Chelsea Gardens
Nursing home in Missouri City, TX
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 4422 Riverstone Blvd, Missouri City, TX 77459
- Phone
- (281) 499-5040
- Listed under
- For-profit
- Medicare CCN
- 676334
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 2 of 5
- Staffing rating
- 4 of 5
- Quality measures rating
- 1 of 5
- Certified beds
- 60
- Average residents per day
- 44
- Ownership
- For-profit, partnership
- Legal business name
- J and B Associates LLC
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Mar 12, 2013
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Oct 1, 2025. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 23, 2023 to Jun 10, 2026): 6 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 10, 2026 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| Mar 9, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Mar 9, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J |
| Mar 9, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| Nov 13, 2024 | Ensure each resident receives an accurate assessment. | D |
| Nov 13, 2024 | Provide enough food/fluids to maintain a resident's health. | K |
| Aug 1, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| Aug 1, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| May 23, 2023 | Post nurse staffing information every day. | C |
| May 23, 2023 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D |
| May 23, 2023 | 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 |
| May 23, 2023 | Provide safe and appropriate respiratory care for a resident when needed. | D |
Fines and payment denials
CMS records 2 fines totalling $77,293 and 1 denial of Medicare payment for new admissions in the last three years.
| Mar 9, 2026 | Fine: $21,190 |
| Mar 9, 2026 | Payment denial for 8 days from Apr 7, 2026 |
| Nov 13, 2024 | Fine: $56,103 |
Staffing
- Total nurse staffing per resident per day
- 3.74 hours
- Registered nurse (RN) time per resident per day
- 0.92 hours
- Nurse aide time per resident per day
- 2.32 hours
- Total nurse staffing on weekends
- 3.34 hours
- Nursing staff turnover (yearly)
- 58%
- RN turnover (yearly)
- 38%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.