For profit - Corporation · 41 certified beds · CMS number 676351
Discovery Village at Southlake, Southlake, TX
CMS records 15 health deficiencies at Discovery Village at Southlake in Southlake, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 4, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 1 fine totaling $12,649 in the last three years.
- 15deficiencies, 3 cycles (TX median 25)
- 4in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $12,649fines, last 3 years
- 5CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Discovery Village at Southlake as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Discovery Village at Southlake may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (4 deficiencies)
Standard inspection Jun 4, 2026. CMS counts 4 health deficiencies and 3 fire safety deficiencies in this cycle.
Jun 4, 2026 · Standard inspection
2 deficiencies, highest D
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 10, 2026
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 10, 2026
Nov 12, 2025 · Complaint inspection
2 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 10, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 10, 2025
Previous cycle: 3 deficiencies (standard inspection Apr 11, 2025)
Standard inspection Apr 11, 2025. CMS counts 3 health deficiencies and 9 fire safety deficiencies in this cycle.
Apr 11, 2025 · Standard inspection
3 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 20, 2025
F700 · Bed rail safety
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 20, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 20, 2025
Earlier cycle: 8 deficiencies (standard inspection Mar 14, 2024)
Standard inspection Mar 14, 2024. CMS counts 8 health deficiencies and 3 fire safety deficiencies in this cycle.
Mar 14, 2024 · Standard inspection
7 deficiencies, highest F
F851 · Reporting staffing data to CMS
Requirement cited (CMS): Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 20, 2024
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 20, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 20, 2024
F700 · Bed rail safety
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 20, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 20, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 20, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 20, 2024
Sep 29, 2023 · Complaint inspection
1 deficiency, highest J
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Sep 16, 2023
Tags cited in more than one inspection
3 tags cited on more than one inspection date at Discovery Village at Southlake; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 2 | Nov 12, 2025; Apr 11, 2025 |
| F700 Bed rail safety | 2 | Apr 11, 2025; Mar 14, 2024 |
| F812 Food safety and sanitation | 2 | Apr 11, 2025; Mar 14, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Sep 29, 2023 | Fine | $12,649 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.63 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.85 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.31 h
- Nursing staff turnover
- 43.2% (Texas median 52.1%)
- Administrators who left
- not reported
- CMS overall rating
- 5 of 5
- Health inspection rating
- 5 of 5
- Staffing rating
- 4 of 5
- Quality measure rating
- 2 of 5
CMS figures for Discovery Village at Southlake, copied as published; Texas medians are ours.
Facility details
- Address
- 201 Watermere Drive, Southlake, TX 76092
- Phone
- (817) 482-1340
- County
- Tarrant
- Accepts
- Medicare
- Ownership
- For profit - Corporation
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 41
- Average residents per day
- 39.6
- In Medicare/Medicaid since
- Jan 22, 2014
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- What alternatives to bed rails does the home use, and how is consent obtained? (F700, cited 2 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
- How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 1 time)
Other nursing homes in Southlake
- The Carlyle at Stonebridge Park
Southlake · 36 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.