The Chateau Waco

Penalties

• Sep 26, 2025 — Fine ($16,149)
• Aug 28, 2025 — Fine ($16,149)
• Feb 27, 2025 — Fine ($25,325)
• Nov 24, 2024 — Fine ($14,433)

Inspection findings

1. Mar 19, 2026 Health · 3 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

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

     Corrected Apr 19, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Apr 19, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 19, 2026 · CMS health inspection

2. Jan 23, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

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

     Corrected Feb 23, 2026 · CMS health inspection

3. Sep 26, 2025 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Sep 20, 2025 · CMS health inspection

4. Aug 28, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

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

     Corrected Aug 29, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Aug 29, 2025 · CMS health inspection

5. Jul 30, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0627 Resident Rights Deficiencies

     Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

     Corrected Jul 31, 2025 · CMS health inspection

6. Jul 1, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Jul 9, 2025 · CMS health inspection

7. Mar 20, 2025 Health · 2 findings
   • Serious Scope/severity K Complaint

     F0580 Resident Rights Deficiencies

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

     Corrected Mar 21, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Mar 21, 2025 · CMS health inspection

8. Feb 27, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Mar 19, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Mar 19, 2025 · CMS health inspection

9. Jan 8, 2025 Health · 3 findings
   • Not serious Scope/severity E Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Jan 28, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jan 28, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 28, 2025 · CMS health inspection

10. Dec 18, 2024 Health · 8 findings
    • Not serious Scope/severity D

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected Jan 10, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Jan 10, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Jan 10, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Jan 10, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0761 Pharmacy Service Deficiencies

      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.

      Corrected Jan 10, 2025 · CMS health inspection

    • Not serious Scope/severity D

      K0342 Smoke Deficiencies

      Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

      Corrected Jan 7, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Jan 7, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0923 Gas, Vacuum, and Electrical Systems Deficiencies

      Have proper medical gas storage and administration areas.

      Corrected Jan 7, 2025 · CMS fire safety

11. Nov 24, 2024 Health · 1 finding
    • Serious Scope/severity J Complaint

      F0689 Quality of Life and Care Deficiencies

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

      Corrected Nov 23, 2024 · CMS health inspection

12. Feb 28, 2024 Health · 4 findings
    • Not serious Scope/severity D Complaint

      F0623 Resident Rights Deficiencies

      Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      Corrected Mar 19, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0809 Nutrition and Dietary Deficiencies

      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.

      Corrected Mar 19, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0810 Nutrition and Dietary Deficiencies

      Provide special eating equipment and utensils for residents who need them and appropriate assistance.

      Corrected Mar 19, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Mar 19, 2024 · CMS health inspection

13. Jan 16, 2024 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Feb 13, 2024 · CMS health inspection

14. Oct 26, 2023 Health · 3 findings
    • Not serious Scope/severity E

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Nov 16, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0689 Quality of Life and Care Deficiencies

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

      Corrected Nov 16, 2023 · CMS health inspection

    • Not serious Scope/severity F

      F0812 Nutrition and Dietary Deficiencies

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

      Corrected Nov 16, 2023 · CMS health inspection

15. Sep 1, 2023 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Sep 21, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• FLOWERS, ADAM — adp of the snf, NOT APPLICABLE, since 07/05/2022
• HICKS, HEATHER — adp of the snf, NOT APPLICABLE, since 02/01/2026
• HICKS, HEATHER — operational/managerial control, NOT APPLICABLE, since 02/01/2026
• KEETCH, CHAD — corporate officer, NOT APPLICABLE, since 03/01/2011
• PRICE, LARRY — corporate officer, NOT APPLICABLE, since 06/01/2025
• ENSIGN SERVICES INC — adp of the snf, NOT APPLICABLE, since 02/01/2026
• KENDRICK HEALTHCARE LLC — operational/managerial control, NOT APPLICABLE, since 02/01/2026
• KENDRICK HEALTHCARE LLC — adp of the snf, NOT APPLICABLE, since 02/12/2026
• LAKE WACO HEALTH HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 02/01/2026
• SOUTH LIMESTONE HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 06/01/2025