The Chateau Waco
2430 Market Place Dr., Waco, TX 76711 · (254) 981-7900
Government - Hospital district · 123 certified beds
The Chateau Waco has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 3 citations (the Texas average is 9.4). It was fined 4 times in the last three years, $72,056 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 19, 2026 found 3 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 19, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.March 19, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.March 19, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 19 citations.
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.January 23, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.September 26, 2025 · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.August 28, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 28, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.July 30, 2025 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.July 1, 2025 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 20, 2025 · F0580 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 20, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 27, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.February 27, 2025 · F0695 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 8, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe and appropriate respiratory care for a resident when needed.January 8, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.January 8, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 24, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.February 28, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 28, 2024 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide special eating equipment and utensils for residents who need them and appropriate assistance.February 28, 2024 · F0810 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.February 28, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.January 16, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $16,149September 26, 2025
- Fine of $16,149August 28, 2025
- Fine of $25,325February 27, 2025
- Fine of $14,433November 24, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.48 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.38 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.79 | 0.95 | 0.86 |
| Nurse aides | 2.31 | 2.01 | 2.32 |
| Total nursing staff turnover | 73.6% | 55.3% | 45.8% |
About this home
| Ownership | Government - Hospital district |
| Certified beds | 123 |
| Average residents per day | 67.5 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- St. Catherine Center Waco · ★★★★★ 5 out of 5 stars
- Avir at Waco Waco · ★★★★★ 4 out of 5 stars
- Crestview Healthcare Residence Waco · ★★★★★ 4 out of 5 stars
- St. Anthony's Care Center Waco · ★★★★★ 4 out of 5 stars
- Avir at Jeffrey Place Waco · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from The Chateau Waco on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.