DISCOVERY VILLAGE AT SOUTHLAKE
16 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.
Serious inspection findings
2023-09-29 — IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
Staffing, from payroll records
Nursing hours / resident / day
3.01
state median 2.67
Weekend staffing gap
−4%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.72
registered nurses only
Contract (agency) staff
1%
share of all nursing hours
Nursing staff turnover
43%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $12,649 in fines.
| Date | Type | Amount |
|---|---|---|
| 2023-09-29 | Fine | $12,649 |
Ownership
Ownership type: For profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-11-12 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-11-12 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-11 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-04-11 | F0700 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-04-11 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-03-14 | F0583 | Resident Rights Deficiencies | E | not recorded |
| 2024-03-14 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-14 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-14 | F0700 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-14 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-03-14 | F0814 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-03-14 | F0851 | Administration Deficiencies | F | not recorded |
| 2023-09-29 | F0760 | Pharmacy Service Deficiencies | J | not recorded |
| 2023-01-20 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-01-20 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-01-20 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |