Nursing Homes · Medicare certified
The Chateau Waco
2430 Market Place Dr. · Waco, TX 76711 · 123 certified beds
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About The Chateau Waco
The Chateau Waco is a nursing home in Waco, Texas. Its capacity is 123 beds, below the MC Lennan County median of 128 for nursing homes. It is run by a nonprofit operator and is part of The Ensign Group. It is Medicare certified. Its public inspection record shows 33 citations, the most recent on March 19, 2026. CMS also lists 4 fines or payment denials against it. Nurse staffing averages 3.70 hours per resident per day. It is one of 14 nursing homes listed in Waco. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (33)
Records from July 2023 to March 2026.
March 19, 2026
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 19, 2026.
March 19, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 19, 2026.
March 19, 2026
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 19, 2026.
January 23, 2026
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 23, 2026.
September 26, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity J: isolated, immediate jeopardy. Corrected September 20, 2025.
August 28, 2025
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 29, 2025.
August 28, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected August 29, 2025.
July 30, 2025
Tag F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 31, 2025.
July 1, 2025
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 9, 2025.
March 20, 2025
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity K: pattern, immediate jeopardy. Corrected March 21, 2025.
March 20, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity K: pattern, immediate jeopardy. Corrected March 21, 2025.
February 27, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 19, 2025.
February 27, 2025
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity J: isolated, immediate jeopardy. Corrected March 19, 2025.
January 8, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 28, 2025.
January 8, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 28, 2025.
January 8, 2025
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 28, 2025.
December 18, 2024
Tag F0761Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 10, 2025.
December 18, 2024
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 10, 2025.
December 18, 2024
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 10, 2025.
December 18, 2024
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 10, 2025.
Penalties (4)
Total fines: $72,056
September 26, 2025 · Fine
CMS recorded a civil money penalty of $16,149 against this nursing home on September 26, 2025.
August 28, 2025 · Fine
CMS recorded a civil money penalty of $16,149 against this nursing home on August 28, 2025.
February 27, 2025 · Fine
CMS recorded a civil money penalty of $25,325 against this nursing home on February 27, 2025.
November 24, 2024 · Fine
CMS recorded a civil money penalty of $14,433 against this nursing home on November 24, 2024.
Staffing
3.70 nurse hours per resident per day in Q2 2026, up from 3.23 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of The Ensign Group, a chain of 347 nursing homes.
Average CMS star ratings across the chain: 3.3 overall, 2.8 for health inspections, 2.8 for staffing, 4.4 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in Waco.
Avir at Waco
Crestview Healthcare Residence
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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