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Data / Nursing homes / Texas / The Chateau Waco

The Chateau Waco, Waco, TX: 1 star rating, fined $72,056 across 4 fines

The Chateau Waco in Waco, TX is owned by South Limestone Hospital District, is rated 1 of 5 stars by Medicare, and was fined $72,056 across 4 fines in the three years to October 1, 2026. CMS lists 30 health citations from inspections in that time, the latest survey on March 19, 2026, and 6 of them found actual harm or immediate jeopardy.

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Address
2430 Market Place Dr., Waco, TX 76711
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5
Certified beds
123
Residents per day
68 on average
Ownership type
Government, Hospital district
Legal business name
South Limestone Hospital District
Chain
The Ensign Group, 347 facilities
Fines
$72,056 across 4 fines, three years to October 1, 2026
Payment denials
0
Health citations
30, of which 6 with actual harm or immediate jeopardy
Latest survey
March 19, 2026
CMS Certification Number
676409
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
September 26, 2025Fine$16,149Not listeddata.cms.gov
August 28, 2025Fine$16,149Not listeddata.cms.gov
February 27, 2025Fine$25,325Not listeddata.cms.gov
November 24, 2024Fine$14,433Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
March 19, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2026data.cms.gov
March 19, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 19, 2026data.cms.gov
March 19, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2026data.cms.gov
January 23, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2026data.cms.gov
September 26, 2025F760Ensure that residents are free from significant medication errors.J: isolated, immediate jeopardyPast noncomplianceSeptember 20, 2025data.cms.gov
August 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedAugust 29, 2025data.cms.gov
August 28, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2025data.cms.gov
July 30, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 31, 2025data.cms.gov
July 1, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2025data.cms.gov
March 20, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K: pattern, immediate jeopardyCorrectedMarch 21, 2025data.cms.gov
March 20, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.K: pattern, immediate jeopardyCorrectedMarch 21, 2025data.cms.gov
February 27, 2025F695Provide safe and appropriate respiratory care for a resident when needed.J: isolated, immediate jeopardyCorrectedMarch 19, 2025data.cms.gov
February 27, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 19, 2025data.cms.gov
January 8, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 28, 2025data.cms.gov
January 8, 2025F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 28, 2025data.cms.gov
January 8, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 28, 2025data.cms.gov
December 18, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 18, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 18, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 18, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 18, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
November 24, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceNovember 23, 2024data.cms.gov
February 28, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 19, 2024data.cms.gov
February 28, 2024F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 19, 2024data.cms.gov
February 28, 2024F809Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 19, 2024data.cms.gov
February 28, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 19, 2024data.cms.gov
January 16, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
October 26, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 16, 2023data.cms.gov
October 26, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 16, 2023data.cms.gov
October 26, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 16, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 5 individual or personal trusts (1 managers, 2 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
South Limestone Hospital DistrictDirect owner100%June 1, 2025data.cms.gov
Kendrick Healthcare LLCOperational or managerial controlNot listedFebruary 1, 2026data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedFebruary 1, 2026data.cms.gov
Kendrick Healthcare LLCAdditional disclosable partyNot listedFebruary 12, 2026data.cms.gov
Lake Waco Health Holdings LLCAdditional disclosable partyNot listedFebruary 1, 2026data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.