← Back to results

The Chateau Waco

2430 Marketplace Dr, Waco, TX 76711

Nursing Home Care

The Chateau Waco is a senior care community located in Waco, TX. It provides nursing home care for older adults in the Waco area. To learn more or schedule a tour, call (254) 981-7900.

Operated by The Ensign Group, which runs 419 communities in our directory.

Employer rating 3.3 out of 5 39 reviews from their own employees on Indeed. See what they say.

With 123 beds, The Chateau Waco is one of the larger communities in the area, senior care communities in Waco average about 95 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Waco average about 2.0 stars. Its most recent standard health inspection was in March 2026 and recorded 7 deficiencies.

Residents receive about 3.5 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 74%, which is high and can affect continuity of care.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 31 problems at The Chateau Waco. 6 findings involved harm to a resident, including 6 that put residents in immediate danger. 20 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 4 times, a total of $72,056.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected September 2025, after a complaint. Corrected by September 20, 2025.

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected August 2025, after a complaint. Corrected by August 29, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected March 2026. Corrected by April 19, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected March 2026. Corrected by April 19, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected March 2026. Corrected by April 19, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected January 2026, after a complaint. Corrected by February 23, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Inspected August 2025, after a complaint. Corrected by August 29, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

The Chateau Waco offers nursing home care.

Facility details

  • Beds / units 123
  • Nursing hours per resident/day 3.5
  • Annual staff turnover 74%
  • Last health inspection March 2026

Get directions

Resident & family reviews

No one has shared a review of The Chateau Waco yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.

Write a review