58.5/100
Average
The Chateau Waco
2430 Market Place Dr., Waco, TX 76711
- Certified beds
- 123
- Occupancy
- 55%
- Ownership
- Government
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$72,056 in federal fines
CMS has fined this facility across 4 penalty action(s).
Nursing staff turnover of 74%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Our read on The Chateau Waco
The Chateau Waco, a 123-bed hospital-district home, has a staffing problem that runs deeper than its 3.48 nurse hours per resident day, roughly 10% under the national average. Weekend coverage drops about 15% below the home's own weekday level, and 73.6% of staff left over the past year, well above the 45.8% national rate. On inspections, the record shows 33 deficiencies, six at harm or jeopardy level and one abuse-related, with four fines totaling $72,056 and a one-star health inspection rating. The quality measure score of four stars stands out against a one-star staffing rating, which tells you the clinical numbers look better on paper than the floor coverage suggests.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
11.5/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.54 total nurse hours per resident per day (national median 3.77)
- →0.38 RN hours per resident per day
- →Weekend staffing drops 15% against weekdays
Staff stability
0/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →74% of nursing staff left in the last year
- →-2 for 2 administrator departures
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
5/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$72,056 in federal fines across 4 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: March 19, 2026 (7 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of THE ENSIGN GROUP, which operates 344 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about The Chateau Waco
What is the ElderGrade for The Chateau Waco? +
The Chateau Waco holds an ElderGrade of C (58.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at The Chateau Waco? +
Residents receive an average of 3.48 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has The Chateau Waco been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does The Chateau Waco accept Medicaid? +
Yes, The Chateau Waco is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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