4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Discovery Village at Southlake is a skilled nursing community in Southlake, Texas, offering independent living, assisted living, memory care, and skilled nursing. Operated by DSL Tenant II, LLC in Tarrant County, the community accepts Medicare, Medicaid, and private funds, ensuring diverse financial options for residents. Serving 29 residents with a 41-bed capacity, the community is currently operating at a 71% occupancy rate, which is higher than the state average. It also maintains an overall CMS score of 3 out of 5 stars, matching the typical Texas state average.
The health inspection score is 3 out of 5 stars, placing it slightly higher than the state average of 2.9. Furthermore, the staffing score of 3 out of 5 stars indicates strong performance, as the community ranks 65th out of 240 Texas skilled nursing locations for total adjusted nursing hours. With 3 hours and 59 minutes of care provided per resident daily, it surpasses the state mean by roughly 5%, reflecting stable care access. Weekend care is noted at 3 hours and 24 minutes daily, which is suggested for families to review in comparison to weekday levels. The quality measures score of 3 out of 5 stars is one point below the state average of 4.0, which points to potential areas for enhancing clinical data tracking.
The resident population is composed of approximately 37% Medicare recipients, 37% Medicaid recipients, and 26% private pay residents. With an average stay lasting 28 days, the population largely consists of those receiving short-term rehab or transitional medical support.
The SHINE® memory care program also offers a specialized and structured framework for those living with dementia or Alzheimer’s. Its larger campus also promotes an energetic lifestyle for those in independent and assisted living through a wide array of social, health, and leisure activities for older adults.
Discovery Village at Southlake is a practical option for older adults who need various stages of support under one roof, ranging from active retirement to skilled nursing recovery in the Southlake area, particularly those looking for a local community that accepts both Medicare and Medicaid.
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.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 47m per day | |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 54m per day | |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 56m per day | |
|
Weekend Total Nursing
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 25m per day | |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 0m per day | |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 32m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
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
| 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 assisted living residence (9 vs. TX avg 6).↑ 50% worse |
|
Health citations
Citations related to resident care, clinical practices, and day-to-day operations.
| 6 | 2 | This facility has 200% more health citations than a typical Texas assisted living residence (6 vs. TX avg 2).↑ 200% worse |
|
Life safety citations
Citations related to building safety — fire prevention, emergency egress, and similar.
| 3 | 6 | This facility has 50% fewer life safety citations than a typical Texas assisted living residence (3 vs. TX avg 6).↓ 50% better |
|
Citations per year
Average citations per year since 2024.
| 4.5 | 3 | This facility has 50% more citations per year than a typical Texas assisted living residence (4.5 vs. TX avg 3).↑ 50% worse |
Inspections
| 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.
State average N/A
Last Health inspection on Nov 2025
State average N/A
State average N/A
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.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
24 total: 13 full-time employees and 11 contractors.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursHelps with daily care and mobility.
25 total: 24 full-time employees and 1 contractor.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
134 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 24 | 1 | 25 | 5,761 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 13 | 11 | 24 | 2,960 | 92 | 100% | 8.3 |
| Registered Nurse | 9 | 0 | 9 | 2,324 | 92 | 100% | 8 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,689 | 91 | 99% | 8.7 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,364 | 87 | 95% | 6.7 |
| Nurse Practitioner | 1 | 0 | 1 | 688 | 86 | 93% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
Includes penalties issued in 2023
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 State averageState average: $80K
60% fewer fines than State averageState 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 State averageState 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
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 State averageState average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.8
23% worse than State averageState average: 16.0
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
9% worse than State averageState average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.9%
40% worse than State averageState average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
10.9%
237% worse than State averageState average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
11.9%
169% worse than State averageState average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.6%
219% worse than State averageState average: 0.8%
Percent of long-stay residents who lose too much weight
3.2%
7% better than State averageState average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State averageState average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
17.4%
121% worse than State averageState average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with State averageState average: 97.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
79.8%
12% worse than State averageState average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
48% better than State averageState average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
69.3%
21% worse than State averageState average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
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.
Historical financial and operational data for Discovery Village at Southlake from 2015–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #227 / 280Payroll — State benchmarkedThis home is ranked 227th out of 280 homes in Texas for Payroll. 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.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #241 / 280Payroll % — State benchmarkedThis home is ranked 241st out of 280 homes in Texas for Payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 50–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicare (37% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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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The information below is reported by the Texas Health and Human Services Commission.
| Meadow Lake Senior Living – Tyler | NH AL IL MC RC SNF | Tyler | - | 20 | A+ | 33 | 1 Bed / 2 Bed |
| Windsor Nursing and Rehabilitation Center of Harlingen | NH MC RC SNF | Harlingen | - | 154 | - | 44 | Private Rooms |
| Mirador Retirement Community | NH AL IL MC SNF | Corpus Christi (South Side) | - | 66 | A+ | 39 | 1 Bed / 2 Bed |
| Discovery Village at Southlake | NH AL IL MC RESC SNF | Southlake | - | 41 | - | 74 | - |
| Carillon Senior Living | NH AL | Lubbock (Norfolk Avenue) | - | 100 | A+ | 47 | - |
Discovery Village at Southlake is legally operated by 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 71.3%.
Yes — see the floorplan options available at Discovery Village at Southlake on this page.
Discovery Village at Southlake is registered as a for-profit in TX.
Discovery Village at Southlake has 41 beds.
Discovery Village at Southlake has had 9 reported citations since 2024 according to records from Texas Health and Human Services (HHSC).
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