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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 65th out of 240 homes in Texas.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 24m per day |
Most residents stay for extended periods and receive ongoing daily care.
37% of new residents, usually for short-term rehab.
26% of new residents, often for short stays.
37% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #207 / 252Payroll — state benchmarkedThis home is ranked 207th out of 252 homes in Texas.Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Texas average: 63.5%Discovery Village at Southlake is legally operated by Dsl Tenant Ii, Llc.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations are formal regulatory issues recorded during state inspections.
| Metric | This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 9 | 6 | This facility has 50% more total citations than a typical Texas nursing home (9 vs. TX avg 6).↑ 50% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 6 | 2 | This facility has 200% more health citations than a typical Texas nursing home (6 vs. TX avg 2).↑ 200% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 3 | 6 | This facility has 50% fewer life safety citations than a typical Texas nursing home (3 vs. TX avg 6).↓ 50% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Discovery Village at Southlake underwent a comprehensive inspection on April 1, 2024, and no state standard violations were detected. The facility did not have any Health Code or Life Safety Code deficiencies during this inspection. There were no reported issues related to fire safety, building maintenance, resident care, or pest control. No correction dates are applicable as no violations were cited.
It is worth noting that the absence of citations does not necessarily indicate a compliant facility. However, based on the available information, Discovery Village at Southlake appears to be in compliance with state standards during this inspection period.
No enforcement actions were found related to this inspection.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on Nov 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
13 of 16 citations resulted from standard inspections; and 3 of 16 resulted from complaint investigations.
50% better than Texas averageTexas average: 2
0
100% better than Texas averageTexas average: 0.4
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 12, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 12, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 11, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 11, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Discovery Village at Southlake is located in SOUTHLAKE, Texas.
Here are the financial assistance programs available to residents in Texas.
0.0 miles from city center
Estimated distance in miles from Southlake's city center to Discovery Village at Southlake's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
83% better than Texas averageTexas average ratio: 1.51:1
10% worse than Texas averageTexas average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Total hours from contractors
2,748 contractor hours this quarter
| Certified Nursing Assistant | 22 | 6 | 28 | 5,198 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 8 | 3 | 11 | 3,165 | 91 | 100% | 8.2 |
| Medication Aide/Technician | 6 | 0 | 6 | 1,540 | 91 | 100% | 8.7 |
| Registered Nurse | 4 | 0 | 4 | 1,306 | 90 | 99% | 7.6 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,019 | 86 | 95% | 6.6 |
| Qualified Social Worker | 0 | 7 | 7 | 830 | 67 | 74% | 5.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 677 | 67 | 74% | 5.2 |
| Nurse Practitioner | 1 | 0 | 1 | 616 | 78 | 86% | 7.9 |
| Physical Therapy Assistant | 0 | 6 | 6 | 509 | 75 | 82% | 5.3 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 390 | 63 | 69% | 6.2 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 238 | 64 | 70% | 3.2 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
29Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.9
27% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.8
23% worse than Texas averageTexas average: 16.0
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
9% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.9%
40% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
10.9%
237% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
11.9%
169% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.6%
219% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
3.2%
7% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
17.4%
121% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
79.8%
12% worse than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
48% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
69.3%
21% worse than Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
84% lower than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 29, 2023 · $13K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 29, 2023Last updated: Jan 2026
The information below is reported by the Texas Health and Human Services Commission.
| Discovery Village at Southlake |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Southlake | 41 | 71.3% | +12% | 3.99 | -33% | +10% | 1 | 16 | 3.2 | 1 | 37 | 74 | Hcri Tucson Properties Inc | $10.3M | $2.6M | 24.9% | 676351 | ||||
| Avir at Woodlands Villas |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Eastland | 76 | 58.5% | -8% | 3.66 | -76% | +1% | 1 | 35 | 3.5 | 3 | 70 | 49 | Woodland Nursing Operations LLC | $9.0M | $2.3M | 25.9% | 675001 |
Historical financial and operational data for Discovery Village at Southlake based on CMS SNF Cost Reports.
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The legal owner and operator of Discovery Village at Southlake is Dsl Tenant Ii, Llc.
Discovery Village at Southlake has a walk score of 74. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Discovery Village at Southlake's occupancy is 71%.
Yes — see the floorplan options available at Discovery Village at Southlake on this page.
Discovery Village at Southlake has 41 beds.
Discovery Village at Southlake has had 9 recently reported deficiencies.
Yes — there are 16 photos of Discovery Village at Southlake in the photo gallery on this page.
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