The Chateau Waco
Waco, TX · Medicare and Medicaid-certified nursing home (CCN 676409) · 123 certified beds
Health inspection: 1 · Quality measures: 4 · Staffing: 1
Federal fines: 4 totaling $72,056
Phone: (254) 981-7900 · Verify on Medicare Care Compare ↗
The Chateau Waco has a CMS overall star rating of 1 out of 5, which is below the Texas state average of 2.65 stars. Its health inspection rating is 1 star and its staffing rating is also 1 star.
The Chateau Waco reports total nurse staffing of 3.48 hours per resident per day, including 0.38 RN hours per resident per day, with a CMS staffing rating of 1 star. Nursing staff turnover is reported at 73.6%.
CMS records show The Chateau Waco has 4 federal fines totaling $72,056.00, with no payment denials on record. The supplied CMS data does not indicate an abuse icon or Special Focus Facility status for this facility.
About this facility
The Chateau Waco is a Medicare- and Medicaid-certified nursing home in Waco, McLennan County, Texas, operated under government (hospital district) ownership. The facility is certified for 123 beds and reports an average daily census of 67.5 residents. It has been Medicare/Medicaid certified since November 2, 2016.
According to CMS Care Compare, The Chateau Waco holds an overall star rating of 1 out of 5, which is below the Texas state average of 2.65. Its component ratings are: health inspections rated 1 star, quality measures rated 4 stars, and staffing rated 1 star.
Nurse staffing data show total nurse hours per resident per day of 3.48, with registered nurse (RN) hours per resident per day of 0.38. Nursing staff turnover is reported at 73.6%.
On penalties, CMS records show 4 federal fines totaling $72,056.00 for this facility. There are no payment denials on record.
The facility is part of The Ensign Group chain, which operates 342 facilities nationally with an average chain rating of 3.2 stars. Ownership has not changed in the past 12 months, per CMS records.
No abuse icon and no Special Focus Facility designation are noted in the supplied data for this facility.
Source: CMS Medicare Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
The Chateau Waco has an overall rating of 1 out of 5 stars, below the Texas state average of 2.65 stars.
Does this facility accept Medicare, Medicaid, or both?
Yes, The Chateau Waco is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.48 hours per resident per day, including 0.38 RN hours, with a staffing rating of 1 star; nursing turnover is 73.6%.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 4 fines totaling $72,056.00 and no payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The data provided does not indicate an abuse icon or Special Focus Facility designation for this facility.
How large is this facility and how many residents live there?
The Chateau Waco is certified for 123 beds and has an average daily census of 67.5 residents.
Who owns this facility — and is it part of a chain?
It is government-owned (hospital district) and is part of The Ensign Group chain, which operates 342 facilities nationally averaging 3.2 stars.
How long has this facility been Medicare/Medicaid certified?
The facility has been certified since November 2, 2016.
What do the four different CMS star ratings mean?
CMS rates facilities on overall quality, health inspections, staffing, and quality measures; here those ratings are 1, 1, 1, and 4 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
This detail is not included in the CMS data provided; please contact the facility at 2549817900 or check Medicare Care Compare.
What should I look for when touring this facility?
This information is not part of the CMS dataset provided; contact the facility at 2549817900 to arrange a visit and verify details.
How do I verify this facility's current record on Medicare Care Compare?
You can review the most current data directly at https://www.medicare.gov/care-compare/details/nursing-home/676409?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.