SENIORTRUST HUB

Facility record

DISCOVERY VILLAGE AT SOUTHLAKE has 41 certified beds in SOUTHLAKE, Texas. The CMS overall rating is 5 of 5, compared with the Texas average of 2.6. The CMS health inspection rating is 5 of 5, compared with the Texas average of 2.8. The CMS staffing rating is 4 of 5. The latest standard health survey on Jun 4, 2026 lists 2 deficiencies, compared with the Texas average of 5.6. CMS records a fine of $12,649 dated Sep 29, 2023. Total nurse staffing is 3.63 hours per resident day in 2026Q1, compared with the Texas average of 3.39.

Nearby facilities

CMS nursing homes in Texas

CMS nursing home

DISCOVERY VILLAGE AT SOUTHLAKE

SOUTHLAKE, TX

CMS CCN 6763518174821340Listed in the current CMS nursing-home directoryCMS source updated August 1, 2026

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Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.

Research this nursing home using CMS and federal public records. CMS Certification Number 676351.

At a glance

CMS research snapshot

CMS overall rating

4 of 5

CMS health inspection rating

4 of 5

CMS staffing rating

4 of 5

CMS quality-measure rating

2 of 5

CMS ownership-change history

CMS has published 1 ownership-change record for this provider.

These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.

Quality & care evidence

What CMS reports about quality

  • MDS quality observations are in the CMS extract.
  • PBJ staffing records are in the CMS extract.
  • Inspection evidence is in the CMS extract.
  • Fire-safety evidence is in the CMS extract.

Staffing, inspections, and fire safety are separate CMS evidence families below.

Ownership & management

Who CMS/PECOS connects to this nursing home

Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.

Current owners

  • HCRI TUCSON PROPERTIES INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST98% ownership interest
  • HCRI TUCSON PROPERTIES INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST97.5% ownership interest
  • WELLTOWER INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST97.5% ownership interest
  • WELLTOWER TRS HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST97.5% ownership interest

Operators

  • AMERICAN TRUST SENIOR CARE LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • AMERICAN TRUST SENIOR CARE LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • SMITH, RANDYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • SMITH, RANDYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • WIERZBICKI, STEVEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • WIERZBICKI, STEVEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • AMERICAN TRUST SENIOR CARE LLCOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • SMITH, RANDYIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • WIERZBICKI, STEVEIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • AMERICAN TRUST SENIOR CARE LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • AMERICAN TRUST SENIOR CARE LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • SMITH, RANDYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • SMITH, RANDYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • WIERZBICKI, STEVEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • WIERZBICKI, STEVEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL

Managers

  • DENOVELLIS, AARONIndividual owner · CURRENTCONTRACTED MANAGING EMPLOYEE
  • DENOVELLIS, AARONIndividual owner · CURRENTCONTRACTED MANAGING EMPLOYEE
  • DUNCAN, LAWRENCEIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
  • DUNCAN, LAWRENCEIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
  • DENOVELLIS, AARONIndividual owner · HISTORICALCONTRACTED MANAGING EMPLOYEE
  • DUNCAN, LAWRENCEIndividual owner · HISTORICALW-2 MANAGING EMPLOYEE
  • DENOVELLIS, AARONIndividual owner · UNKNOWNCONTRACTED MANAGING EMPLOYEE
  • DENOVELLIS, AARONIndividual owner · UNKNOWNCONTRACTED MANAGING EMPLOYEE
  • DUNCAN, LAWRENCEIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
  • DUNCAN, LAWRENCEIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE

Enrollment organizations

  • DSL TENANT II, LLCOrganization · CURRENTMedicare-enrolled legal organization
  • DSL TENANT II, LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Historical ownership observations

Historical

  • HCRI TUCSON PROPERTIES INCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST97.5% ownership interest
  • WELLTOWER INCOrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST97.5% ownership interest
  • WELLTOWER TRS HOLDCO LLCOrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST97.5% ownership interest
Ownership observations with UNKNOWN status

These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.

UNKNOWN

  • HCRI TUCSON PROPERTIES INCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST98% ownership interest
  • HCRI TUCSON PROPERTIES INCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST97.5% ownership interest
  • WELLTOWER INCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST97.5% ownership interest
  • WELLTOWER TRS HOLDCO LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST97.5% ownership interest

Ownership change history

CMS ownership-change records

CMS publishes Change of Ownership records for this nursing home.

  1. CMS records show an ownership change effective 2019-04-01.

    CMS type
    CHANGE OF OWNERSHIP
    Buyer legal entity
    DSL TENANT II, LLC
    Seller legal entity
    NORTH TOWER CARE GROUP, LP
    Effective date
    2019-04-01

These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.

Source freshness

How current each evidence family is

nursing-home-mds-quality-measures
STALE · source as of 2026-08-01
nursing-home-provider-information
STALE · source as of 2026-08-01
skilled-nursing-facility-all-owners
AGING · source as of 2026-08-17
skilled-nursing-facility-change-of-ownership
CURRENT · source as of 2026-08-24

Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.

Methodology

How Trust Hub researches this provider

  • CMS is the source for national nursing-home evidence.
  • Trust Hub does not create the CMS star ratings.
  • Ownership evidence does not measure care quality.
  • CMS CHOW records document reported ownership-change events.
  • Missing evidence is not interpreted as zero.
  • UNKNOWN ownership history is not interpreted as divestiture.
  • Ownership evidence is not a quality measure.
  • Missing evidence is not a zero score.
  • CMS ratings are CMS ratings, not Trust Hub ratings.
  • UNKNOWN ownership does not prove an owner left.
  • CHOW records are CMS transaction records, not Trust Hub judgments or sales.

CMS overview

CMS rating overview

CMS overall

5 of 5

Health inspection

5 of 5

Staffing

4 of 5

Quality measures

2 of 5

No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read

CMS certified beds
41
Ownership descriptor
For profit - Corporation
Medicare participation
Yes
Medicaid participation
No

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone
8174821340CMS Provider Information

State regulatory evidence

State License & Oversight

Texas Health and Human Services Commission is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.

Texas Health and Human Services Commission

State license
307431
License type
Nursing Facility

State regulatory data · checked Aug 2026

View source details · Official TX source

CMS designations

Special Focus and abuse-icon status

This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.

Not currently SFF or candidate

CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.

CMS field value: (blank). Observed Aug 1, 2026.

CMS abuse-icon designation

CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.

CMS field value: N. Observed Aug 1, 2026.

Enrollment identity

Medicare enrollment organization NPI associated with this CMS Certification Number

These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.

  • NPI 1396205852 · enrollment O20190528001668
  • NPI 1396205852 · enrollment O20190528001668

MDS quality measures

Individual CMS quality measures

These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.

MDS source release 2026-08-01.

View individual MDS measures
  • Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 92.000000
  • Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 9
  • Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 12.000000 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who have depressive symptoms (Long Stay): 4.255319
  • Percentage of long-stay residents who lose too much weight (Long Stay): 0.000000
  • Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 13.953488
  • Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 12.500000 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
  • Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 9 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 12.820513 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 10.559338 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a urinary tract infection (Long Stay): 6.666667 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 8.389404
  • Percentage of long-stay residents with pressure ulcers (Long Stay): 8.627684 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 74.043261
  • Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 1.101322 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 69.291339

Fire-safety citations

CMS fire-safety citations

These are fire-safety citations, not health deficiencies and not a count of fires.

  • 2026-06-04 · tag 0024 · scope/severity F — Establish policies and procedures for volunteers.
  • 2026-06-04 · tag 0026 · scope/severity F — Establish roles under a Waiver declared by secretary.
  • 2026-06-04 · tag 0372 · scope/severity F — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  • 2025-04-11 · tag 0006 · scope/severity F — Conduct risk assessment and an All-Hazards approach.
  • 2025-04-11 · tag 0009 · scope/severity F — Include a process for Emergency Preparedness collaboration.
  • 2025-04-11 · tag 0026 · scope/severity F — Establish roles under a Waiver declared by secretary.
  • 2025-04-11 · tag 0324 · scope/severity E — Provide properly protected cooking facilities.
  • 2025-04-11 · tag 0343 · scope/severity F — Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
  • 2025-04-11 · tag 0345 · scope/severity F — Have approved installation, maintenance and testing program for fire alarm systems.
  • 2025-04-11 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
  • 2025-04-11 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
  • 2025-04-11 · tag 0363 · scope/severity E — Install corridor and hallway doors that block smoke.

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 4-star staffing rating for this facility.

RN staffing was 0.85 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Ownership

CMS-published records list 19 ownership or control parties.

CMS records show an ownership change effective April 2019.

View ownership evidence
Enforcement record

CMS records show a $12,649 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type
For profit - CorporationCMS
Related facilities
90Current CMS organization identity
Ownership changes
1 recordedCMS enrollment records

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

  • 4 CMS-reported ownership organizations
  • CMS reports 12 individual ownership interests
  • recorded ownership-change events

Related facilities

90 currently connected nursing homes share this CMS organization identity with WELLTOWER INC.

Average CMS overall rating
2.6 stars across 88 reporting facilities
CMS monetary penalties
59 of 90 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties
33 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement
31 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections
71 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines
$4,564,796

How connected-facility figures are read

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records
19
Organizations shown
7
Individuals shown
12
Latest ownership source update
Aug 17, 2026

CMS-published ownership and control parties

  • HCRI TUCSON PROPERTIES INC

    Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST

    Published ownership percentage: 98%

    Association date reported to CMS: Apr 1, 2019

    Other facilities connected through this exact CMS organization identity: 0 across TX.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • DENOVELLIS, AARON

    Individual · CONTRACTED MANAGING EMPLOYEE

    Association date reported to CMS: Apr 1, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • HUTCHINSON, RICHARD

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Apr 1, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • WIERZBICKI, STEVE

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Apr 1, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • AMERICAN TRUST SENIOR CARE LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Apr 1, 2019

    Other facilities connected through this exact CMS organization identity: 0 across TX.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SMITH, RANDY

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Apr 1, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • WIERZBICKI, STEVE

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Apr 1, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • DUNCAN, LAWRENCE

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Apr 1, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • HCRI TUCSON PROPERTIES INC

    Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST

    Published ownership percentage: 97.5%

    Association date reported to CMS: Apr 1, 2019

    Other facilities connected through this exact CMS organization identity: 0 across TX.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • WELLTOWER INC

    Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 97.5%

    Association date reported to CMS: Apr 1, 2019

    Other facilities connected through this exact CMS organization identity: 101 across AL, CA, CT, DE, IL, IN, MD, MI, NJ, NM, OH, PA, TX, VA, WA, WV.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • WELLTOWER TRS HOLDCO LLC

    Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 97.5%

    Association date reported to CMS: Apr 1, 2019

    Other facilities connected through this exact CMS organization identity: 1 across TX, VA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • DENOVELLIS, AARON

    Individual · CONTRACTED MANAGING EMPLOYEE

    Association date reported to CMS: Apr 1, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • HUTCHINSON, RICHARD

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Apr 1, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • WIERZBICKI, STEVE

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Apr 1, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • AMERICAN TRUST SENIOR CARE LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Apr 1, 2019

    CMS classifications: Management services company

    Other facilities connected through this exact CMS organization identity: 0 across TX.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SMITH, RANDY

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Apr 1, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • WIERZBICKI, STEVE

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Apr 1, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • DUNCAN, LAWRENCE

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Apr 1, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • DSL TENANT II, LLC

    Organization · Medicare-enrolled legal organization

    Other facilities connected through this exact CMS organization identity: 0 across TX.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility Enrollments
    CMS dataset identifier
    5f2c306f-3b1c-42cd-b037-187b2ce22126
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

Ownership changes reported in CMS enrollment records

  1. CHANGE OF OWNERSHIPNORTH TOWER CARE GROUP, LP to DSL TENANT II, LLC
    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility Change of Ownership
    CMS dataset identifier
    f557a6ed-95b3-4a22-8433-4175db2dec1c
    Source updated
    Aug 24, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

  • CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
  • CMS enrollment records show a change of ownership effective Apr 1, 2019. What operational or leadership changes followed that event?
  • CMS records connect WELLTOWER INC to 102 facilities. Which policies and staffing decisions are managed centrally versus locally?

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date
Jun 4, 2026
Survey type
Fire Safety Standard
Linked findings
0
Highest linked CMS classification
No linked health-deficiency finding in the loaded record
View source details
Dataset
Inspection Dates
CMS dataset ID
svdt-c123
CMS source updated
Aug 1, 2026
CMS provider ID
676351
Source record locator
csv-row:148029:ccn:676351
View official CMS source
Jun 4, 2026 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jun 4, 2026 — Health Standard — 2 linked findings
  • F0880 — Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 10, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:415361:ccn:676351
    View official CMS source
  • F0921 — Environmental Deficiencies

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

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 10, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:415362:ccn:676351
    View official CMS source
Nov 12, 2025 — Health Complaint — 2 linked findings
  • F0656 — 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.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Dec 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:415363:ccn:676351
    View official CMS source
  • F0842 — 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.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Dec 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:415364:ccn:676351
    View official CMS source
Apr 11, 2025 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Apr 11, 2025 — Health Standard — 3 linked findings
  • F0656 — 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.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (May 20, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:415365:ccn:676351
    View official CMS source
  • F0700 — 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.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (May 20, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:415366:ccn:676351
    View official CMS source
  • F0812 — Nutrition and Dietary Deficiencies

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

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (May 20, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:415367:ccn:676351
    View official CMS source
Mar 14, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Mar 14, 2024 — Health Standard — 7 linked findings
  • F0583 — Resident Rights Deficiencies

    Keep residents' personal and medical records private and confidential.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 20, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:415371:ccn:676351
    View official CMS source
  • F0690 — 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.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 20, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:415372:ccn:676351
    View official CMS source
  • F0695 — Quality of Life and Care Deficiencies

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

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 20, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:415373:ccn:676351
    View official CMS source
  • F0700 — 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.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 20, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:415374:ccn:676351
    View official CMS source
  • F0812 — Nutrition and Dietary Deficiencies

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

    CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 20, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:415368:ccn:676351
    View official CMS source
  • F0814 — Nutrition and Dietary Deficiencies

    Dispose of garbage and refuse properly.

    CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 20, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:415369:ccn:676351
    View official CMS source
  • F0851 — Administration Deficiencies

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

    CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 20, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:415370:ccn:676351
    View official CMS source
Sep 29, 2023 — Health Complaint — 1 linked finding
  • F0760 — Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

    CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.

    Correction status: Past Non-Compliance (Sep 16, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:415375:ccn:676351
    View official CMS source

Tags appearing across inspections

  • F0656 appears in 2 linked inspections.
  • F0700 appears in 2 linked inspections.
  • F0812 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

  • Fine — Sep 29, 2023

    Published fine amount: $12,649.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    676351
    Source record locator
    csv-row:15435:ccn:676351
    View official CMS source

Questions to ask

Questions generated from the evidence above

  • CMS records show F0656 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0700 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show a monetary penalty dated Sep 29, 2023. What changes were made after that enforcement action?

Facility history

Facility History

8 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

  • Complaint inspection recorded2 deficiencies were recorded.
  • RN staffing increasedRN staffing increased from 0.57 to 0.69 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.

2025

  1. Complaint inspection recorded

    2 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  2. RN staffing increased

    RN staffing increased from 0.57 to 0.69 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.

    0.57 → 0.69

    CMS · Reported in a source release · View related evidence

  3. Health inspection completed

    3 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

2024

  1. Health inspection completed

    7 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

2023

  1. Complaint inspection recorded

    1 deficiencies were recorded. That includes 1 higher-severity deficiency.

    CMS · Recorded event date · View related evidence

  2. Civil monetary penalty recorded

    CMS recorded a $12,649 civil monetary penalty.

    CMS · Recorded event date · View related evidence

  3. Health inspection completed

    3 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

2019

  1. Ownership change recorded

    An ownership change was recorded. New organization: DSL TENANT II, LLC.

    NORTH TOWER CARE GROUP, LP → DSL TENANT II, LLC

    CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter
Total nursing
3.628
reported hours per resident day
RN categories
0.851
reported hours per resident day
LPN/LVN categories
0.915
reported hours per resident day
CNA
1.516
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing3.7573.308
RN categories0.9390.633

Contract staff accounted for 0.6% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.071 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
QuarterTotal nursingRN categoriesLPN/LVNCNAContract shareDays
2025Q23.5030.5690.9381.540.9%91
2025Q33.6090.6870.8711.5530.5%92
2025Q43.6060.780.8971.4921%92
2026Q13.6280.8510.9151.5160.6%90

Questions to ask

  • PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
  • PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
Source
Centers for Medicare & Medicaid Services (CMS)
Dataset
Payroll Based Journal Daily Nurse Staffing
CMS dataset ID
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter
2026Q1
Coverage
Jan 1, 2026–Mar 31, 2026
Days represented
90 (90 with positive MDS census)
CMS source updated
Jul 29, 2026
Calculation version
pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

  • CMS reports a 5-star overall rating.
  • CMS reports a 5-star health inspection rating.
  • CMS reports a 4-star staffing rating.
  • CMS reports a 2-star quality-measure rating.

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.

How corrections work

Source register

See where this record came from

Provider Information
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
4pq5-n9py
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Overview, facility facts, and CMS ratings
View official CMS source
Inspection Dates
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
svdt-c123
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Inspections and facility history
View official CMS source
Health Deficiencies
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
r5ix-sfxw
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Health deficiencies and facility history
View official CMS source
Penalties
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
g6vv-u9sr
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Penalties, enforcement, and facility history
View official CMS source
Payroll Based Journal Daily Nurse Staffing
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage
Apr 1, 2025–Mar 31, 2026
Source updated
Jul 29, 2026
Retrieved
Aug 15, 2026
Supports
PBJ staffing cards, history, and transparent calculations
View official CMS source
Ownership
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Skilled Nursing Facility All Owners
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Skilled Nursing Facility Enrollments
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Skilled Nursing Facility Change of Ownership
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
f557a6ed-95b3-4a22-8433-4175db2dec1c
Source updated
Aug 24, 2026
Retrieved
Aug 15, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Directory of Nursing Facilities with an Active License
Source organization
Texas Health and Human Services Commission
Dataset identifier
state-regulator:tx
Coverage
State license 307431
Source updated
Aug 18, 2026
Retrieved
Aug 18, 2026
Supports
state license, and license type. Separate from CMS certification, ratings, and ownership.
View official state source

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