CMS data snapshot: July 2026
• CMS rates this facility 1/5 stars (below average)
• Google users rate it 3.1/5 based on 30 reviews
• Has 123 certified beds with an average of 67.5 residents per day (55% occupancy)
• Last health inspection found 9 deficiencies (inspected Mar 19, 2026)
• Has been fined a total of $72,056 across 4 fine(s)
• Total nursing staff: 3.48 hours per resident per day
• Staff turnover rate: 73.6% (high)
• Part of the The Ensign Group chain (346 facilities)
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
The Chateau Waco is a 1-star Medicare and Medicaid certified nursing home in Waco, Texas with 123 certified beds. It has been operating since 2016. The facility scored below average compared to Texas facilities.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Immediately 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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Develop 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.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
+ 3 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| SOUTH LIMESTONE HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jun 1, 2025 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | N/A | Mar 1, 2011 |
| PRICE, LARRY | CORPORATE OFFICER | Individual | N/A | Jun 1, 2025 |
| KENDRICK HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Feb 1, 2026 |
| HICKS, HEATHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2026 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | N/A | Feb 1, 2026 |
| KENDRICK HEALTHCARE LLC | ADP OF THE SNF | Organization | N/A | Feb 12, 2026 |
| LAKE WACO HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | N/A | Feb 1, 2026 |
| FLOWERS, ADAM | ADP OF THE SNF | Individual | N/A | Jul 5, 2022 |
| HICKS, HEATHER | ADP OF THE SNF | Individual | N/A | Feb 1, 2026 |
This chain operates 346 facilities. View all →