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Discovery Village At Southlake
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Ratings Deep Dive
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Nov 12, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| — | Nov 12, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| — | Apr 11, 2025 | 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 |
| — | Apr 11, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| — | Apr 11, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
0.7 RN Hours / Resident / Day
3.6 Total Nurse Hours / Resident / Day
50.0% RN Turnover Rate
1.0 Long-Stay QM Rating
4.0 Short-Stay QM Rating
39.1 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST HCRI TUCSON PROPERTIES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST WELLTOWER OP LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST WELLTOWER TRS HOLDCO LLC
OPERATIONAL/MANAGERIAL CONTROL AMERICAN TRUST SENIOR CARE LLC
OPERATIONAL/MANAGERIAL CONTROL SMITH, RANDY
OPERATIONAL/MANAGERIAL CONTROL WIERZBICKI, STEVE
CORPORATE DIRECTOR HUTCHINSON, RICHARD
CORPORATE DIRECTOR WIERZBICKI, STEVE
CONTRACTED MANAGING EMPLOYEE DENOVELLIS, AARON
W-2 MANAGING EMPLOYEE DUNCAN, LAWRENCE
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Sep 29, 2023 | Fine | $12,649 |
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