About Discovery Village at Southlake
Discovery Village At Southlake, located in SOUTHLAKE, TX, is a for-profit organization that accepts Medicare.
Why Families Choose Discovery Village at Southlake
- High Quality Care: With a 4-star CMS rating, this facility demonstrates high standards.
- Top Ranked: Ranked #23 out of 145 facilities within 25 miles.
Key Performance Indicators
- CMS Overall Rating 4 Stars
- Nursing Hours 3.61 hrs
- Safety Record Clean
Chain Affiliations & Network
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Mixed Staffing Levels
Discovery Village at Southlake provides more care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 4 |
|
| Health Inspection | 4 |
|
| Quality Measures | 3 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 32 | Apr 11, 2025 |
| Weighted Average | 46 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending Jun 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 40.6% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 16.8% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 17.9% |
| Percentage of long-stay residents who lose too much weight (QM404) | 2.6% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 11.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 4.4% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 2.0% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 11.8% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 100.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 73.3% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | N/A |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 13.6% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | N/A |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 69.3% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 6.3% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 17.0% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 12.5% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 1 complaint
- 2025: 2 complaints
- Total: 3 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Dec 10, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Dec 10, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Sep 16, 2023 | Ensure that residents are free from significant medication errors. |
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Owner & Operator Information
Management & Direction
- AMERICAN TRUST SENIOR CARE LLC OPERATIONAL/MANAGERIAL CONTROL
- AARON DENOVELLIS CONTRACTED MANAGING EMPLOYEE
- LAWRENCE DUNCAN W-2 MANAGING EMPLOYEE
- RICHARD HUTCHINSON CORPORATE DIRECTOR
- RANDY SMITH OPERATIONAL/MANAGERIAL CONTROL
- STEVE WIERZBICKI CORPORATE DIRECTOR
- STEVE WIERZBICKI OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| The Legacy Midtown Park | N/A | 5 |
| Trinity Terrace | N/A | 5 |
| La Dora Nursing and Rehabilitation Center | N/A | 5 |
| Allegiant Wellness and Rehab | N/A | 5 |
| Hurst Plaza Nursing and Rehab | N/A | 4 |
| Parkwood Village | N/A | 5 |
| Ventana By Buckner | N/A | 5 |
| Grapevine Medical Lodge | N/A | 5 |
| Village Creek Nursing and Rehabilitation | N/A | 4 |
| Heritage Place of Decatur | N/A | 3 |
Related Analysis
Best Nursing Homes in SOUTHLAKE, TX
Compare Discovery Village at Southlake to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Discovery Village at Southlake directly at 8174821340. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.