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DISCOVERY VILLAGE AT SOUTHLAKE

201 WATERMERE DRIVE
SOUTHLAKE, TX 76092 · 8174821340 · Tarrant County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds41
OwnershipFor profit - Corporation
State rank#123

By the numbers

15
Health citations (3 cycles)
1
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$12,649
Federal fines (CMPs)
The trend: Citations are trending down — 4 in the most recent cycle versus 8 two cycles ago.

Recent Health Citations

Jun 4, 2026 · Health survey · F-tag 0921
D — No actual harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jun 4, 2026 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 12, 2025 · Health survey · F-tag 0842
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nov 12, 2025 · Health survey · F-tag 0656
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Apr 11, 2025 · Health survey · F-tag 0812
D — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Apr 11, 2025 · Health survey · F-tag 0700
E — No actual harm
Quality of Life and Care Deficiencies
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.
Apr 11, 2025 · Health survey · F-tag 0656
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Mar 14, 2024 · Health survey · F-tag 0700
D — No actual harm
Quality of Life and Care Deficiencies
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.
Mar 14, 2024 · Health survey · F-tag 0695
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Mar 14, 2024 · Health survey · F-tag 0690
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Mar 14, 2024 · Health survey · F-tag 0583
E — No actual harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Mar 14, 2024 · Health survey · F-tag 0851
F — No actual harm
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Mar 14, 2024 · Health survey · F-tag 0814
F — No actual harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Mar 14, 2024 · Health survey · F-tag 0812
F — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Sep 29, 2023 · Health survey · F-tag 0760
J — Immediate jeopardy
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Details
Correction status: Corrected Sep 16, 2023 — Past Non-Compliance
Inspection cycle: 3
Survey origin: Complaint investigation

Showing the 15 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Texas →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.