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Discovery Village at Southlake

Strong Medicare quality ratings; families often praise compassionate memory care staff. Still worth an in-person visit.

201 Watermere Drive, Southlake, TX 7609241 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 144 Google reviews

5
4
3
2
1

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What this means for your family

This facility is an excellent choice for assisted living and memory care due to its beautiful environment and highly praised directors. However, if your loved one requires skilled nursing or rehabilitation, you must closely monitor nighttime staffing levels and hygiene care, as several families have reported significant neglect in those specific departments.

Google Reviews

Google Reviews

144 reviews on Google
Discovery Village at Southlake is highly regarded by many families for its beautiful, hotel-like atmosphere and its compassionate memory care and assisted living teams. However, there are serious, recurring allegations regarding inadequate nighttime staffing, neglect in hygiene/toileting, and inconsistent medication management in the skilled nursing and rehab wings.

Quality Themes

Tap a score for details
Food4.0Staff7.0Clean8.0Activities9.0Meds2.0Memory9.0Comms5.0Value3.0

Strengths

  • Compassionate memory care staff
  • Beautiful, well-maintained facility
  • Professional and welcoming administration
  • Strong physical therapy and rehab programs

Concerns

  • Inadequate nighttime staffing and slow response to call lights (mentioned by 4 reviewers)
  • Neglect regarding hygiene, including infrequent diaper changes and bathing (mentioned by 3 reviewers)
  • Inconsistent medication management and monitoring (mentioned by 2 reviewers)
  • Poor communication from administration regarding billing or care updates (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(4)'18(10)'20(2)'22(8)'24(54)'26(18)

Distribution · 147 analyzed

5
107
4
9
3
6
2
4
1
21
15 reviews posted between Jan 25, 2024Jan 27, 2024 · 14 were 5-star
10 reviews posted between Aug 8, 2024Aug 9, 2024 · 10 were 5-star

How They Respond to Reviews

87%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard wonderful things about how compassionate the memory care staff is; could you tell us more about how they engage residents during daily activities?
  • 2With the facility being so beautifully maintained, what specific routines are in place to ensure resident hygiene and personal care are handled consistently throughout the day?
  • 3How does the nursing team manage medication administration and monitoring, especially during the overnight hours?
  • 4What is the process for communicating important care updates or billing changes to family members to ensure we stay in the loop?
  • 5In the event of a medical emergency during the night, how is the staff response organized to ensure quick assistance?
  • 6We'd love to hear more about the dining experience and how the meal service is structured for the residents.

Personalized based on this facility's data


Key Review Excerpts

The staff at Discovery Village Memory Care took excellent care of our mother. The Memory Care Director Aime Lulu is very attentive and caring.

Memory care family member · 2025★★★★★

The facility is clean every time I am in there. Safety is paramount. Any time I have had a question regarding anything it has been quickly and efficiently taken care of.

Long-term resident's family · 2025★★★★★

For 8 to 10000 a month youd think my mother would get her shower 2 or 3 times a week. I went to visit her and she told me that she hasn't been offered a shower since Christmas

Long-term resident's family · 2026☆☆☆☆
Source: 144 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.78hrs
OK
Registered nurses for medical care
Total Nursing
3.61hrs
88%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
43%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
3/ 5
Better Than Avg

5

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
🩺

Residents with a long-term catheter

↓ Lower is better
This Facility11.0%
Worse than Avg
Here
11.0%
US
0.9%
TX
0.4%
Tarrant
0.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
12.1%
TX
2.5%
Tarrant
2.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility11.8%
Worse than Avg
Here
11.8%
US
3.2%
TX
3.3%
Tarrant
2.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Tarrant
97.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.6%
Better than Avg
Here
13.6%
US
19.5%
TX
18.4%
Tarrant
16.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility17.9%
Worse than Avg
Here
17.9%
US
14.4%
TX
16.1%
Tarrant
13.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility69.3%
Worse than Avg
Here
69.3%
US
79.7%
TX
88.0%
Tarrant
89.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility73.3%
Worse than Avg
Here
73.3%
US
81.8%
TX
89.2%
Tarrant
91.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
1.6%
TX
1.5%
Tarrant
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
1penalties
Near state avg (9.1)
3 complaint-triggered
$12,649 in fines

Families have filed complaints that led to deficiencies in medication management and care planning. This facility shows recurring issues across safety systems, food service, and care planning that persist across multiple surveys from 2023-2025. While the facility corrects identified problems, the pattern of repeated deficiencies in core care areas and ongoing complaint-triggered violations suggests potential quality concerns families should investigate during visits.

Nov 12, 2025Complaint
2
0656Potential for harm · PatternCorrected

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.

0842Potential for harm · IsolatedCorrected

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.

Apr 11, 2025Routine
12
0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0009Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0343Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0656Potential for harm · PatternCorrected

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.

0700Potential for harm · PatternCorrected

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.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Mar 14, 2024Routine
10
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0851Potential for harm · WidespreadCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0690Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0700Potential for harm · IsolatedCorrected

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.

Sep 29, 2023Complaint
1
0760Immediate jeopardy · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jan 20, 2023Routine
3
0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0656Potential for harm · IsolatedCorrected

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.

Federal Penalties

Fine

Sep 29, 2023

$12,649

Ownership & Operations

Who Operates This Facility

Owner / Operator

Dsl Tenant II, LLC

Organization Type

for profit

Management Company

AMERICAN TRUST SENIOR CARE, LLC

Administrator

LANCE DUNCAN

Ownership & Management

Owners

Hcri Tucson Properties INC

Owner · Organization

98%

Key personnel

Denovellis, AaronContracted Managing EmployeeDuncan, LawrenceW-2 Managing EmployeeHutchinson, RichardOfficer / DirectorWierzbicki, SteveOfficer / DirectorAmerican Trust Senior Care LLCManager
Source: Medicare provider data

Contact

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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