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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.
This home is ranked 68th out of 289 homes in Texas for nurse hours. 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 | ▲ 84% State avg: 25m per day · National avg: 41m 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 | ▼ 5% State avg: 57m per day · National avg: 52m 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 | ▼ 4% State avg: 2h 1m per day · National avg: 2h 20m 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 | ▲ 13% State avg: 3h 0m per day · National avg: 3h 27m 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 | ▼ 100% State avg: 4m per day · National avg: 4m 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 | ▲ 61% State avg: 20m per day · National avg: 29m per day |
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
| 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 |
|
Citations per year
Average citations per year since 2024.
| 4.5 | 3 | This facility has 50% more citations per year than a typical Texas nursing home (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.
Texas 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
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
68% more staff per resident than Texas average
0% compared with Texas average
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 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
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.
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 2014–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #229 / 297Payroll — State benchmarkedThis home is ranked 229th out of 297 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
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.
Add your location
Discovery Village at Southlake is located in SOUTHLAKE, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| The Legacy Midtown Park |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Dallas (Vickery Meadow) | 98
Facility
98
TX AVG
80
Rank
#376 / 988 |
87.5%
Facility
87.5%
TX AVG
63.5%
Rank
#31 / 297 | +38% | 5.42
Facility
5.42
TX AVG
3.63
Rank
#14 / 289 | +1% | +49% | $27.5k
Facility
$27.5k
TX AVG
$81.8k
Rank
#159 / 294 | 4
Facility
4
TX AVG
25.9
Rank
#2 / 292 | 1.3
Facility
1.3
TX AVG
3.7
Rank
#2 / 292 | - | 48 | - |
45
Facility
45
TX AVG
41
Rank
#628 / 1391 | The Legacy Midtown Park Inc | $36.9M
Facility
$36.9M
TX AVG
$8.4M
Rank
#9 / 297 | $15.3M
Facility
$15.3M
TX AVG
$3.5M
Rank
#9 / 297 | 41.6%
Facility
41.6%
TX AVG
47%
Rank
#209 / 297 | 676489 | ||||
| Caraday of Houston |
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).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Houston (Northside / Northline) | 150
Facility
150
TX AVG
80
Rank
#63 / 988 | - | - | 3.76
Facility
3.76
TX AVG
3.63
Rank
#88 / 289 | -32% | +4% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 294 | 15
Facility
15
TX AVG
25.9
Rank
#64 / 292 | 3.8
Facility
3.8
TX AVG
3.7
Rank
#196 / 292 | - | 12 | - |
41
Facility
41
TX AVG
41
Rank
#709 / 1391 | E&R Cunningham Investments, LP | $3.6M
Facility
$3.6M
TX AVG
$8.4M
Rank
#292 / 297 | $1.8M
Facility
$1.8M
TX AVG
$3.5M
Rank
#290 / 297 | 50.6%
Facility
50.6%
TX AVG
47%
Rank
#99 / 297 | 676470 | ||||
| Sun Valley Rehabilitation and Healthcare Center |
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).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NC Nursing Care
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Harlingen (Estrellita Subdivision) | 124
Facility
124
TX AVG
80
Rank
#178 / 988 |
76.4%
Facility
76.4%
TX AVG
63.5%
Rank
#96 / 297 | +20% | 3.79
Facility
3.79
TX AVG
3.63
Rank
#88 / 289 | -15% | +4% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 294 | 5
Facility
5
TX AVG
25.9
Rank
#6 / 292 | 2.5
Facility
2.5
TX AVG
3.7
Rank
#62 / 292 | - | 94 | - |
37
Facility
37
TX AVG
41
Rank
#808 / 1391 | Av Rehab LLC | $10.2M
Facility
$10.2M
TX AVG
$8.4M
Rank
#171 / 297 | $4.9M
Facility
$4.9M
TX AVG
$3.5M
Rank
#158 / 297 | 47.8%
Facility
47.8%
TX AVG
47%
Rank
#125 / 297 | 676493 | ||||
| Houston Transitional Care |
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).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NC Nursing Care
PC Palliative Care
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Houston (Braeburn) | 70
Facility
70
TX AVG
80
Rank
#517 / 988 |
90.3%
Facility
90.3%
TX AVG
63.5%
Rank
#18 / 297 | +42% | 3.17
Facility
3.17
TX AVG
3.63
Rank
#215 / 289 | +22% | -13% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 294 | 16
Facility
16
TX AVG
25.9
Rank
#74 / 292 | 5.3
Facility
5.3
TX AVG
3.7
Rank
#268 / 292 | - | 67 | - |
75
Facility
75
TX AVG
41
Rank
#67 / 1391 | Ahmad El-Saadi | $21.9M
Facility
$21.9M
TX AVG
$8.4M
Rank
#31 / 297 | $5.3M
Facility
$5.3M
TX AVG
$3.5M
Rank
#129 / 297 | 24.4%
Facility
24.4%
TX AVG
47%
Rank
#294 / 297 | 676435 | ||||
| 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Southlake | 41
Facility
41
TX AVG
80
Rank
#740 / 988 |
71.3%
Facility
71.3%
TX AVG
63.5%
Rank
#116 / 297 | +12% | 3.99
Facility
3.99
TX AVG
3.63
Rank
#68 / 289 | +63% | +10% | $12.6k
Facility
$12.6k
TX AVG
$81.8k
Rank
#99 / 294 | 16
Facility
16
TX AVG
25.9
Rank
#74 / 292 | 3.2
Facility
3.2
TX AVG
3.7
Rank
#141 / 292 | 1 | 42 | - |
74
Facility
74
TX AVG
41
Rank
#82 / 1391 | Hcri Tucson Properties Inc | $10.3M
Facility
$10.3M
TX AVG
$8.4M
Rank
#167 / 297 | $3.8M
Facility
$3.8M
TX AVG
$3.5M
Rank
#229 / 297 | 36.8%
Facility
36.8%
TX AVG
47%
Rank
#255 / 297 | 676351 |
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 8 photos of Discovery Village at Southlake in the photo gallery on this page.
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