DISCOVERY VILLAGE AT SOUTHLAKE
201 WATERMERE DRIVE, SOUTHLAKE, TX 76092 · CCN 676351
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 41
- Avg residents/day
- 39.1
- Phone
- 8174821340
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-11 | 5 | 9.1 | 9.5 | -4.1 better |
| 2 | 2024-03-14 | 7 | 9.4 | 9.8 | -2.4 better |
| 3 | 2023-01-20 | 4 | 8.1 | 9.3 | -4.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 3 |
| Nutrition and dietary | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.61 | 59.1% |
| RN staffing (reported) | 0.69 | 50.0% |
| Total nurse staffing (adjusted) | 3.99 | — |
Fines & penalties
- Total fines
- $12,649
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (16)1 immediate jeopardy
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-12 · Health · corrected 2025-12-10
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-12 · Health · corrected 2025-12-10
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-11 · Health · corrected 2025-05-20
Potential for more than minimal harm
- EF0700Try 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.2025-04-11 · Health · corrected 2025-05-20
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-11 · Health · corrected 2025-05-20
Potential for more than minimal harm
- EF0583Keep residents' personal and medical records private and confidential.2024-03-14 · Health · corrected 2024-04-20
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-14 · Health · corrected 2024-04-20
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-14 · Health · corrected 2024-04-20
Potential for more than minimal harm
- DF0700Try 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.2024-03-14 · Health · corrected 2024-04-20
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-14 · Health · corrected 2024-04-20
Potential for more than minimal harm
- FF0814Dispose of garbage and refuse properly.2024-03-14 · Health · corrected 2024-04-20
Potential for more than minimal harm
- FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-03-14 · Health · corrected 2024-04-20
Potential for more than minimal harm
- JF0760Ensure that residents are free from significant medication errors.2023-09-29 · Health · corrected 2023-09-16
Immediate jeopardy
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-01-20 · Health · corrected 2023-02-25
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-01-20 · Health · corrected 2023-02-25
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-20 · Health · corrected 2023-02-25
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HCRI TUCSON PROPERTIES INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 98% | 2019-04-01 |
| WELLTOWER INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-04-01 |
| WELLTOWER TRS HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-04-01 |
| AMERICAN TRUST SENIOR CARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 |
| SMITH, RANDY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 |
| WIERZBICKI, STEVE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 |
| HUTCHINSON, RICHARD | Individual | CORPORATE DIRECTOR | — | 2019-04-01 |
| WIERZBICKI, STEVE | Individual | CORPORATE DIRECTOR | — | 2019-04-01 |
| DENOVELLIS, AARON | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2019-04-01 |
| DUNCAN, LAWRENCE | Individual | W-2 MANAGING EMPLOYEE | — | 2019-04-01 |
Other facilities in SOUTHLAKE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.