The Chateau Waco
2430 Market Place Drive, Waco, TX, 76711
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: The Ensign Group
- Certified beds
- 123 · avg 64 residents/day
- Total nursing staff turnover
- 77.8% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $72,056 total
- Infection control citations
- 2
Medicare certification
- CMS Certification Number
- 676409
- Certified beds
- 123 beds · avg 64 residents/day
- Ownership type
- Government - Hospital district
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- South Limestone Hospital District
- Chain affiliation
- The Ensign Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 338 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (8 on record)
- Kendrick Healthcare Llc
Adp of The Snf · since 2026
- Ensign Services Inc
Adp of The Snf · since 2026
- Heather Hicks
Operational/managerial Control · since 2026
- Lake Waco Health Holdings Llc
Adp of The Snf · since 2026
- Larry n Price
Corporate Officer · since 2025
- South Limestone Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2025
+ 2 additional owners on the federal record.
Recent change of ownership
June 2025 (1 year ago) · acquired from The Brazos of Waco
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 33)
- D0880·Mar 19, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Mar 19, 2026
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0550·Mar 19, 2026
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0842·Jan 23, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- J0760·Sep 26, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- J0689·Aug 28, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0580·Aug 28, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0627·Jul 30, 2025Complaint
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Federal penalties
By year
- 20253 fines · $58K
- 20241 fine · $14K
Most recent events
- Sep 26, 2025Fine · $16K
- Aug 28, 2025Fine · $16K
- Feb 27, 2025Fine · $25K
- Nov 24, 2024Fine · $14K
Largest single fine on record: $25K.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Dec 18, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about The Chateau Wacointo one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.