Discovery Village At Southlake
Nursing Home · 201 Watermere Drive, Southlake, TX 76092 · 8174821340
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 4.0 / 5 | high |
| Staffing | 3.3 / 5 | high |
| Clinical outcomes | 1.6 / 5 | high |
| Enforcement | 4.4 / 5 | high |
| Financial stability | 3.9 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 41 |
| Ownership | For Profit - Corporation |
| Operator | Dsl Tenant Ii, Llc |
| Certified since | 2014-01-22 |
| CMS overall star | 4 / 5 |
| Accepts Medicaid | No |
| Price tier | $$$$$ of 5 · ~$1,062/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 1 immediate jeopardy · 0 actual harm · 15 potential for harm · 0 minor
- Federal fines: $12,649 · payment denials: 0 · penalty actions: 1
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2025-11-12 | 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, tag 0656) | E | corrected 2025-12-10 |
| 2025-11-12 | 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, tag 0842) | D | corrected 2025-12-10 |
| 2025-04-11 | 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, tag 0656) | E | corrected 2025-05-20 |
| 2025-04-11 | 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, tag 0700) | E | corrected 2025-05-20 |
| 2025-04-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Nutrition and Dietary Deficiencies, tag 0812) | D | corrected 2025-05-20 |
| 2024-03-14 | Keep residents' personal and medical records private and confidential. (Resident Rights Deficiencies, tag 0583) | E | corrected 2024-04-20 |
| 2024-03-14 | 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, tag 0690) | D | corrected 2024-04-20 |
| 2024-03-14 | Provide safe and appropriate respiratory care for a resident when needed. (Quality of Life and Care Deficiencies, tag 0695) | D | corrected 2024-04-20 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 3.61 hrs/resident/day (expected 3.55 for this facility's resident acuity — at or above expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.78 hrs/resident/day (expected 0.62 for this facility's resident acuity — at or above expected) (US median 0.58)
- Breakdown: nurse aide 1.93 · LPN 0.90 hrs/resident/day
- Weekend total staffing: 3.41 hrs/resident/day (expected 3.15 for this facility's resident acuity — at or above expected)
- Annual nursing-staff turnover: 47.7% · RN turnover 42.9% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.28 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 7 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 11% | not reported | worse than 100% of US homes · TX median 0% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 11.8% | not reported | worse than 99% of US homes · TX median 3% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 4.4% | not reported | worse than 91% of US homes · TX median 0.3% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 6.3% | not reported | worse than 74% of US homes · TX median 3.4% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 17.9% | not reported | worse than 69% of US homes · TX median 14.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 1% | 0 → 1 → 1.9 → 0.8 | better than 51% of US homes · TX median 0.7% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 12.5% | not reported | better than 54% of US homes · TX median 8.1% |
What this costs
- This facility's reported avg daily charge: $1,062/day · $$$$$ (price tier 5 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 0% Medicaid · 43% Medicare · 57% other/private · 71% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: no — Medicare-only certification
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Tarrant County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | Yes | 5★ | Acute care |
| Texas Health Harris Methodist Hospital Southwest F | Fort Worth | Yes | 5★ | Acute care |
| Texas Health Hospital Mansfield | Mansfield | Yes | 5★ | Acute care |
| Baylor Scott & White Medical Center Grapevine | Grapevine | Yes | 4★ | Acute care |
| Jps Health Network | Fort Worth | Yes | 4★ | Acute care |
| Methodist Mansfield Medical Center | Mansfield | Yes | 4★ | Acute care |
Compare nearby
- A+ Trinity Terrace · Fort Worth
- A- Allegiant Wellness And Rehab · Crowley
- A- La Dora Nursing And Rehabilitation Center · Bedford
- B+ The Stayton At Museum Way · Fort Worth
- B+ Grapevine Medical Lodge · Grapevine
- B+ Mansfield Medical Lodge · Mansfield
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Tarrant County nursing homes coverage. Spot an error? Tell us.