facebook tracking Chelsea Gardens, Missouri City TX: CMS Ratings & Inspections
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Chelsea Gardens

All states › Texas › Missouri City › Chelsea Gardens

4422 Riverstone Blvd Missouri City, TX 77459 · Fort Bend County

(281) 499-5040

All 4 nursing homes in Missouri City, TX (4 take Medicaid)

Accepts Medicare Accepts Medicaid 60 certified beds For profit

CMS certification number 676334 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Chelsea Gardens a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Chelsea Gardens as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 14 citations in the last three years. CMS imposed 3 penalties, including $77,293 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 1 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 4.28 hours per resident per day at Chelsea Gardens, above the Texas median of 3.30 (US median: 3.72). About 1.05 of those hours are from registered nurses. On weekends it falls to 3.81 hours, 11% below its all-week average. 64.7% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 4.28 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.05 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.81 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 64.7% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 61.5% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds60
Residents per day 43 About 72% of beds filled, on average
OwnershipFor profit - Partnership
Payment acceptedMedicare and Medicaid
Certified sinceMarch 2013
Legal business nameJ AND B ASSOCIATES LLC

Paying for care at Chelsea Gardens: Medicare and Medicaid

Chelsea Gardens is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on October 1, 2025 and found 0 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 14 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 14 citations at Chelsea Gardens across 5 inspection dates, 6 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 9, 2026 (complaint inspection). The most common areas cited were quality of life and care (5) and resident assessment and care planning (3). The most serious was cited under the CMS rule to "provide enough food/fluids to maintain a resident's health" (tag F0692, level K, November 13, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.

June 10, 2026 · 1 citation · includes complaint inspection

EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Complaint inspection · Deficient, Provider has date of correction (Jun 30, 2026)

March 9, 2026 · 3 citations, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Apr 15, 2026)

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Apr 15, 2026)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Apr 15, 2026)

November 13, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection

KProvide enough food/fluids to maintain a resident's health.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0692 · Complaint inspection · Deficient, Provider has date of correction (Nov 14, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Complaint inspection · Deficient, Provider has date of correction (Dec 2, 2024)

August 1, 2024 · 2 citations

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Aug 20, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 20, 2024)

May 23, 2023 · 6 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 9, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jun 9, 2023)

DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0661 · Deficient, Provider has date of correction (Jun 8, 2023)

DEnsure 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Jun 9, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jun 9, 2023)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Jun 9, 2023)

Questions to ask on a tour of Chelsea Gardens

  1. Inspectors cited the home at the immediate-jeopardy level on November 13, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on March 9, 2026. How are staff trained, and how are concerns reported?
  3. Nursing staff turnover was 64.7% a year. How many of the staff come from agencies?
  4. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

3 penalties in the last three years, including $77,293 in fines.

DateTypeAmount or length
Mar 9, 2026 Fine $21,190
Mar 9, 2026 Payment Denial 8 days of payments denied
Nov 13, 2024 Fine $56,103

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 2/5 4/5 1/5
August 2026 1/5 2/5 4/5 1/5
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Location

Hospitals near Chelsea Gardens

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Windsor Quail Valley Post-Acute Healthcare Missouri City · 0.6 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 120 beds · Medicaid
Park Manor of Quail Valley Missouri City · 1.4 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 125 beds · Medicaid
Paradigm at First Colony Missouri City · 2.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 150 beds · Medicaid
Ignite Medical Resort Sugar Land Sugar Land · 4.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 90 beds · Medicaid
Sugar Land Health Care Center Sugar Land · 5.2 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 150 beds · Medicaid

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/missouri-city/chelsea-gardens/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.