Quick answers
- Where is The Chateau Waco?
- 2430 Market Place Dr., Waco, TX 76711, in Mc Lennan County, Texas.
- What is the phone number of The Chateau Waco?
- (254) 981-7900, as listed by Medicare (CMS).
- What is the Medicare star rating of The Chateau Waco?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has The Chateau Waco been fined?
- Medicare lists 4 fines totaling $72,056.
- What did inspectors find at The Chateau Waco?
- In its last three inspection cycles (October 26, 2023 to March 19, 2026), Medicare lists 30 health citations; the most serious was level K. 6 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 26, 2023 to March 19, 2026), The Chateau Waco had 30 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 6 of them were level G or higher (actual harm or immediate jeopardy). It was fined $72,056 in total (4 fines, the latest on September 26, 2025). Nurse staffing is 3.70 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: March 19, 2026 — 4 health citations
Inspections in this cycle: January 23, 2026 (complaint investigation); March 19, 2026 (standard health inspection).
Show 4 citations (levels A to F, no actual harm)
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
Previous cycle: December 18, 2024 — 18 health citations
Inspections in this cycle: November 24, 2024 (complaint investigation); December 18, 2024 (standard health inspection); January 8, 2025 (complaint investigation); February 27, 2025 (complaint investigation); March 20, 2025 (complaint investigation); July 1, 2025 (complaint investigation); July 30, 2025 (complaint investigation); August 28, 2025 (complaint investigation); September 26, 2025 (complaint investigation).
F0580 Level K
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
immediate jeopardy to resident health or safety; pattern (some residents) · Resident Rights Deficiencies
F0684 Level K
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
F0760 Level J
“Ensure that residents are free from significant medication errors.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Pharmacy Service Deficiencies
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0695 Level J
“Provide safe and appropriate respiratory care for a resident when needed.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 12 less serious citations (levels A to F)
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0686 Level E
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0627 Level D
“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0761 Level D
“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.”
Earlier cycle: October 26, 2023 — 8 health citations
Inspections in this cycle: October 26, 2023 (standard health inspection); January 16, 2024 (complaint investigation); February 28, 2024 (complaint investigation); February 28, 2024 (infection control inspection).
Show 8 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0809 Level E
“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.”
F0810 Level E
“Provide special eating equipment and utensils for residents who need them and appropriate assistance.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (3)
K0923 Level F
“Have proper medical gas storage and administration areas.”
K0342 Level D
“Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
Fines and payment denials
Total fines over about the last three years: $72,056 (4 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or 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 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.29 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.85 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 2.56 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.70 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.10 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.24 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 86.5% | 50.8% | 45.3% |
| RN turnover (per year) | 77.8% | 49.8% | 42.5% |
| Administrators who left in the last year | 2.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 347 nursing homes: The Ensign Group.
Legal business name: South Limestone Hospital District.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| South Limestone Hospital District | Direct owner | 100% | June 1, 2025 |
| Kendrick Healthcare LLC | Management company (operational or managerial control) | NOT APPLICABLE | February 1, 2026 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 123 |
| Average residents per day | 68.1 |
| Takes part in | Medicare and Medicaid |
| Ownership | Government – hospital district |
| Group or chain (affiliated entity) | The Ensign Group |
| Legal business name | South Limestone Hospital District |
| First approved by Medicare/Medicaid | 2016-11-02 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 2430 Market Place Dr., Waco, TX 76711 |
| County | Mc Lennan County |
| State | Texas |
| Phone | (254) 981‑7900 |
| CMS Certification Number | 676409 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Greenview Nursing and Rehabilitation2.3 mi · Waco, TX · 1 of 5 stars
- St. Anthony's Care Center2.3 mi · Waco, TX · 4 of 5 stars
- Avir at Jeffrey Place2.4 mi · Waco, TX · 2 of 5 stars
- Woodway Rehabilitation and Healthcare Center2.7 mi · Waco, TX · 2 of 5 stars
- Avir at Waco3.3 mi · Waco, TX · 3 of 5 stars
Nearest hospital emergency rooms
- Ascension Providence2.5 mi · Waco, TX · Acute Care Hospital
- Baylor Scott & White Medical Center Hillcrest6.2 mi · Waco, TX · Acute Care Hospital
- Falls Community Hospital and Clinic21 mi · Marlin, TX · Rural Emergency Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13