The Chateau Waco
Nursing home in Waco, TX
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 2430 Market Place Drive, Waco, TX 76711
- Phone
- (254) 981-7900
- Listed under
- Government-owned
- Medicare CCN
- 676409
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 123
- Average residents per day
- 68
- Ownership
- Government, hospital district
- Legal business name
- South Limestone Hospital District
- Chain
- The Ensign Group (342 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Nov 2, 2016
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Mar 19, 2026. CMS lists 31 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 1, 2023 to Mar 19, 2026): 20 from complaint inspections, 6 at the “actual harm” level or higher, including 6 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| Mar 19, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Mar 19, 2026 | Provide and implement an infection prevention and control program. | D |
| Mar 19, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| Jan 23, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| Sep 26, 2025 | Ensure that residents are free from significant medication errors. | J |
| Aug 28, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| Aug 28, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| Jul 30, 2025 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| Jul 1, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| Mar 20, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K |
| Mar 20, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K |
| Feb 27, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
Fines and payment denials
CMS records 4 fines totalling $72,056 in the last three years.
| Sep 26, 2025 | Fine: $16,149 |
| Aug 28, 2025 | Fine: $16,149 |
| Feb 27, 2025 | Fine: $25,325 |
| Nov 24, 2024 | Fine: $14,433 |
Staffing
- Total nurse staffing per resident per day
- 3.48 hours
- Registered nurse (RN) time per resident per day
- 0.38 hours
- Nurse aide time per resident per day
- 2.31 hours
- Total nurse staffing on weekends
- 2.95 hours
- Nursing staff turnover (yearly)
- 74%
- RN turnover (yearly)
- 70%
- Administrators who left in the past year
- 2
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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