14, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 20, 2024 |
| September 29, 2023 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | J Immediate jeopardy, isolated | Corrected September 16, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $12,649 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 29, 2023 | Fine | $12,649 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HCRI TUCSON PROPERTIES INC Organization | 5% or greater direct ownership interest | 98% | 04/01/2019 |
| DENOVELLIS, AARON Individual | contracted managing employee | NOT APPLICABLE | 04/01/2019 |
| HUTCHINSON, RICHARD Individual | corporate director | NOT APPLICABLE | 04/01/2019 |
| WIERZBICKI, STEVE Individual | corporate director | NOT APPLICABLE | 04/01/2019 |
| AMERICAN TRUST SENIOR CARE LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| SMITH, RANDY Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| WIERZBICKI, STEVE Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| DUNCAN, LAWRENCE Individual | w-2 managing employee | NOT APPLICABLE | 04/01/2019 |
Other nursing homes near Discovery Village at Southlake
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★★★★★1Much below averageKeller Oaks Healthcare Center
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Government · 146 beds · Part of The Ensign Group
★★★★★4Above averageAvir at Keller
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★★★★★5Much above averageBear Creek Nursing and Rehabilitation
3729 Ira E Woods Avenue, Grapevine, TX 76051 · 4.2 mi
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★★★★★1Much below average- ★★★★★2Below average
Green Valley Healthcare and Rehabilitation Center
6850 Rufe Snow Dr, Fort Worth, TX 76148 · 4.9 mi
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★★★★★1Much below average
Frequently asked questions
What is Discovery Village at Southlake's rating?
Discovery Village at Southlake has 5 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Discovery Village at Southlake receive?
Its most recent standard health inspection found 4 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Discovery Village at Southlake accept Medicare and Medicaid?
CMS lists it as certified for: Medicare. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Discovery Village at Southlake?
It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Discovery Village at Southlake and how do I contact it?
Discovery Village at Southlake is at 201 Watermere Drive, Southlake, TX 76092. Phone: (817) 482-1340.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.