C75

DISCOVERY VILLAGE AT SOUTHLAKE

Grade C 75/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
3/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

41

Ownership

For profit - Corporation

Total Fines

$12,649

Last Survey

N/A

201 WATERMERE DRIVE, SOUTHLAKE, TX 76092
8174821340

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.76h
LPN
0.96h
CNA
2.27h
Total
3.99h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

HCRI TUCSON PROPERTIES INC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2019

98%

WELLTOWER INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2019

WELLTOWER TRS HOLDCO LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2019

AMERICAN TRUST SENIOR CARE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2019

SMITH, RANDY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2019

WIERZBICKI, STEVE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2019

HUTCHINSON, RICHARD

IndividualCORPORATE DIRECTORSince Apr 2019

WIERZBICKI, STEVE

IndividualCORPORATE DIRECTORSince Apr 2019

DENOVELLIS, AARON

IndividualCONTRACTED MANAGING EMPLOYEESince Apr 2019

DUNCAN, LAWRENCE

IndividualW-2 MANAGING EMPLOYEESince Apr 2019

Penalties & Fines (1)

$12,649total fines
DateTypeDescriptionAmount
Sep 29, 2023Fine$12,649

Health Inspection Deficiencies (16)

November 12, 2025Health2 deficiencies
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 10, 2025
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 10, 2025
April 11, 2025Health3 deficiencies
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected May 20, 2025
0700EMinimal harm, Pattern

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.

Quality of Life and Care Deficiencies

Corrected May 20, 2025
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected May 20, 2025
March 14, 2024Health7 deficiencies
0583EMinimal harm, Pattern

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Apr 20, 2024
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Apr 20, 2024
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Apr 20, 2024
0700DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Apr 20, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Apr 20, 2024
0814FMinimal harm, Widespread

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected Apr 20, 2024
0851FMinimal harm, Widespread

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Administration Deficiencies

Corrected Apr 20, 2024
September 29, 2023Health1 deficiency1 severe
0760JImmediate jeopardy, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Sep 16, 2023
January 20, 2023Health3 deficiencies
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 25, 2023
0695EMinimal harm, Pattern

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Feb 25, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Feb 25, 2023

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Frequently Asked Questions

What is the CareGrader rating for DISCOVERY VILLAGE AT SOUTHLAKE?

DISCOVERY VILLAGE AT SOUTHLAKE in SOUTHLAKE, Texas has a CareGrader grade of C (Average), with a composite score of 74.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for DISCOVERY VILLAGE AT SOUTHLAKE?

DISCOVERY VILLAGE AT SOUTHLAKE has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does DISCOVERY VILLAGE AT SOUTHLAKE have?

DISCOVERY VILLAGE AT SOUTHLAKE has 16 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has DISCOVERY VILLAGE AT SOUTHLAKE been fined?

Yes. DISCOVERY VILLAGE AT SOUTHLAKE has $12,649 in total fines from CMS enforcement actions across 1 penalty.

How many beds does DISCOVERY VILLAGE AT SOUTHLAKE have?

DISCOVERY VILLAGE AT SOUTHLAKE has 41 certified beds with approximately 39 current residents (95% occupancy). The facility is located at 201 WATERMERE DRIVE, SOUTHLAKE, Texas 76092. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.