The Chateau Waco

CCN 676409 · SOUTH LIMESTONE HOSPITAL DISTRICT · Government - Hospital district · THE ENSIGN GROUP chain · 123 certified beds · Mc Lennan · TX


The Chateau Waco is a 123-bed nursing home in Waco, Texas. CMS has certified it for Medicare and Medicaid since 2016-11-02. It averages 67.5 residents a day.

What harm was found in the violations cited at The Chateau Waco?

CMS lists 31 health-inspection deficiencies for The Chateau Waco, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-03-19.

Survey dateTagDeficiencySeverity
2026-03-19F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-03-19F0550, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide and implement an infection prevention and control program.D
2026-01-23F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-09-26F0760Ensure that residents are free from significant medication errors.J
2025-08-28F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-08-28F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-07-30F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D
2025-07-01F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D
2025-03-20F0580, F0684Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.K
2025-02-27F0695Provide safe and appropriate respiratory care for a resident when needed.J
2025-02-27F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2025-01-08F0684, F0695, F0880Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program.E
2024-12-18F0656, F0677, F0686Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.E
2024-12-18F0641, F0761Ensure each resident receives an accurate assessment. / 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.D
2024-11-24F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-02-28F0809, F0810, F0880Ensure 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. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Provide and implement an infection prevention and control program.E
2024-02-28F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D
2024-01-16F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2023-10-26F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-10-26F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2023-10-26F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-09-01F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E

Why was The Chateau Waco fined 4 times?

DateTypeAmount
2025-09-26Fine$16,149
2025-08-28Fine$16,149
2025-02-27Fine$25,325
2024-11-24Fine$14,433

How is The Chateau Waco staffed?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.480983.38539
Total nursing staff turnover (%)73.655.3
Average number of residents per day67.575.8

Who owns The Chateau Waco, and what chain is it in?

The Chateau Waco is registered with CMS as Government - Hospital district, operates under the legal business name SOUTH LIMESTONE HOSPITAL DISTRICT and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTSOUTH LIMESTONE HOSPITAL DISTRICTsince 06/01/2025
CORPORATE OFFICERKEETCH, CHAD, PRICE, LARRYsince 03/01/2011
OPERATIONAL/MANAGERIAL CONTROLKENDRICK HEALTHCARE LLC, HICKS, HEATHERsince 02/01/2026
ADP OF THE SNFENSIGN SERVICES INC, KENDRICK HEALTHCARE LLC, LAKE WACO HEALTH HOLDINGS LLC, FLOWERS, ADAM, HICKS, HEATHERsince 02/01/2026

Were you or a family member harmed at The Chateau Waco?