All citations for Discovery Village at Southlake

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Discovery Village at Southlake

Last standard health inspection on record

June 4, 2026

Showing 1 to 7 of 7 citations

  1. No harm, with potential for more than minimal harm

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of June 4, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2026).

  2. No harm, with potential for more than minimal harm

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of June 4, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2026).

  3. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of June 4, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2026).

  4. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 10, 2025).

  5. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 4, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2026).

  6. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0921, Environmental Deficiencies. Inspection of June 4, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2026).

  7. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of November 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 10, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.