Nursing home in Waco, Texas
The Chateau Waco
Medicare and Medicaid
2430 Market Place Dr., Waco, TX 76711
(254) 981-7900
CMS star ratings
CMS gives this nursing home an overall star rating of 1 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home1
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home1
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home1
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home4
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Mar 19, 2026. CMS counts 5 health deficiencies in rating cycle 1.
- This nursing home5
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 30 health deficiencies on 14 inspection dates since Sep 30, 2023. By level of harm: 6 immediate jeopardy, 24 potential for harm.
- 6 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 24 No actual harm, potential for more than minimal harm
- 0 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Mar 19, 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Apr 19, 2026 |
| Mar 19, 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 19, 2026 |
| Mar 19, 2026 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 19, 2026 |
| Jan 23, 2026 | F0842 | 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 | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Feb 23, 2026 |
| Sep 26, 2025 | F0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies | J Immediate jeopardy, isolated | Complaint | Past Non-Compliance Sep 20, 2025 |
| Aug 28, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Aug 29, 2025 |
| Aug 28, 2025 | F0580 | 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 | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Aug 29, 2025 |
| Jul 30, 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jul 31, 2025 |
| Jul 1, 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jul 9, 2025 |
| Mar 20, 2025 | F0580 | 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 | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Mar 21, 2025 |
Show the other 20 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Mar 20, 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Mar 21, 2025 |
| Feb 27, 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Mar 19, 2025 |
| Feb 27, 2025 | F0656 | 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 | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Mar 19, 2025 |
| Jan 8, 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jan 28, 2025 |
| Jan 8, 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jan 28, 2025 |
| Jan 8, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jan 28, 2025 |
| Dec 18, 2024 | F0656 | 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 | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jan 10, 2025 |
| Dec 18, 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jan 10, 2025 |
| Dec 18, 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jan 10, 2025 |
| Dec 18, 2024 | F0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 10, 2025 |
| Dec 18, 2024 | F0761 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 10, 2025 |
| Nov 24, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Past Non-Compliance Nov 23, 2024 |
| Feb 28, 2024 | F0809 | 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 | E Potential for harm, pattern | Complaint, Infection control | Deficient, Provider has date of correction Mar 19, 2024 |
| Feb 28, 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Complaint, Infection control | Deficient, Provider has date of correction Mar 19, 2024 |
| Feb 28, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Mar 19, 2024 |
| Feb 28, 2024 | F0623 | 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 | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Mar 19, 2024 |
| Jan 16, 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Feb 13, 2024 |
| Oct 26, 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Nov 16, 2023 |
| Oct 26, 2023 | F0656 | 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 | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Nov 16, 2023 |
| Oct 26, 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Nov 16, 2023 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.48 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.38 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home73.6%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 4 penalties for this nursing home: 4 fines totaling $72,056, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 123 |
|---|---|
| Average residents per day | 67.5 |
| Ownership | Government - Hospital district |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | The Ensign Group (344 facilities) |
| Legal business name | SOUTH LIMESTONE HOSPITAL DISTRICT |
| First approved for Medicare and Medicaid | Nov 2, 2016 |
| County | Mc Lennan |
| CMS certification number | 676409 |
Also in Waco
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| St. Catherine Center | 165 | Non profit - Corporation | ||
| Avir at Waco | 120 | For profit - Limited Liability company | ||
| Crestview Healthcare Residence | 192 | For profit - Limited Liability company | ||
| St. Anthony's Care Center | 120 | For profit - Individual | ||
| Avir at Jeffrey Place | 95 | For profit - Limited Liability company | ||
| Wesley Woods Health & Rehabilitation | 120 | For profit - Corporation | ||
| Woodway Rehabilitation and Healthcare Center | 144 | For profit - Corporation | ||
| Greenview Nursing and Rehabilitation | 128 | For profit - Corporation | ||
| Ivy Creek Wellness & Rehabilitation | 162 | For profit - Corporation | ||
| Lakeshore Village Nursing and Rehabilitation | 151 | Government - Hospital district | ||
| Ridgecrest Retirement and Healthcare Community | 90 | For profit - Limited Liability company | ||
| Woodland Springs Nursing Center | 132 | For profit - Corporation |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| Baylor Scott & White Medical Center Hillcrest | Acute Care Hospitals | Yes | |
| Ascension Providence | Acute Care Hospitals | Yes | |
| Oceans Behavioral Hospital of Waco | Not available | Psychiatric | No |