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Deficiency Records for Discovery Village at Southlake
View the most recent health deficiencies and inspection results for Discovery Village at Southlake. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Discovery Village at Southlake. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-12 | 2025-12-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-11-12 | 2025-12-10 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-04-11 | 2025-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-11 | 2025-05-20 | N |
| 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. | Health | 2025-04-11 | 2025-05-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-11 | 2025-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-11 | 2025-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-11 | 2025-05-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-11 | 2025-05-20 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2025-04-11 | 2025-05-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-11 | 2025-05-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-04-11 | 2025-05-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-04-11 | 2025-05-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-11 | 2025-05-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-14 | 2024-04-20 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-03-14 | 2024-04-20 | N |
| Dispose of garbage and refuse properly. | Health | 2024-03-14 | 2024-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-14 | 2024-04-20 | N |
| 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. | Health | 2024-03-14 | 2024-04-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-14 | 2024-04-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-03-14 | 2024-04-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-14 | 2024-04-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-03-14 | 2024-04-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-14 | 2024-04-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-29 | 2023-09-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-20 | 2023-02-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-20 | 2023-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-20 | 2023-02-25 | N |