Facility profile · CCN 676351
Discovery Village At Southlake
16 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $12,649.
Record summary
Federal record · Q1 202616
Total citations
13
Last 3 years
1
Actual harm+
1
Federal penalties
$12,649
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
16 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 12, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Nov 12, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| Apr 11, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Apr 11, 2025 | F700 | 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 | Standard |
| Apr 11, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Mar 14, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard |
| Mar 14, 2024 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Mar 14, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Mar 14, 2024 | F700 | 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 | Standard |
| Mar 14, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 14, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Mar 14, 2024 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
| Sep 29, 2023 | F760 | Ensure that residents are free from significant medication errors. | J | Complaint |
| Jan 20, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jan 20, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Jan 20, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $12,649 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 29, 2023 | Fine | $12,649 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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