The Chateau Waco
2430 Market Place Drive · Waco, TX · 76711 · 2549817900
123 certified beds Government - Hospital district Chain: The Ensign Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $72,056 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$72,056 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
78% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 2.87 | ≈ weekday level |
| Nursing turnover / year | 78% | median 45% |
| Fines (3-yr window) | 4 · $72,056 |
Inspection citations (33 in the current record)
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Potential for harm · D March 19, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 19, 2026 · Resident Rights
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Potential for harm · E March 19, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 19, 2026 · Nutrition and Dietary
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Potential for harm · D March 19, 2026
Provide and implement an infection prevention and control program.
Corrected April 19, 2026 · Infection Control
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Potential for harm · D January 23, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 23, 2026 · Resident Assessment and Care Planning
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Immediate jeopardy · J September 26, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected September 20, 2025 · Pharmacy Service
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Immediate jeopardy · J August 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 29, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 29, 2025 · Resident Rights
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Potential for harm · D July 30, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected July 31, 2025 · Resident Rights
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Potential for harm · D July 1, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 9, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · K March 20, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 21, 2025 · Resident Rights
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Immediate jeopardy · K March 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 21, 2025 · Quality of Life and Care
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Immediate jeopardy · J February 27, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 19, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 28, 2025 · Quality of Life and Care
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Potential for harm · E January 8, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 28, 2025 · Quality of Life and Care
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Potential for harm · E January 8, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 28, 2025 · Infection Control
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Potential for harm · D December 18, 2024
Ensure each resident receives an accurate assessment.
Corrected January 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 18, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 18, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 10, 2025 · Quality of Life and Care
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Potential for harm · E December 18, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 10, 2025 · Quality of Life and Care
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Potential for harm · D December 18, 2024
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.
Corrected January 10, 2025 · Pharmacy Service
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Immediate jeopardy · J November 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 23, 2024 · Quality of Life and Care
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Potential for harm · D February 28, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 19, 2024 · Resident Rights
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Potential for harm · E February 28, 2024 · found via complaint
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.
Corrected March 19, 2024 · Nutrition and Dietary
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Potential for harm · E February 28, 2024 · found via complaint
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected March 19, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 26, 2025 | Fine | $16,149 |
| August 28, 2025 | Fine | $16,149 |
| February 27, 2025 | Fine | $25,325 |
| November 24, 2024 | Fine | $14,433 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676409 · certified since November 2, 2016. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.