nursing home in Missouri City, TX
Chelsea Gardens
4422 Riverstone Blvd, Missouri City, TX 77459 · (281) 499-5040
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Chelsea Gardens at a glance
Chelsea Gardens is a 60-bed for-profit nursing home in Missouri City, Texas (Fort Bend County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.7 hours of nursing care per day (0.9 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (October 1, 2025) found 4 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $77,293.
Nursing staff turnover is 57.5% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Partnership
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- March 12, 2013
- Resident/family council
- Resident
- County
- Fort Bend County
- CMS Certification Number
- 676334
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 1.9 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.74 hrs | 3.39 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.92 hrs | 0.43 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.32 hrs | 2.01 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.34 hrs | 2.98 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 57.5% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 37.5% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 138 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $77,293 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 113 | 107 | |
| Average residents per day | 44 | 76 | 86 | |
| Occupancy | 73% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.5% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 11.4% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 22.6% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2% | 0.3% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 16.5% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 21.2% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 11.7% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 12.6% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 6.3% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 86.2% | 98% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.2% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 74.5% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.3% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 14 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 10, 2026 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected June 30, 2026 |
| March 9, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected April 15, 2026 |
| March 9, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | J Immediate jeopardy, isolated | Corrected April 15, 2026 |
| March 9, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected April 15, 2026 |
| October 1, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 3, 2025 |
| October 1, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 3, 2025 |
| October 1, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected December 3, 2025 |
| November 13, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | K Immediate jeopardy, pattern | Corrected November 14, 2024 |
| November 13, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected December 2, 2024 |
| August 1, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected August 20, 2024 |
| August 1, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected August 20, 2024 |
| August 1, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected August 20, 2024 |
| May 23, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 15, 2023 |
| May 23, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected June 14, 2023 |
| May 23, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected June 14, 2023 |
| May 23, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 9, 2023 |
| May 23, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected June 9, 2023 |
| May 23, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 9, 2023 |
| May 23, 2023 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected June 9, 2023 |
| May 23, 2023 Standard | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Tag F0661 | D Potential harm, isolated | Corrected June 8, 2023 |
| May 23, 2023 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected June 9, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $77,293 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 9, 2026 | Payment Denial | 8 days from April 7, 2026 |
| March 9, 2026 | Fine | $21,190 |
| November 13, 2024 | Fine | $56,103 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| THE AMERICAN CORNERSTONE HEALTH SERVICES INC. Organization | 5% or greater direct ownership interest | 100% | 10/31/2019 |
| AJAYI, SAMUEL Individual | 5% or greater indirect ownership interest | 50% | 10/31/2019 |
| AJAYI, TEMITOPE Individual | 5% or greater indirect ownership interest | 50% | 10/31/2019 |
| AJAYI, SAMUEL Individual | adp of the snf | NOT APPLICABLE | 10/31/2019 |
| AJAYI, TEMITOPE Individual | adp of the snf | NOT APPLICABLE | 10/31/2019 |
| BALLEW, VINCENT Individual | adp of the snf | NOT APPLICABLE | 01/01/2020 |
| NWANKWO, CHINEDU Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| THE AMERICAN CORNERSTONE HEALTH SERVICES INC. Organization | adp of the snf | NOT APPLICABLE | 10/31/2019 |
| AJAYI, SAMUEL Individual | operational/managerial control | NOT APPLICABLE | 10/31/2019 |
| BALLEW, VINCENT Individual | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| NWANKWO, CHINEDU Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
Other nursing homes near Chelsea Gardens
Windsor Quail Valley Post-Acute Healthcare
3640 Hampton Dr, Missouri City, TX 77459 · under 1 mi
Non-profit · 120 beds · Part of Wellsential Health
★★★★★3AveragePark Manor of Quail Valley
2350 Fm 1092, Missouri City, TX 77459 · 1.4 mi
For-profit · 125 beds · Part of Hmg Healthcare
★★★★★2Below averageParadigm at First Colony
4710 Lexington Blvd, Missouri City, TX 77459 · 2.4 mi
For-profit · 150 beds · Part of Paradigm Healthcare
★★★★★1Much below averageIgnite Medical Resort Sugar Land, LLC
1803 Wescott Avenue, Sugar Land, TX 77479 · 4.6 mi
For-profit · 90 beds · Part of Ignite Medical Resorts
★★★★★1Much below averageSugar Land Health Care Center
333 Matlage Way, Sugar Land, TX 77478 · 5.2 mi
Non-profit · 150 beds · Part of Health Services Management
★★★★★4Above averageThe Crescent
11353 Sugar Park Lane, Sugar Land, TX 77478 · 5.4 mi
For-profit · 112 beds · Part of Cantex Continuing Care
★★★★★1Much below average
All nursing homes in Missouri City, TX · Compare side by side
Frequently asked questions
What is Chelsea Gardens's rating?
Chelsea Gardens has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Chelsea Gardens receive?
Its most recent standard health inspection found 4 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Chelsea Gardens accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Chelsea Gardens?
It is for profit - partnership. The ownership section on this page lists the owners and managers reported to CMS.
Where is Chelsea Gardens and how do I contact it?
Chelsea Gardens is at 4422 Riverstone Blvd, Missouri City, TX 77459. Phone: (281) 499-5040.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.