Nursing homes › Texas › The Chateau Waco
2430 Market Place Drive, Waco, TX 76711 · 2549817900 · 123 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.48 (Texas median: 3.27). RN hours: 0.38. Weekend total: 2.95. Nursing staff turnover: 74%.
All-time on record: 33 deficiency citations, including 6 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-04-19 |
| 2026-03-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-04-19 |
| 2026-03-19 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-04-19 |
| 2026-01-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-02-23 |
| 2025-09-26 | Ensure that residents are free from significant medication errors. | J | complaint | corrected 2025-09-20 |
| 2025-08-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-08-29 |
| 2025-08-28 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-08-29 |
| 2025-07-30 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | complaint | corrected 2025-07-31 |
| 2025-07-01 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2025-07-09 |
| 2025-03-20 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | complaint | corrected 2025-03-21 |
| 2025-03-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | complaint | corrected 2025-03-21 |
| 2025-02-27 | Provide safe and appropriate respiratory care for a resident when needed. | J | complaint | corrected 2025-03-19 |
| 2025-02-27 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-03-19 |
| 2025-01-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2025-01-28 |
| 2025-01-08 | Provide safe and appropriate respiratory care for a resident when needed. | E | complaint | corrected 2025-01-28 |
| 2025-01-08 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-01-28 |
| 2024-12-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-01-10 |
| 2024-12-18 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2025-01-10 |
| 2024-12-18 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Health | corrected 2025-01-10 |
| 2024-12-18 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-01-10 |
| 2024-12-18 | 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 | Health | corrected 2025-01-10 |
| 2024-11-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-11-23 |
| 2024-02-28 | 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. | E | complaint | corrected 2024-03-19 |
| 2024-02-28 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | E | complaint | corrected 2024-03-19 |
| 2024-02-28 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2024-03-19 |
| 2024-02-28 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2024-03-19 |
| 2024-01-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2024-02-13 |
| 2023-10-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-11-16 |
| 2023-10-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2023-11-16 |
| 2023-10-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-11-16 |
| 2023-09-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2023-09-21 |
| 2023-07-14 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2023-07-15 |
| 2023-07-14 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2023-07-15 |
| Date | Type | Amount |
|---|---|---|
| 2025-09-26 | Fine | $16,149 |
| 2025-08-28 | Fine | $16,149 |
| 2025-02-27 | Fine | $25,325 |
| 2024-11-24 | Fine | $14,433 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SOUTH LIMESTONE HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 06/01/2025 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| PRICE, LARRY | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2025 |
| KENDRICK HEALTHCARE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2026 |
| HICKS, HEATHER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2026 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676409. Corrections: data@carerecords.org.