Texas › Fort Bend County › Missouri City
Chelsea Gardens
4422 Riverstone Blvd, Missouri City, TX 77459
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Chelsea Gardens, in Missouri City, Texas, is certified for 60 beds under for-profit, partnership ownership.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 4 and quality measures 1.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (4, 4, 6 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 23.3 per 100 beds, about the same as the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $77K and 1 payment denial.
Reported nurse staffing is 3.7 hours per resident per day (0.9 RN), close to the Texas median of 3.3; nursing staff turnover is 57.5%.
Compared with county, state and nation
| Measure | This facility | Fort Bend Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 14 | 17 | 25 | 28.7 |
| Citations per 100 beds | 23.3 | 19.4 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 0.9 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 57.5% | 57.5% | 52.1% | 45.8% |
| Fines listed | $77,293 | $64,559 | $16,801 | — |
County and state figures are medians across facilities (15 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 Oct 2025, 1 Aug 2024.
Severity mix: J ×2 K ×1 D ×6 E ×3 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 10 Jun 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 30 Jun 2026 |
| 9 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint investigation | 15 Apr 2026 |
| 9 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 15 Apr 2026 |
| 9 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Apr 2026 |
| 13 Nov 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | K | Complaint investigation | 14 Nov 2024 |
| 13 Nov 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 2 Dec 2024 |
| 1 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 20 Aug 2024 |
| 1 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 20 Aug 2024 |
| 23 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 9 Jun 2023 |
| 23 May 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 9 Jun 2023 |
| 23 May 2023 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 8 Jun 2023 |
| 23 May 2023 | F0693 | 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. | D | Standard survey | 9 Jun 2023 |
| 23 May 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 9 Jun 2023 |
| 23 May 2023 | F0732 | Post nurse staffing information every day. | C | Standard survey | 9 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 9 Mar 2026 | Payment denial | — | 8 days |
| 9 Mar 2026 | Fine | $21,190 | |
| 13 Nov 2024 | Fine | $56,103 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 57.5%, RNs 37.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 11.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.6% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, partnership. Legal business name: J And B Associates Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| The American Cornerstone Health Services Inc. | 5% or greater direct ownership interest | 100% | 10/31/2019 |
| The American Cornerstone Health Services Inc. | Adp of the snf | NOT APPLICABLE | 10/31/2019 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Fort Bend County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Paradigm At the Brazos | Richmond | 56 | 5 | 5 | 3 | 6 | 10.7 | — | 1 Aug 2025 |
| S.P.J.S.T. Rest Home No 2 | Needville | 58 | 5 | 5 | 4 | 7 | 12.1 | — | 18 Dec 2025 |
| Oak Bend Medical Center | Richmond | 36 | 4 | 4 | 1 | 7 | 19.4 | $12K | 17 Jun 2026 |
| Richmond Health Care Center | Richmond | 92 | 4 | 4 | 2 | 23 | 25.0 | $78K | 10 Jul 2025 |
| Cambridge Health and Rehabilitation Center | Richmond | 158 | 3 | 2 | 2 | 26 | 16.5 | $68K | 25 Mar 2026 |
| Fort Bend Healthcare Center | Rosenberg | 56 | 3 | 3 | 1 | 15 | 26.8 | $23K | 9 Aug 2025 |
| Sugar Land Health Care Center | Sugar Land | 150 | 3 | 3 | 2 | 17 | 11.3 | $30K | 17 Dec 2025 |
| Windsor Quail Valley Post-Acute Healthcare | Missouri City | 120 | 3 | 3 | 2 | 16 | 13.3 | $52K | 5 Jun 2026 |
All 15 facilities in Fort Bend County
Questions and answers
How many deficiencies has Chelsea Gardens been cited for?
14 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Chelsea Gardens been fined?
Yes. CMS lists fines totalling $77K in the period covered, plus 1 payment denial.
How does staffing at Chelsea Gardens compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Chelsea Gardens?
Ownership type is for-profit, partnership. Organisations in the CMS ownership record include The American Cornerstone Health Services Inc.. Individual owners and managers are not listed on this site.
When was Chelsea Gardens last inspected?
The most recent survey or investigation in the CMS record is dated 10 Jun 2026; the most recent standard health survey was 1 Oct 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.