Discovery Village at Southlake

201 Watermere Drive · Southlake, TX · 76092 · 8174821340

41 certified beds For profit - Corporation

  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 58
Serious harm & abuse 20% 94
Staffing 20% 73
Federal penalties 15% 75
Trend 10% 83
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.613.48 min · 4.1 strong
RN hours / resident-day0.780.55–0.75
Weekend hours / resident-day3.41≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)1 · $12,649

Inspection citations (16 in the current record)

  • Potential for harm · E November 12, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 12, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected December 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E April 11, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E April 11, 2025

    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.

    Corrected May 20, 2025 · Quality of Life and Care

  • Potential for harm · D April 11, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 20, 2025 · Nutrition and Dietary

  • Potential for harm · E March 14, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected April 20, 2024 · Resident Rights

  • Potential for harm · D March 14, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected April 20, 2024 · Quality of Life and Care

  • Potential for harm · D March 14, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 20, 2024 · Quality of Life and Care

  • Potential for harm · D March 14, 2024

    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.

    Corrected April 20, 2024 · Quality of Life and Care

  • Potential for harm · F March 14, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 20, 2024 · Nutrition and Dietary

  • Potential for harm · F March 14, 2024

    Dispose of garbage and refuse properly.

    Corrected April 20, 2024 · Nutrition and Dietary

  • Potential for harm · F March 14, 2024

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected April 20, 2024 · Administration

  • Immediate jeopardy · J September 29, 2023 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected September 16, 2023 · Pharmacy Service

  • Potential for harm · D January 20, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 25, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E January 20, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 25, 2023 · Quality of Life and Care

  • Potential for harm · E January 20, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 25, 2023 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
September 29, 2023Fine$12,649

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676351 · certified since January 22, 2014. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.