The Chateau Waco

Nursing Home · Waco, TX

CMS overall rating 1/5 Government - Hospital district

CMS certification number676409

Contact & location

2430 Market Place Drive
Waco, TX 76711
Mc Lennan County
Phone
(254) 981-7900
ZIP code
76711 – all care providers

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Facility details

Certified beds
123
Residents per day
67.5 (55% occupied)
Ownership
Government - Hospital district
Legal name
South Limestone Hospital District
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
November 2, 2016
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.48 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.38 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.79 (state 0.95 · U.S. 0.86)
Nurse aides
2.31 (state 2.00 · U.S. 2.32)
Weekend total
2.95 (state 2.98 · U.S. 3.42)
Nursing staff turnover
73.6 (state 55.3 · U.S. 45.8)%
RN turnover
70.0 (state 54.6 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
March 19, 2026
Health deficiencies (last cycle)
7.0 (state 9.3 · U.S. 9.3)
From complaints
4
Infection control citations
2
Citations on record (3 years)
31 health · 3 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-03-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-19
2026-03-19 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-19
2026-03-19 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-19
2026-01-23 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-23
2025-09-26 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-09-20
2025-08-28 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-08-29
2025-08-28 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-29
2025-07-30 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-31
2025-07-01 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-09
2025-03-20 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2025-03-21
2025-03-20 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2025-03-21
2025-02-27 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-03-19
2025-02-27 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-19
2025-01-08 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-28
2025-01-08 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-28
2025-01-08 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-28
2024-12-18 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-10
2024-12-18 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-10
2024-12-18 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-10
2024-12-18 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-10
2024-12-18 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-10
2024-11-24 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-11-23
2024-02-28 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.
F0809 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-19
2024-02-28 Provide special eating equipment and utensils for residents who need them and appropriate assistance.
F0810 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-19
2024-02-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-19
2024-02-28 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-19
2024-01-16 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-13
2023-10-26 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-10-26 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-10-26 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-09-01 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-21

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

4 penalties in the last three years, including $72,056 in fines.

DateTypeAmount
2025-09-26Fine$16,149
2025-08-28Fine$16,149
2025-02-27Fine$25,325
2024-11-24Fine$14,433

Ownership & management

NameRoleSince
South Limestone Hospital District (organization)5%+ Direct Ownership Interest · 100%
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Flowers, Adam (individual)Administrator · NOT APPLICABLE
Hicks, Heather (individual)Administrator · NOT APPLICABLE
Kendrick Healthcare LLC (organization)Administrator · NOT APPLICABLE
Lake Waco Health Holdings LLC (organization)Administrator · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Price, Larry (individual)Corporate Officer · NOT APPLICABLE
Hicks, Heather (individual)Operational/managerial Control · NOT APPLICABLE
Kendrick Healthcare LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of The Chateau Waco?

The Chateau Waco has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does The Chateau Waco have?

It has 123 certified beds and cares for about 68 residents per day.

Has The Chateau Waco been fined?

Yes. CMS lists 4 penalties totaling $72,056 in the last three years.

Who owns The Chateau Waco?

It is part of The Ensign Group and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of The Chateau Waco?

(254) 981-7900. The facility is located at 2430 Market Place Drive, Waco, TX 76711.

Other nursing homes in Waco

Compare all nursing homes in Waco, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.