Discovery Village at Southlake
201 Watermere Drive, Southlake, TX 76092 · Tarrant County · 41 certified beds · avg 40 residents/day · certified since Jan 22, 2014
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Sep 29, 2023 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 16, 2023 (Past Non-Compliance)
All citations in the current public record (15)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 4, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 4, 2026 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Nov 12, 2025 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Nov 12, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Apr 11, 2025 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 11, 2025 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 14, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 14, 2024 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Mar 14, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Mar 14, 2024 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Mar 14, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 14, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 14, 2024 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Sep 29, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 1 | J ▲ |
| 2024 | 7 | 0 | F |
| 2025 | 5 | 0 | E |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $12,649.
| Date | Type | Amount / length |
|---|---|---|
| Sep 29, 2023 | Fine | $12,649 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.08 | 3.46 | 3.95 | top 13% in Texas; top 36% in the U.S. |
| Registered Nurse hours | 0.96 | 0.44 | 0.69 | top 3% in Texas; top 18% in the U.S. |
| Weekend total nurse staffing | 3.72 | 3.04 | 3.50 | top 11% in Texas; top 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.63 | 0.34 | 0.48 | top 6% in Texas; top 20% in the U.S. |
| Total nursing staff turnover (%) | 43.2 | 55.3 | 45.8 | top 28% in Texas; top 45% in the U.S. |
| RN turnover (%) | 33.3 | 54.6 | 42.9 | top 20% in Texas; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.63, RN 0.85, weekend 3.31. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hcri Tucson Properties INC | Organization | 5% or Greater Direct Ownership Interest | 98% | 04/01/2019 |
| American Trust Senior Care LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Denovellis, Aaron | Individual | Contracted Managing Employee | NOT APPLICABLE | 04/01/2019 |
| Duncan, Lawrence | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/01/2019 |
| Hutchinson, Richard | Individual | Corporate Director | NOT APPLICABLE | 04/01/2019 |
| Smith, Randy | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Wierzbicki, Steve | Individual | Corporate Director | NOT APPLICABLE | 04/01/2019 |
| Wierzbicki, Steve | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The Carlyle at Stonebridge Park | 0.5 mi | Southlake, TX | ★☆☆☆☆ | 2/5 | |
| Keller Oaks Healthcare Center | 1.5 mi | Keller, TX | ★★★★☆ | 4/5 | |
| Heritage House at Keller Rehab & Nursing | 3.7 mi | Keller, TX | ★★★★★ | 4/5 | |
| Bear Creek Nursing and Rehabilitation | 4.2 mi | Grapevine, TX | ★☆☆☆☆ | 1/5 | |
| Oakmont Guest Care Center | 4.7 mi | Hurst, TX | ★☆☆☆☆ | 1/5 | |
| Green Valley Healthcare and Rehabilitation Center | 4.9 mi | Fort Worth, TX | ★☆☆☆☆ | 1/5 | |
| The Harrison at Heritage | 5.5 mi | Fort Worth, TX | ★★★☆☆ | 2/5 | |
| Legend Oaks Healthcare and Rehabilitation - Fort W | 5.5 mi | Keller, TX | ★☆☆☆☆ | 1/5 | |
| North Pointe Nursing and Rehabilitation | 5.8 mi | Watauga, TX | ★☆☆☆☆ | 1/5 | |
| Avir at Emerald Hills | 6.0 mi | North Richland Hills, TX | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676351.