nursing home in Waco, TX
The Chateau Waco
2430 Market Place Dr., Waco, TX 76711 · (254) 981-7900
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Chateau Waco at a glance
The Chateau Waco is a 123-bed government nursing home in Waco, Texas (Mc Lennan County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.5 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (March 19, 2026) found 5 health citations. The Texas average is 9.4.
Federal regulators fined it 4 times in the past three years, totaling $72,056.
Nursing staff turnover is 73.6% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 123
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- November 2, 2016
- Resident/family council
- Resident
- County
- Mc Lennan County
- CMS Certification Number
- 676409
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.48 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.38 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.31 hrs | 2.01 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.95 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 73.6% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 70% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 157.8 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $72,056 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 123 | 113 | 107 | |
| Average residents per day | 68 | 76 | 86 | |
| Occupancy | 54.9% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.8% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 8.1% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 2% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14.1% | 15.8% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 15.5% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 1.5% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.4% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 13.7% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 15.2% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 95.8% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.5% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 31 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 6 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 19, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 19, 2026 |
| March 19, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected April 19, 2026 |
| March 19, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 19, 2026 |
| January 23, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected February 23, 2026 |
| September 26, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | J Immediate jeopardy, isolated | Corrected September 20, 2025 |
| August 28, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected August 29, 2025 |
| August 28, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 30, 2025 Complaint | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627 | D Potential harm, isolated | Corrected July 31, 2025 |
| July 1, 2025 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected July 9, 2025 |
| March 20, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | K Immediate jeopardy, pattern | Corrected March 21, 2025 |
| March 20, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | K Immediate jeopardy, pattern | Corrected March 21, 2025 |
| February 27, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | J Immediate jeopardy, isolated | Corrected March 19, 2025 |
| February 27, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 19, 2025 |
| January 8, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 28, 2025 |
| January 8, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected January 28, 2025 |
| January 8, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected January 28, 2025 |
| December 18, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected January 7, 2025 |
| December 18, 2024 Fire safety | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Tag K0342 | D Potential harm, isolated | Corrected January 7, 2025 |
| December 18, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected January 7, 2025 |
| December 18, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | E Potential harm, pattern | Corrected January 10, 2025 |
| December 18, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected January 10, 2025 |
| December 18, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected January 10, 2025 |
| December 18, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected January 10, 2025 |
| December 18, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected January 10, 2025 |
| November 24, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected November 23, 2024 |
| February 28, 2024 Complaint · Infection control | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Tag F0810 | E Potential harm, pattern | Corrected March 19, 2024 |
| February 28, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 19, 2024 |
| February 28, 2024 Complaint · Infection control | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected March 19, 2024 |
| February 28, 2024 Complaint | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected March 19, 2024 |
| January 16, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected February 13, 2024 |
| October 26, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected November 16, 2023 |
| October 26, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected November 16, 2023 |
| October 26, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 16, 2023 |
| September 1, 2023 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected September 21, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $72,056 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 26, 2025 | Fine | $16,149 |
| August 28, 2025 | Fine | $16,149 |
| February 27, 2025 | Fine | $25,325 |
| November 24, 2024 | Fine | $14,433 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SOUTH LIMESTONE HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 06/01/2025 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 02/01/2026 |
| FLOWERS, ADAM Individual | adp of the snf | NOT APPLICABLE | 07/05/2022 |
| HICKS, HEATHER Individual | adp of the snf | NOT APPLICABLE | 02/01/2026 |
| KENDRICK HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 02/12/2026 |
| LAKE WACO HEALTH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2026 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| PRICE, LARRY Individual | corporate officer | NOT APPLICABLE | 06/01/2025 |
| HICKS, HEATHER Individual | operational/managerial control | NOT APPLICABLE | 02/01/2026 |
| KENDRICK HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2026 |
Other nursing homes near The Chateau Waco
Greenview Nursing and Rehabilitation
401 Owen Lane, Waco, TX 76710 · 2.3 mi
For-profit · 128 beds · Part of Eduro Healthcare
★★★★★1Much below averageSt. Anthony's Care Center
7501 Bagby Ave, Waco, TX 76712 · 2.3 mi
For-profit · 120 beds
- New owner (last 12 months)
★★★★★4Above averageAvir at Jeffrey Place
820 Jeffrey Dr, Waco, TX 76710 · 2.4 mi
For-profit · 95 beds · Part of Avir Health Group
- New owner (last 12 months)
★★★★★3AverageWoodway Rehabilitation and Healthcare Center
7801 Woodway Dr, Waco, TX 76712 · 2.7 mi
For-profit · 144 beds · Part of Momentum Skilled Services
★★★★★2Below averageAvir at Waco
9101 Panther Way, Waco, TX 76712 · 3.3 mi
For-profit · 120 beds · Part of Avir Health Group
★★★★★4Above averageHewitt Nursing and Rehabilitation
8836 Mars Dr, Hewitt, TX 76643 · 3.4 mi
For-profit · 140 beds · Part of Hmg Healthcare
★★★★★3Average
Frequently asked questions
What is The Chateau Waco's rating?
The Chateau Waco has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did The Chateau Waco receive?
Its most recent standard health inspection found 5 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does The Chateau Waco accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Chateau Waco?
It is government - hospital district and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Chateau Waco and how do I contact it?
The Chateau Waco is at 2430 Market Place Dr., Waco, TX 76711. Phone: (254) 981-7900.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.