Arbor House Of Waco
State licensed2418 Marketplace Dr., Waco, TX 76711
Assisted LivingMemory Care
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
About The Chateau Waco
The Chateau Waco brings together experienced medical staff and compassionate care in a skilled nursing and rehabilitation setting designed for recovery and healing. Our Waco, Texas community focuses on helping residents regain strength and independence through personalized treatment plans and professional nursing support.
Community at a glance
Capacity
123 residents
Medicare rating
1 of 5 stars
Location
Waco, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
2430 Market Place Drive, Waco, Texas 76711
Medicare inspection and quality record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
Medicare rates The Chateau Waco 1 out of 5 stars overall, which it describes as much below average. The average across Texas's nursing homes is 2.7 stars.
At its most recent standard inspection, on March 19, 2026, state inspectors cited 5 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 29 minutes with each resident a day, about the same as the Texas average.
Medicare fined The Chateau Waco 4 times in the last three years, $72,056 in total.
Overall
1 of 5
much below average
Combines the three ratings below
Health inspections
1 of 5
much below average
Results of state inspections over three years
Staffing
1 of 5
much below average
Nurse hours per resident and staff turnover
Quality of resident care
4 of 5
above average
Outcomes like falls, pressure ulcers and rehospitalization
Texas average: 2.7 stars across 1,177 nursing homes. National average: 3.0 stars.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 29 minutes |
| Registered nurse time per resident, per day | 23 minutesBelow the Texas average |
| Nursing staff who left in the past year | 74%Above the Texas average |
2 administrators have left the home in the past year.
Inspections
30 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
March 19, 2026 · Standard inspection · 3 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Apr 19, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 19, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Apr 19, 2026
January 23, 2026 · Complaint investigation · 1 citation
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 23, 2026
September 26, 2025 · Complaint investigation · 1 citation+
Ensure that residents are free from significant medication errors.
Immediate danger to residents, a few residents (level J)Pharmacy ServiceFrom a complaintAlready fixed by Sep 20, 2025
August 28, 2025 · Complaint investigation · 2 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Aug 29, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 29, 2025
July 30, 2025 · Complaint investigation · 1 citation+
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 31, 2025
July 1, 2025 · Complaint investigation · 1 citation+
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 9, 2025
March 20, 2025 · Complaint investigation · 2 citations+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Mar 21, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Immediate danger to residents, a pattern (level K)Resident RightsFrom a complaintCorrected Mar 21, 2025
February 27, 2025 · Complaint investigation · 2 citations+
Provide safe and appropriate respiratory care for a resident when needed.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Mar 19, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 19, 2025
January 8, 2025 · Complaint investigation · 3 citations+
Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jan 28, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jan 28, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Jan 28, 2025
December 18, 2024 · Standard inspection · 5 citations+
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jan 10, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jan 10, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jan 10, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 10, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 10, 2025
November 24, 2024 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Nov 23, 2024
February 28, 2024 · Complaint investigation · 4 citations+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Mar 19, 2024Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Mar 19, 2024Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Mar 19, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 19, 2024
January 16, 2024 · Complaint investigation · 1 citation+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Feb 13, 2024
October 26, 2023 · Standard inspection · 3 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Nov 16, 2023Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Nov 16, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 16, 2023
Fines and payment denials
4 fines totaling $72,056 in the last three years.
- September 26, 2025Fine: $16,149
- August 28, 2025Fine: $16,149
- February 27, 2025Fine: $25,325
- November 24, 2024Fine: $14,433
About the home, per Medicare
- Ownership
- Government - Hospital district
- Legal business name
- South Limestone Hospital District
- Medicare-certified beds
- 123
- Average residents per day
- 68
- Accepts
- Medicare and Medicaid
- First certified
- November 2, 2016
- Part of a chain
- The Ensign Group, 344 homes (chain average 3.2 stars)
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 676409
Location
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2430 Market Place DriveWaco, TX 76711
12 other communities within 10 miles
Senior living near Waco
The Blake At Waco
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Assisted LivingMemory Care
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4605 MEMORIAL DR, Waco, TX 76711
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Questions about The Chateau Waco
What is The Chateau Waco's Medicare star rating?+
Medicare rates The Chateau Waco 1 out of 5 stars overall (much below average). Health inspections: 1 stars. Staffing: 1 stars. Quality of resident care: 4 stars. Source: CMS Care Compare, data as of September 1, 2026.
How did The Chateau Waco do on its last inspection?+
State inspectors visited on March 19, 2026 and cited 5 health deficiencies, 2 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at The Chateau Waco?+
Nurses and aides spend 3 hours 29 minutes with each resident per day, including 23 minutes from registered nurses. 74% of nursing staff left over the past year.
Has The Chateau Waco been fined by Medicare?+
Yes. Medicare fined The Chateau Waco 4 times in the last three years, totaling $72,056.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1–5 stars on health inspections, staffing, and quality measures. We show these ratings so you can compare quality at a glance.