DISCOVERY VILLAGE AT SOUTHLAKE
201 WATERMERE DRIVE
SOUTHLAKE, TX, 76092
8174821340
CCN: 676351
4
Overall4
Health3
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| HCRI TUCSON PROPERTIES INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 98% |
| WELLTOWER TRS HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| WELLTOWER INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| DENOVELLIS, AARON | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE |
| HUTCHINSON, RICHARD | CORPORATE DIRECTOR | NOT APPLICABLE |
| WIERZBICKI, STEVE | CORPORATE DIRECTOR | NOT APPLICABLE |
| WIERZBICKI, STEVE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| AMERICAN TRUST SENIOR CARE LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SMITH, RANDY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DUNCAN, LAWRENCE | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2023-09-29 | Fine | $13K |
Health Deficiencies (16)
2025-11-12 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2025-04-11 · Health
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F700 · Quality of Life and Care Deficiencies
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.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-03-14 · Health
F
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F700 · Quality of Life and Care Deficiencies
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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
E
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2023-09-29 · Health
J
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
2023-01-20 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.61
RN Hrs/Resident/Day0.54
0.69
LPN Hrs/Resident/Day0.81
0.87
CNA Hrs/Resident/Day2.33
2.05
PT Hrs/Resident/Day0.12
0.05
Data as of 2026-03-01