The Chateau Waco
State inspectors recorded 6 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-09-26 — IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2025-08-28 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-03-20 — IMMEDIATE JEOPARDY (tag F0580, severity K)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-03-20 — IMMEDIATE JEOPARDY (tag F0684, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-02-27 — IMMEDIATE JEOPARDY (tag F0695, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe and appropriate respiratory care for a resident when needed.
2024-11-24 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.90
state median 2.67
Weekend staffing gap
−17%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.30
registered nurses only
Contract (agency) staff
21%
share of all nursing hours
Days with zero RN hours reported
1
with residents present
Nursing staff turnover
74%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
4 enforcement action(s), totaling $72,056 in fines.
| 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 |
Ownership
Ownership type: Government - Hospital district. Part of the THE ENSIGN GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- THE HEALTHCARE CENTER OF EASTVIEW (BIRMINGHAM, AL) —
- Polaris Extended Care (ANCHORAGE, AK) —
- THE HEALTH CENTER AT RESEARCH PARK (HUNTSVILLE, AL) —
- POLARIS TRANSITIONAL CARE (ANCHORAGE, AK) —
- Desert Terrace Healthcare Center (PHOENIX, AZ) —
- PUEBLO SPRINGS REHABILITATION CENTER (TUCSON, AZ) —
- CASAS ADOBES POST ACUTE REHAB CENTER (TUCSON, AZ) —
- MISSION PALMS POST ACUTE (MESA, AZ) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-19 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-19 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-03-19 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-01-23 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-26 | F0760 | Pharmacy Service Deficiencies | J | not recorded |
| 2025-08-28 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-28 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-07-30 | F0627 | Resident Rights Deficiencies | D | not recorded |
| 2025-07-01 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-20 | F0580 | Resident Rights Deficiencies | K | not recorded |
| 2025-03-20 | F0684 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-02-27 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-27 | F0695 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-01-08 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-01-08 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-01-08 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-12-18 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-12-18 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-12-18 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-12-18 | F0686 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-12-18 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-11-24 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-02-28 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-28 | F0809 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-02-28 | F0810 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-02-28 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-01-16 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-10-26 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-10-26 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-26 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-09-01 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-07-14 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-14 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |