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Discovery Village At Southlake in Southlake, TX

201 Watermere Drive, Southlake, TX 76092
8174821340
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Overall CMS Rating

4.0/5

vs State Average: 2.8 stars

4.0/5

Health Inspections

vs State Average: 2.8/5

3.0/5

Staffing Level

vs State Average: 2.1/5

3.0/5

Quality Measures

vs State Average: 3.8/5

1 penaltiesin last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
4.0
State Average
2.8
National Average
2.8
5Deficiencies found in last inspections
1Penalties in last 3 years
1Fines issued
CitationDateDescriptionSeverity
F842Nov 12, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
F656Nov 12, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
F700Apr 11, 2025Try 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.E
F812Apr 11, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
F656Apr 11, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
Score
3.0
State Average
2.1
National Average
2.9
0.7RN Hours / Resident / Day
3.6Total Nurse Hours / Resident / Day
50.0%RN Turnover Rate
Score
3.0
State Average
3.8
National Average
3.6
1.0Long-Stay QM Rating
4.0Short-Stay QM Rating
39.1Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay
Percentage of long-stay residents who lose too much weightLong Stay
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay
Percentage of long-stay residents with a urinary tract infectionLong Stay
Percentage of long-stay residents who have depressive symptomsLong Stay
Percentage of long-stay residents who were physically restrainedLong Stay
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineLong Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineShort Stay
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTERESTHCRI TUCSON PROPERTIES INC
5% OR GREATER INDIRECT OWNERSHIP INTERESTWELLTOWER OP LLC
5% OR GREATER INDIRECT OWNERSHIP INTERESTWELLTOWER TRS HOLDCO LLC
OPERATIONAL/MANAGERIAL CONTROLAMERICAN TRUST SENIOR CARE LLC
OPERATIONAL/MANAGERIAL CONTROLSMITH, RANDY
OPERATIONAL/MANAGERIAL CONTROLWIERZBICKI, STEVE
CORPORATE DIRECTORHUTCHINSON, RICHARD
CORPORATE DIRECTORWIERZBICKI, STEVE
CONTRACTED MANAGING EMPLOYEEDENOVELLIS, AARON
W-2 MANAGING EMPLOYEEDUNCAN, LAWRENCE
Recent Penalties
DateTypeFine
Sep 29, 2023Fine$12,649

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