Chelsea Gardens
Nursing Home · Missouri City, TX
CMS certification number676334
Contact & location
4422 Riverstone BlvdMissouri City, TX 77459
Fort Bend County
- Phone
- (281) 499-5040
- ZIP code
- 77459 – all care providers
Facility details
- Certified beds
- 60
- Residents per day
- 43.8 (73% occupied)
- Ownership
- For profit - Partnership
- Legal name
- J and B Associates LLC
- Medicare certified since
- March 12, 2013
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.74 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.92 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.50 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.32 (state 2.00 · U.S. 2.32)
- Weekend total
- 3.34 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 57.5 (state 55.3 · U.S. 45.8)%
- RN turnover
- 37.5 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- October 1, 2025
- Health deficiencies (last cycle)
- 4.0 (state 9.3 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 14 health · 7 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-10 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2026-03-09 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-04-15 |
| 2026-03-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-04-15 |
| 2026-03-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-15 |
| 2024-11-13 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-11-14 |
| 2024-11-13 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-02 |
| 2024-08-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-20 |
| 2024-08-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-20 |
| 2023-05-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-06-09 |
| 2023-05-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-09 |
| 2023-05-23 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. F0661 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-08 |
| 2023-05-23 | 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. F0693 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-09 |
| 2023-05-23 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-09 |
| 2023-05-23 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2023-06-09 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $77,293 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-09 | Payment Denial | 8 days payment denial |
| 2026-03-09 | Fine | $21,190 |
| 2024-11-13 | Fine | $56,103 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| The American Cornerstone Health Services INC. (organization) | 5%+ Direct Ownership Interest · 100% | |
| Ajayi, Samuel (individual) | 5%+ Indirect Ownership Interest · 50% | |
| Ajayi, Temitope (individual) | 5%+ Indirect Ownership Interest · 50% | |
| Ajayi, Samuel (individual) | Administrator · NOT APPLICABLE | |
| Ajayi, Temitope (individual) | Administrator · NOT APPLICABLE | |
| Ballew, Vincent (individual) | Administrator · NOT APPLICABLE | |
| Nwankwo, Chinedu (individual) | Administrator · NOT APPLICABLE | |
| The American Cornerstone Health Services INC. (organization) | Administrator · NOT APPLICABLE | |
| Ajayi, Samuel (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ballew, Vincent (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Nwankwo, Chinedu (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Chelsea Gardens?
Chelsea Gardens has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Chelsea Gardens have?
It has 60 certified beds and cares for about 44 residents per day.
Has Chelsea Gardens been fined?
Yes. CMS lists 3 penalties totaling $77,293 in the last three years.
What is the phone number of Chelsea Gardens?
(281) 499-5040. The facility is located at 4422 Riverstone Blvd, Missouri City, TX 77459.
Other nursing homes in Missouri City
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Windsor Quail Valley Post-Acute Healthcare
Nursing Home · Missouri City, TX · 120 beds
★★★ -
Park Manor of Quail Valley
Nursing Home · Missouri City, TX · 125 beds
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Paradigm at First Colony
Nursing Home · Missouri City, TX · 150 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.